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藥物交互作用

Roxadustat + Simvastatin

嚴重程度: 中度

Roxadustat and Simvastatin: moderate interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

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

用白話說明這項交互作用的意義

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.

證據等級: High

為什麼會發生

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

處置方式

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

可向藥師詢問的問題

  • 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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  • Evidence detail
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常見問題

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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