Drug interactions
Apalutamide + Fluvastatin
Severity: Moderate
Apalutamide and Fluvastatin: moderate 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
Apalutamide is a weak CYP2C9 inducer and induces other clearance pathways. It may lower fluvastatin exposure, which is mainly cleared by CYP2C9, and so weaken its lipid-lowering effect.
What this interaction means in plain words
Apalutamide and Fluvastatin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Apalutamide belongs to Endocrine; Fluvastatin belongs to Cardiovascular.
Why it happens
Apalutamide induces CYP2C9 and weakly induces transporters, increasing fluvastatin clearance.
What to do
Monitor the lipid profile after starting or stopping apalutamide. Increase the fluvastatin dose or switch statin if efficacy is lost.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Fluvastatin
- Cyclosporine + Fluvastatin Major
- Cyclosporin + Fluvastatin Major
- Fluvastatin + Gemfibrozil Major
- Fluvastatin + Letermovir Major
- Fluvastatin + Red yeast rice Major
- Cholestyramine + Fluvastatin Moderate
Other interactions of Apalutamide
- Apalutamide + Cabotegravir Contraindicated
- Apalutamide + Cobicistat Contraindicated
- Apalutamide + Doravirine Contraindicated
- Apalutamide + Elbasvir / grazoprevir Contraindicated
- Apalutamide + Ensitrelvir Contraindicated
- Apalutamide + Fostemsavir Contraindicated
Frequently asked questions
Can I take Apalutamide with Fluvastatin?
MediHelp rates the interaction as moderate. Apalutamide and Fluvastatin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Apalutamide is a weak CYP2C9 inducer and induces other clearance pathways. It may lower fluvastatin exposure, which is mainly cleared by CYP2C9, and so weaken its lipid-lowering effect.
How serious is the interaction between Apalutamide and Fluvastatin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor the lipid profile after starting or stopping apalutamide. Increase the fluvastatin dose or switch statin if efficacy is lost.
What other medicines interact with Fluvastatin?
MediHelp also lists interactions of Fluvastatin with, for example, Cyclosporine, Cyclosporin, Gemfibrozil. The full list is on the Fluvastatin page.
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