Bempedoic acid and Ezetimibe and simvastatin interaction

Bempedoic acid and Ezetimibe and simvastatin: the Bempedoic acid prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Bempedoic acid (Nexletol) label · effective 2026-06-25

Major

Intervention : Avoid concomitant use of NEXLETOL with simvastatin greater than 20 mg.

Drug interactionsnames Ezetimibe and simvastatinView label on DailyMed
Major

Simvastatin: Avoid concomitant use of NEXLETOL with simvastatin greater than 20 mg.

Drug interactionsnames Ezetimibe and simvastatinView label on DailyMed
Moderate

Clinically Important Drug Interactions with NEXLETOL Simvastatin Clinical Impact: Concomitant use of NEXLETOL with simvastatin causes an increase in simvastatin concentration and may increase the risk of simvastatin-related myopathy [see Clinical Pharmacology (12.3) ] .

Drug interactionsnames Ezetimibe and simvastatinView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.