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Drug interactions

Eluxadoline + Lovastatin

Severity: Moderate

Eluxadoline 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

Lovastatin may inhibit OATP1B1 and raise eluxadoline exposure, increasing its adverse effects such as constipation, nausea and pancreatitis risk. The effect of OATP1B1 inhibitors on eluxadoline is documented in labeling.

What this interaction means in plain words

Eluxadoline 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.

Eluxadoline belongs to Gastrointestinal Tract; Lovastatin belongs to Cardiovascular.

Evidence level: Low

Why it happens

OATP1B1 inhibition reduces hepatic uptake of eluxadoline.

What to do

Reduce eluxadoline to 75 mg twice daily if combined with an OATP1B1 inhibitor and monitor for GI adverse effects.

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 Eluxadoline with Lovastatin?

MediHelp rates the interaction as moderate. Eluxadoline 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. Lovastatin may inhibit OATP1B1 and raise eluxadoline exposure, increasing its adverse effects such as constipation, nausea and pancreatitis risk. The effect of OATP1B1 inhibitors on eluxadoline is documented in labeling.

How serious is the interaction between Eluxadoline 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: Reduce eluxadoline to 75 mg twice daily if combined with an OATP1B1 inhibitor and monitor for GI adverse effects.

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

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