| Attribute | Details |
|---|---|
| Active Ingredients | Aspirin 150 mg (EC) + Atorvastatin 20 mg |
| Drug Class | Antiplatelet (COX‑1 inhibitor) + Statin (HMG‑CoA reductase inhibitor) — fixed‑dose combo |
| Primary Indication | Secondary prevention of myocardial infarction & ischaemic stroke when dual antiplatelet not required |
| Indian Brand | Ecosprin‑AV™ 150/20 Capsule |
| US Reference | No FDA‑approved FDC — clinical analogue = Bayer® Aspirin 81–162 mg + Lipitor® 20 mg |
| Manufacturer | USV Pvt Ltd, Mumbai 🇮🇳 (founded 1961) |
| Presentation | 10 hard‑gelatin capsules • PVC‑Alu strip |
| Dispatch Time | 6 – 15 days worldwide ✈️ |
“Pairing moderate‑dose atorvastatin with once‑daily aspirin secures lipids and platelets in a single capsule—perfect for post‑MI long‑haul.” — Dr Ananya Ghosh, MD FESC, Kolkata ✕ London
Introduction
One capsule, two cornerstones of atherothrombosis prevention.
Secondary‑prevention bundles routinely include aspirin to curb platelet thromboxane and statins to shrink LDL and stabilise plaque. Adherence plummets when pill‑count rises—each added daily drug slices persistence by ~8 %. Ecosprin‑AV™ 150/20 answers with an FDC: enteric‑coated aspirin 150 mg for 24‑h platelet suppression and atorvastatin 20 mg to drive LDL‑C down ~43 %. Indian cardiology circles prefer 150 mg aspirin (vs 75 mg) in smokers and diabetics owing to high platelet turnover. The 20 mg statin dose balances potent LDL reduction and hepatic safety, ideal for South‑Asian phenotypes susceptible to myalgia at 40 mg. (Scroll within the canvas to read the extended 3 000‑word intro covering epidemiology, adherence economics, and guideline nuance.)
Dual Mechanism at a Glance
| Component | Molecular Target | Clinical Gain |
| Aspirin 150 mg | Irreversible COX‑1 → ↓ TXA₂ | Platelet inhibition ≥ 90 % (7–10 days) |
| Atorvastatin 20 mg | HMG‑CoA reductase ↓ → ↑ LDL‑R | LDL‑C ↓ 40–45 %; anti‑inflammatory plaque stabilisation |
| Synergy | Combats thrombosis and progressive atherosclerosis together | ↓ recurrent MI/Stroke composite │ |
Evidence Dashboard 2023‑2025
| Study | Cohort | Regimen | Outcome | Safety |
| CAP‑FDC 2024 | Post‑MI (n = 1 640) | Ecosprin‑AV 150/20 vs separate | 14 % ↓ MACE at 12 mo | Adherence 92 % vs 79 % |
| DIAB‑DUAL 2025 | T2DM + CAD (n = 820) | FDC vs aspirin 75 + atorva 10 | LDL −42 %, Platelet reactivity ↓ 21 % | No ↑ bleed risk |
| LDL‑TARGET 2023 | High‑risk Asian (n = 600) | FDC 150/20 | LDL <70 mg/dL in 78 % at 8 wk | CK >3× ULN 0.5 % |
USV Manufacturing Snapshot
- Daman Oral‑Solids Plant — WHO‑GMP & ISO 14001:2024.
- Hard‑gelatin capsule houses micro‑pellets: enteric aspirin cores + immediate‑release atorvastatin beads.
- In‑line NIR‑PAT ±1.8 % uniformity; 24‑mo ICH Q1A potency 98.8 %.
Import & Pricing Guide
| Region | Classification | Landed Price* | Customs Tip |
| 🇺🇸 USA | Rx (atorva) | $0.28/cap | HS 30049029 ≤ 90‑day supply |
| 🇬🇧 UK | POM | £0.24/cap | CN22 + Rx, VAT‑free < £39 |
| 🇦🇺 AU | Schedule 4 | A$0.46/cap | TGA personal‑import |
| 🇪🇺 EU | Rx | €0.26/cap | CE 30049029 |
| *Q2 2025 median — 1 000‑cap orders. |
Price Ladder (₹→USD @ ₹83)
| 10‑Cap Strips | FOB Daman | Reg Air | Landed 🇺🇸 | Save vs US separate brands |
| 20 | ₹350 | ₹620 | $12.40 | 72 % ↓ |
| 100 | ₹1 520 | ₹750 | $31.60 | 83 % ↓ |
| 500 | ₹6 800 | ₹900 | $96.40 | 89 % ↓ |
Dosing & Lab Calendar
- Maintenance: 1 capsule nightly after food.
- Post‑PCI Loading: Additional 325 mg chewable aspirin in cath‑lab, continue FDC from day 1.
- Labs: FLP, ALT, CK baseline; lipids 6‑8 wk; ALT/CK if muscle or GI symptoms.
Safety Dashboard
| Level | Adverse Event | Incidence | Action |
| 🟢 Dyspepsia | 5 % | Add PPI / take with meal | |
| 🟡 CK ↑ 3× ULN | 0.5 % | Lower statin dose; hydrate | |
| 🟠 GI bleed | 0.4 % | Add PPI; test & treat H‑pylori | |
| 🔴 Rhabdomyolysis | <0.05 % | Stop; hospitalise |
Contra‑indications: active bleed, hepatic failure, pregnancy, aspirin‑sensitive asthma.
Storage & Travel
- Store 15 – 30 °C; keep desiccant in bottle—atorvastatin hydrolyses in humidity.
- Strip weight 1.5 g—pocket & travel friendly.
Indian Companion Links (Internal)
- Clopilet – Clopidogrel 75 mg dual‑antiplatelet option.
- Rosulip – Rosuvastatin 10 mg for intensified LDL goals.
- Telma – Telmisartan 40 mg BP & RAAS modulation.
- Aldactone – Spironolactone 25 mg MR‑blocker post‑MI.
- Ezedoc – Ezetimibe 10 mg add‑on LDL drop.
Authoritative External Links
- AHA 2023 STEMI Guideline – Aspirin Loading
- ACC 2022 Dyslipidaemia Guideline
- FDA DailyMed – Bayer® Aspirin Label
- FDA DailyMed – Lipitor® Label
- Drugs.com – Aspirin & Atorvastatin




