Compare Vytorin vs. Pravastatin

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Vytorin
(Ezetimibe / Simvastatin)

Pravachol
(Pravastatin)

Lowers cholesterol. Vytorin is expensive and is no more effective than simvastatin by itself.Lowers cholesterol. Pravachol (Pravastatin) can improve cholesterol, but it's not as strong as other statin medicines. Statin side effects can be difficult to deal with, but the benefits might outweigh the risks.
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Reviews & ratings
Button Group. All currently active
Button Group. All currently active
4.408163265306122Vytorin
Reviews for Vytorin (Ezetimibe / Simvastatin)
52%
of people say Vytorin (Ezetimibe / Simvastatin) is worth it
36%
say it works well
19%
say it's a big hassle
Reviews for Pravachol (Pravastatin)
54%
+2% vs. Vytorin (Ezetimibe / Simvastatin)
44%
+8% vs. Vytorin (Ezetimibe / Simvastatin)
19%
Same vs. Vytorin (Ezetimibe / Simvastatin)
Side effects
VytorinPravastatin
  • Unexplained muscle pain or weakness 1%
  • Ear, nose, or throat infection 1%
  • Pain in extremity 1%
  • Flu 1%
More Vytorin side effects »
  • Upper respiratory infection 4%
  • Nausea/vomiting 4%
  • Decreased liver functiond 3%
  • Diarrhea 3%
  • Flu 3%
  • Headache 3%
  • Sore throats 2%
  • Heart-related chest pain 2%
  • Inflammation inside the noses 2%
  • G-gt increased 2%
More Pravastatin side effects »
How it works
VytorinPravastatin
Vytorin is a combination cholesterol-lowering medicine. Simvastatin prevents your body from making "bad" cholesterol (LDL) while raising "good" cholesterol (HDL). Ezetimibe prevents cholesterol absorption in your intestines.Pravachol (Pravastatin) is cholesterol-lowering medicine called a statin. It lowers the amount of cholesterol your body makes, which helps lower "bad" cholesterol (LDL) and raise "good" cholesterol (HDL).
Type of medication
VytorinPravastatin
Cholesterol-lowering
Cholesterol inhibitor
Statin
Prescription only
Cholesterol-lowering
Statin
Prescription only
Available as
VytorinPravastatin
  • Pill
  • Pill
Used for (click to learn more)
VytorinPravastatin
Risk factors for serious side effects
VytorinPravastatin
  • Asian patients taking high-dose niacin
  • Past history of liver disease
  • heavy alcohol use
  • Diabetes
      • Pregnancy
      Detailed Vytorin (Ezetimibe / Simvastatin) risks & warnings »
      • Kidney disease
      • High dose of Pravachol (Pravastatin)
      • Combining Pravachol (Pravastatin) with certain cholesterol-lowering drugs
      • Older age and female gender
      • Heavy alcohol use
      • History of chronic liver disease
      • Pregnancy
      • Breast feeding
      • Certain drugs can increase the dose of Pravachol (Pravastatin) in the body
        Detailed Pravachol (Pravastatin) risks & warnings »
        Pregnancy category
        VytorinPravastatin
        XFDA pregnancy category (Unsafe)

        Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

        See the FDA package insert
        XFDA pregnancy category (Unsafe)

        Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

        See the FDA package insert
        Alcohol
        • People who take Vytorin (Ezetimibe / Simvastatin) have reported liver damage, especially if taken with statins or if you drink large amounts of alcohol. This has been rare. Talk to your doctor if you've ever had liver disease as they may discuss alternatives, or they may monitor your liver with blood tests.
        • You're at higher risk for these side effects if you are female, are 65 years or older, drink alcohol every day, take more than one medicine for cholesterol, or have liver disease, kidney disease, or diabetes.
        • There are reports of liver damage in people who take Pravachol (Pravastatin), especially if they are heavy alcohol drinkers or have a history of liver disease. If you notice dark urine or yellowing of the eyes or skin, tell your doctor. Your doctor may also want to check your liver function periodically.
        Food
        No specific food-related info.No specific food-related info.
        Kidneys and liver
        • People on Vytorin (Ezetimibe / Simvastatin) have reported muscle pain which may lead to muscle breakdown and kidney damage, especially in people of Asian ancestry who are also taking niacin. This has been very rare. Talk to your doctor if you suddenly develop muscle pain and a fever and you don't know why.
        • Statins can cause digestive problems, blood sugar problems, muscle aches and stiffness, muscle injury, kidney damage, and liver damage. Some people have to stop taking this medicine because of these problems.
        • You're at higher risk for these side effects if you are female, are 65 years or older, drink alcohol every day, take more than one medicine for cholesterol, or have liver disease, kidney disease, or diabetes.
        • There are rare cases of muscle damage leading to kidney failure in people taking Pravachol (Pravastatin). The risk is greater in people with kidney disease or thyroid disease, are older and female and taking certain cholesterol-lowering medication combinations. Tell your doctor if you develop sudden muscle pain, weakness or fever and there is no known cause.
        • Combining certain medications can increase the risk of muscle pain (myopathy), muscle damage (rhabdomyolysis) and kidney damage. Talk to your doctor or pharmacist when taking any new medications.
        Sex
        No specific sex-related info.No specific sex-related info.
        Sleep
        No specific sleep-related info.No specific sleep-related info.
        Weight
        No specific weight-related info.No specific weight-related info.
        Upsides and benefits
        VytorinPravastatin
        • A 2-in-1 cholesterol-lowering combination medicine.
        • Lowers "bad" cholesterol (LDL) and raises "good" cholesterol (HDL) in people who have trouble doing this through diet and exercise.
        • Lowers "bad" cholesterol (LDL) and triglycerides (fats) and raises "good" cholesterol (HDL) in people who have trouble doing this through diet and exercise.
        • Can lower the risk of heart attack, stroke, and death, particularly if you have diabetes, high blood pressure, obesity, or a history of smoking.
        Downsides and risks
        VytorinPravastatin
        • In clinical studies, simvastatin/ezetimibe hasn't controlled cholesterol better than simvastatin alone.
        • There's no generic available, so it can be expensive.
        • Not the best choice for people who have very high cholesterol levels.
        • Statins can cause digestive problems, blood sugar problems, muscle aches and stiffness, muscle injury, kidney damage, and liver damage. Some people have to stop taking this medicine because of these problems.
        • You're at higher risk for these side effects if you are female, are 65 years or older, drink alcohol every day, take more than one medicine for cholesterol, or have liver disease, kidney disease, or diabetes.
        • Not safe to use if you're pregnant.
        Tips from our pharmacists for people taking the medication
        VytorinPravastatin
        • Take it in the evening.
        • Can cause headaches or diarrhea.
        • Call your doctor if you develop muscle pain.
        • Also taking Welchol or Questran? Take this medicine at least 2 hours before or 4 hours after.
        • Avoid grapefruit and grapefruit juice while taking this medicine.
        • Lowers bad cholesterol and triglycerides, and raises good cholesterol.
        • Most people reach their target cholesterol levels in 4 to 6 weeks.
        • Tell your doctor if you develop sudden muscle pain, fever, or weakness.
        • Tell your doctor if you notice dark urine or yellowing of the eyes or skin.
        • Certain medications can interact with this drug. Talk to your doctor or pharmacist.
        • Avoid grapefruit and grapefruit juice while taking this medicine.
        Learn more
        More about VytorinSide effectsReviews & ratingsAlternativesFDA package insert
        More about PravastatinSide effectsReviews & ratingsAlternativesFDA package insert