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Drug interactions

Eltrombopag + Pravastatin

Severity: Moderate

Eltrombopag and Pravastatin: 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 and can increase pravastatin exposure, which may raise the risk of myopathy. The effect is generally modest.

What this interaction means in plain words

Eltrombopag and Pravastatin 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; Pravastatin belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Eltrombopag inhibits the OATP1B1 uptake transporter, reducing hepatic uptake of pravastatin.

What to do

Consider a reduced pravastatin 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 Pravastatin?

MediHelp rates the interaction as moderate. Eltrombopag and Pravastatin 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 and can increase pravastatin exposure, which may raise the risk of myopathy. The effect is generally modest.

How serious is the interaction between Eltrombopag and Pravastatin?

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 a reduced pravastatin dose and monitor for muscle symptoms, checking CK if they occur.

What other medicines interact with Pravastatin?

MediHelp also lists interactions of Pravastatin with, for example, Cyclosporine, Cyclosporin, Gemfibrozil. The full list is on the Pravastatin 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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