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A starting dose of 4 mg for two weeks is recommended, then uptitration to 8 mg once daily, depending on acceptability.
The recommended dose for fibromyalgia is 100 mg/day (after an uptitration period ) which may be increased to 200 mg/day based on individual patient response.
National Kidney Foundation (2012 Update) claims that Gliclazide does not require dosage uptitration even in end stage Kidney disease.
Prescribers treating patients who are taking simvastatin 80 mg or who are being considered for an up-titration to that dose may need to review their treatment during their next visit, to take into account the new evidence.
A 60-week, open-label extension to this core study was conducted to assess the long-term safety of pitavastatin at the recommended starting dose of 2 mg once daily, and the need for up-titration to 4 mg once daily in consenting completers from the pitavastatin treatment groups of the core study.