Everolimus and Fluvastatin interaction

Everolimus and Fluvastatin: both prescribing labels 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 Everolimus (Zortress) label · effective 2026-02-12

Moderate

During Zortress therapy with cyclosporine, patients administered an HMG-CoA reductase inhibitor and/or fibrate should be monitored for the possible development of rhabdomyolysis and other adverse effects, as described in the respective labeling for these agents [ see Drug Interactions (7 .

Warnings and precautionsby drug classView label on DailyMed
Moderate

Simvastatin and Lovastatin Due to an interaction with cyclosporine, clinical studies of Zortress with cyclosporine conducted in kidney transplant patients strongly discouraged patients with receiving HMG-CoA reductase inhibitors such as simvastatin and lovastatin [ s ee Warnings and Precautions ( 5.1 1 )] .

Drug interactionsby drug classView label on DailyMed
Minor

Due to an interaction with cyclosporine, clinical trials of Zortress and cyclosporine in kidney transplant patients strongly discouraged patients from receiving the HMG-CoA reductase inhibitors simvastatin and lovastatin.

Warnings and precautionsby drug classView label on DailyMed
Minor

However, these results cannot be extrapolated to other HMG-CoA reductase inhibitors.

Drug interactionsby drug classView label on DailyMed

From the Fluvastatin (FLUVASTATIN SODIUM ER) label · effective 2024-01-31

Minor

IMNM is characterized by proximal muscle weakness and elevated serum CK, which persist despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody, muscle biopsy showing necrotizing myopathy, and improvement with immunosuppressive agents.

Warnings and precautionsby drug classView label on DailyMed
Minor

Treatment with immunosuppressive agents may be required.

Warnings and precautionsby drug classView 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.