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Drug interactions

Elagolix + Lovastatin

Severity: Moderate

Elagolix and Lovastatin: 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

Elagolix is a weak-to-moderate CYP3A4 inducer and may lower lovastatin exposure, reducing lipid-lowering effect. It also inhibits P-gp and OATP1B1, which could increase statin exposure, so the net effect is uncertain.

What this interaction means in plain words

Elagolix and Lovastatin 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.

Elagolix belongs to Musculoskeletal; Lovastatin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Elagolix induces CYP3A4 while inhibiting P-gp and OATP1B1, with opposing effects on lovastatin exposure.

What to do

Monitor lipid response and for muscle symptoms; adjust the lovastatin dose according to response and tolerability.

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 Elagolix with Lovastatin?

MediHelp rates the interaction as moderate. Elagolix and Lovastatin 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. Elagolix is a weak-to-moderate CYP3A4 inducer and may lower lovastatin exposure, reducing lipid-lowering effect. It also inhibits P-gp and OATP1B1, which could increase statin exposure, so the net effect is uncertain.

How serious is the interaction between Elagolix and Lovastatin?

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 lipid response and for muscle symptoms; adjust the lovastatin dose according to response and tolerability.

What other medicines interact with Lovastatin?

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