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Drug interactions

Atorvastatin + Quinidine

Severity: Minor

Atorvastatin and Quinidine: 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

Quinidine inhibits P-glycoprotein and may modestly raise atorvastatin concentrations. This could increase the risk of statin-related myopathy, although the effect is usually limited.

What this interaction means in plain words

Atorvastatin and Quinidine 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 belongs to Cardiovascular; Quinidine belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Quinidine inhibits P-glycoprotein efflux of atorvastatin, and weak CYP3A4 effects may contribute.

What to do

No routine change is required. Ask patients to report unexplained muscle pain or weakness and consider checking creatine kinase if symptoms occur.

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 Atorvastatin with Quinidine?

MediHelp rates the interaction as minor. Atorvastatin and Quinidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Quinidine inhibits P-glycoprotein and may modestly raise atorvastatin concentrations. This could increase the risk of statin-related myopathy, although the effect is usually limited.

How serious is the interaction between Atorvastatin and Quinidine?

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 change is required. Ask patients to report unexplained muscle pain or weakness and consider checking creatine kinase if symptoms occur.

What other medicines interact with Quinidine?

MediHelp also lists interactions of Quinidine with, for example, Adagrasib, Arsenic trioxide, Artemether / lumefantrine. The full list is on the Quinidine page.

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