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Drug interactions

Ponatinib + Rosuvastatin

Severity: Moderate

Ponatinib 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

Ponatinib may increase rosuvastatin exposure by inhibiting transporters, potentially raising the risk of myopathy. Ponatinib itself can cause muscle toxicity and elevated creatine kinase, adding to concern.

What this interaction means in plain words

Ponatinib 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.

Ponatinib belongs to Oncology; Rosuvastatin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Ponatinib may inhibit BCRP and OATP1B1, decreasing rosuvastatin efflux and hepatic uptake.

What to do

Monitor for muscle pain and weakness and consider a lower rosuvastatin dose. Check creatine kinase if symptoms 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 Ponatinib with Rosuvastatin?

MediHelp rates the interaction as moderate. Ponatinib 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. Ponatinib may increase rosuvastatin exposure by inhibiting transporters, potentially raising the risk of myopathy. Ponatinib itself can cause muscle toxicity and elevated creatine kinase, adding to concern.

How serious is the interaction between Ponatinib 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: Monitor for muscle pain and weakness and consider a lower rosuvastatin dose. Check creatine kinase if symptoms occur.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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