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Drug interactions

Atorvastatin + Fostamatinib

Severity: Moderate

Atorvastatin and Fostamatinib: 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

Fostamatinib's active metabolite inhibits P-gp and BCRP and can raise atorvastatin exposure. Higher exposure increases the risk of statin-related muscle toxicity.

What this interaction means in plain words

Atorvastatin and Fostamatinib 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.

Atorvastatin belongs to Cardiovascular; Fostamatinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Tamatinib inhibits intestinal P-gp and BCRP, increasing atorvastatin absorption.

What to do

Monitor for myalgia and consider reducing the atorvastatin dose if symptoms occur.

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?

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 Atorvastatin with Fostamatinib?

MediHelp rates the interaction as moderate. Atorvastatin and Fostamatinib 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. Fostamatinib's active metabolite inhibits P-gp and BCRP and can raise atorvastatin exposure. Higher exposure increases the risk of statin-related muscle toxicity.

How serious is the interaction between Atorvastatin and Fostamatinib?

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 for myalgia and consider reducing the atorvastatin dose if symptoms occur.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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