Drug interactions
Atorvastatin + Vadadustat
Severity: Moderate
Atorvastatin and Vadadustat: 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
Vadadustat inhibits BCRP and can increase exposure to BCRP substrates such as atorvastatin. This may increase the risk of statin-related muscle adverse effects.
What this interaction means in plain words
Atorvastatin and Vadadustat 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; Vadadustat belongs to Endocrine.
Why it happens
Vadadustat inhibits breast cancer resistance protein (BCRP), reducing atorvastatin efflux and increasing its systemic exposure.
What to do
Monitor for myalgia and consider reducing the atorvastatin dose if symptoms develop. Check creatine kinase when muscle 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?
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Other interactions of Atorvastatin
- Atorvastatin + Tipranavir Contraindicated
- Atazanavir + Atorvastatin Major
- Atorvastatin + Clarithromycin Major
- Atorvastatin + Cobicistat Major
- Atorvastatin + Cyclosporin Major
- Atorvastatin + Cyclosporine Major
Other interactions of Vadadustat
- Balsalazide + Vadadustat Moderate
- Baricitinib + Vadadustat Moderate
- Benzathine penicillin g + Vadadustat Moderate
- Calcium carbonate + Vadadustat Moderate
- Calcium + Vadadustat Moderate
- Cladribine + Vadadustat Moderate
Frequently asked questions
Can I take Atorvastatin with Vadadustat?
MediHelp rates the interaction as moderate. Atorvastatin and Vadadustat 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. Vadadustat inhibits BCRP and can increase exposure to BCRP substrates such as atorvastatin. This may increase the risk of statin-related muscle adverse effects.
How serious is the interaction between Atorvastatin and Vadadustat?
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 develop. Check creatine kinase when muscle 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.
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