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Interações medicamentosas

Roxadustat + Simvastatin

Gravidade: Moderada

Roxadustat and Simvastatin: moderate interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Roxadustat raises simvastatin exposure, increasing the chance of statin-related muscle toxicity. Simvastatin is already prone to myopathy at higher exposures.

O que esta interação significa em palavras simples

Roxadustat and Simvastatin 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.

Roxadustat belongs to Miscellaneous; Simvastatin belongs to Cardiovascular.

Nível de evidência: High

Por que acontece

Roxadustat inhibits OATP1B1 and BCRP, reducing hepatic uptake and efflux of statins.

O que fazer

Monitor for muscle pain, weakness and CK elevation. Consider reducing the simvastatin dose.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Roxadustat with Simvastatin?

MediHelp rates the interaction as moderate. Roxadustat and Simvastatin 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. Roxadustat raises simvastatin exposure, increasing the chance of statin-related muscle toxicity. Simvastatin is already prone to myopathy at higher exposures.

How serious is the interaction between Roxadustat and Simvastatin?

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, weakness and CK elevation. Consider reducing the simvastatin dose.

What other medicines interact with Roxadustat?

MediHelp also lists interactions of Roxadustat with, for example, Gemfibrozil, Probenecid, Atorvastatin. The full list is on the Roxadustat page.

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