(3S,5S)-Pitavastatin calcium is used primarily as a lipid-lowering agent to treat high blood cholesterol levels. It helps reduce LDL (bad) cholesterol and increase HDL (good) cholesterol. It is effective in managing hyperlipidemia and preventing cardiovascular diseases. Often prescribed to patients with high LDL cholesterol, it works by inhibiting HMG-CoA reductase, a key enzyme in cholesterol production in the body. Additionally, it is beneficial for individuals with a history of heart attacks or strokes, aiding in the reduction of future cardiovascular risks. It is also used in combination with diet and exercise for optimal results.