Drug interactions

gemfibrozil + simvastatin

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.

Overview

Severity: Major · Evidence level: High

↑ myopathy/rhabdomyolysis risk.

Mechanism of action

Pharmacokinetic/transport effects.

Clinical management

Avoid combo; if fibrate needed, prefer fenofibrate.

Drug reference

References

Frequently asked questions

Can I take gemfibrozil with simvastatin?

The interaction is rated: Major. ↑ myopathy/rhabdomyolysis risk.

How serious is the interaction between gemfibrozil and simvastatin?

The interaction is rated: Major. Evidence level: High.

How is the interaction between gemfibrozil and simvastatin managed?

Avoid combo; if fibrate needed, prefer fenofibrate.

Why do gemfibrozil and simvastatin interact?

Pharmacokinetic/transport effects.

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