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Drug interactions

Eluxadoline + Rosuvastatin

Severity: Moderate

Eluxadoline and Rosuvastatin: 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

Eluxadoline raises systemic exposure to rosuvastatin, increasing the potential for myopathy and rhabdomyolysis. The effect is relevant particularly at higher statin doses.

What this interaction means in plain words

Eluxadoline and Rosuvastatin 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; Rosuvastatin belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Eluxadoline inhibits OATP1B1 and BCRP, reducing hepatic uptake and efflux of rosuvastatin and raising plasma levels.

What to do

Use the lowest effective rosuvastatin dose and monitor for muscle symptoms. Check creatine kinase if symptoms develop.

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 Rosuvastatin?

MediHelp rates the interaction as moderate. Eluxadoline and Rosuvastatin 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 raises systemic exposure to rosuvastatin, increasing the potential for myopathy and rhabdomyolysis. The effect is relevant particularly at higher statin doses.

How serious is the interaction between Eluxadoline and Rosuvastatin?

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 rosuvastatin dose and monitor for muscle symptoms. Check creatine kinase if symptoms develop.

What other medicines interact with Rosuvastatin?

MediHelp also lists interactions of Rosuvastatin with, for example, Atazanavir, Cyclosporine, Cyclosporin. The full list is on the Rosuvastatin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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