Skip to content

Drug interactions

Rosuvastatin + Sodium bicarbonate

Severity: Minor

Rosuvastatin and Sodium bicarbonate: minor 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

Oral antacids containing aluminium or magnesium lower rosuvastatin absorption; sodium bicarbonate is not clearly shown to do so. Any reduction would be modest and of limited clinical relevance.

What this interaction means in plain words

Rosuvastatin and Sodium bicarbonate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Rosuvastatin belongs to Cardiovascular; Sodium bicarbonate belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Possible reduction in rosuvastatin absorption due to altered gastric pH; mechanism is not well established for sodium bicarbonate.

What to do

Separating the doses by about 2 hours is a reasonable precaution. No other action is generally needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Rosuvastatin and Sodium bicarbonate, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 14 days on the web. No card needed.

Frequently asked questions

Can I take Rosuvastatin with Sodium bicarbonate?

MediHelp rates the interaction as minor. Rosuvastatin and Sodium bicarbonate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Oral antacids containing aluminium or magnesium lower rosuvastatin absorption; sodium bicarbonate is not clearly shown to do so. Any reduction would be modest and of limited clinical relevance.

How serious is the interaction between Rosuvastatin and Sodium bicarbonate?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separating the doses by about 2 hours is a reasonable precaution. No other action is generally needed.

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.

Browse A–Z · Drug interactions

Get the app Sign in