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Drug interactions

Pitavastatin + Trofinetide

Severity: Moderate

Pitavastatin and Trofinetide: 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

Trofinetide inhibits OATP1B1 and OATP1B3 in vitro and may increase pitavastatin concentrations. The higher exposure could heighten the risk of statin myopathy.

What this interaction means in plain words

Pitavastatin and Trofinetide 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.

Pitavastatin belongs to Cardiovascular; Trofinetide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Inhibition of OATP1B1/1B3 by trofinetide reduces hepatic uptake of pitavastatin.

What to do

Monitor for muscle pain and weakness and consider a lower pitavastatin dose. Select an alternative lipid-lowering agent if toxicity occurs.

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 Pitavastatin with Trofinetide?

MediHelp rates the interaction as moderate. Pitavastatin and Trofinetide 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. Trofinetide inhibits OATP1B1 and OATP1B3 in vitro and may increase pitavastatin concentrations. The higher exposure could heighten the risk of statin myopathy.

How serious is the interaction between Pitavastatin and Trofinetide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for muscle pain and weakness and consider a lower pitavastatin dose. Select an alternative lipid-lowering agent if toxicity occurs.

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

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