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Drug interactions

Ceftobiprole medocaril + Simvastatin

Severity: Moderate

Ceftobiprole medocaril and Simvastatin: 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

Ceftobiprole inhibits OATP1B1 and OATP1B3 in vitro, which mediate hepatic uptake of simvastatin acid. Exposure may rise, although ceftobiprole is given short-term.

What this interaction means in plain words

Ceftobiprole medocaril and Simvastatin 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.

Evidence level: Low

Why it happens

Ceftobiprole inhibits OATP1B1/1B3-mediated hepatic uptake of simvastatin.

What to do

Consider withholding simvastatin or using a lower dose during the short course of ceftobiprole. Monitor for muscle symptoms.

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 Ceftobiprole medocaril with Simvastatin?

MediHelp rates the interaction as moderate. Ceftobiprole medocaril and Simvastatin 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. Ceftobiprole inhibits OATP1B1 and OATP1B3 in vitro, which mediate hepatic uptake of simvastatin acid. Exposure may rise, although ceftobiprole is given short-term.

How serious is the interaction between Ceftobiprole medocaril and Simvastatin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider withholding simvastatin or using a lower dose during the short course of ceftobiprole. Monitor for muscle symptoms.

What other medicines interact with Simvastatin?

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

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