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Drug interactions

Amitriptyline + Atorvastatin

Severity: Minor

Amitriptyline and Atorvastatin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Atorvastatin is a weak P-glycoprotein inhibitor and could marginally raise amitriptyline exposure. No clinically significant effect has been established.

What this interaction means in plain words

Amitriptyline and Atorvastatin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Amitriptyline belongs to Central Nervous System; Atorvastatin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Possible weak inhibition of P-glycoprotein efflux by atorvastatin; clinical relevance is unproven.

What to do

No routine action is needed; be alert for anticholinergic or sedative effects of amitriptyline if symptoms emerge.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amitriptyline with Atorvastatin?

MediHelp rates the interaction as minor. Amitriptyline and Atorvastatin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atorvastatin is a weak P-glycoprotein inhibitor and could marginally raise amitriptyline exposure. No clinically significant effect has been established.

How serious is the interaction between Amitriptyline and Atorvastatin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action is needed; be alert for anticholinergic or sedative effects of amitriptyline if symptoms emerge.

What other medicines interact with Atorvastatin?

MediHelp also lists interactions of Atorvastatin with, for example, Tipranavir, Atazanavir, Clarithromycin. The full list is on the Atorvastatin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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