Digoxin and Simvastatin interaction

Digoxin and Simvastatin: the Simvastatin prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Simvastatin (ZOCOR) label · effective 2025-03-28

Moderate

Digoxin: During ZOCOR initiation, monitor digoxin levels.

Drug interactionsnames DigoxinView label on DailyMed
Moderate

Digoxin Clinical Impact: Concomitant use of digoxin with ZOCOR may result in elevated plasma digoxin concentrations [see Clinical Pharmacology (12.3) ] .

Drug interactionsnames DigoxinView label on DailyMed
Moderate

Intervention: Monitor digoxin levels in patients taking digoxin when ZOCOR is initiated.

Drug interactionsnames DigoxinView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

Open in the checker

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.