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Drug interactions

Eltrombopag + Pitavastatin

Severity: Moderate

Eltrombopag and Pitavastatin: 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

Eltrombopag inhibits OATP1B1, a key hepatic uptake transporter for pitavastatin, and may raise pitavastatin exposure. This could increase the risk of myopathy.

What this interaction means in plain words

Eltrombopag and Pitavastatin 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.

Eltrombopag belongs to Miscellaneous; Pitavastatin belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Eltrombopag inhibits OATP1B1, reducing hepatic uptake of pitavastatin.

What to do

Use the lowest effective pitavastatin dose and monitor for muscle symptoms, checking CK if they 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 Eltrombopag with Pitavastatin?

MediHelp rates the interaction as moderate. Eltrombopag and Pitavastatin 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. Eltrombopag inhibits OATP1B1, a key hepatic uptake transporter for pitavastatin, and may raise pitavastatin exposure. This could increase the risk of myopathy.

How serious is the interaction between Eltrombopag and Pitavastatin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective pitavastatin dose and monitor for muscle symptoms, checking CK if they occur.

What other medicines interact with Pitavastatin?

MediHelp also lists interactions of Pitavastatin with, for example, Cyclosporine, Cyclosporin, Erythromycin base. The full list is on the Pitavastatin 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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