相互作用
Atorvastatin + Red yeast rice
重症度: 重大
Atorvastatin and Red yeast rice: major interaction.
最終更新日
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概要
Red yeast rice contains monacolin K, chemically identical to lovastatin. Taken with atorvastatin, it duplicates statin therapy and raises the risk of myopathy and liver toxicity.
この相互作用をわかりやすく説明すると
Atorvastatin and Red yeast rice can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Atorvastatin belongs to Cardiovascular; Red yeast rice belongs to Gastrointestinal Tract.
なぜ起こるのか
Duplicate HMG-CoA reductase inhibition
対処法
Do not combine; stop the supplement and check CK if muscle symptoms occur.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AtorvastatinとRed yeast riceの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Atorvastatinのその他の相互作用
Red yeast riceのその他の相互作用
よくある質問
Can I take Atorvastatin with Red yeast rice?
MediHelp rates the interaction as major. Atorvastatin and Red yeast rice can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Red yeast rice contains monacolin K, chemically identical to lovastatin. Taken with atorvastatin, it duplicates statin therapy and raises the risk of myopathy and liver toxicity.
How serious is the interaction between Atorvastatin and Red yeast rice?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; stop the supplement and check CK if muscle symptoms occur.
What other medicines interact with Atorvastatin?
MediHelp also lists interactions of Atorvastatin with, for example, Tipranavir, Atazanavir, Clarithromycin. The full list is on the Atorvastatin page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。