Lovastatin and Sofosbuvir and velpatasvir interaction

Lovastatin and Sofosbuvir and velpatasvir: the Sofosbuvir and velpatasvir prescribing label flag 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 Sofosbuvir and velpatasvir (Vosevi) label · effective 2025-07-14

Major

…Coadministration with VOSEVI may increase the concentration of pitavastatin and is not recommended, due to an increased risk of myopathy, including rhabdomyolysis. atorvastatin fluvastatin lovastatin simvastatin ↑ atorvastatin ↑ fluvastatin ↑ lovastatin ↑ simvastatin Coadministration with VOSEVI may increase the concentrations of atorvastatin, fluvastatin, lovastatin,…

Drug interactionsnames LovastatinView label on DailyMed
Moderate

HMG-CoA Reductase Inhibitors: pravastatin ↑ pravastatin Coadministration of VOSEVI with pravastatin has been shown to increase the concentration of pravastatin, which is associated with increased risk of myopathy, including rhabdomyolysis.

Drug interactionsby drug classView label on DailyMed
Moderate

Increased statin concentrations may increase the risk of myopathy, including rhabdomyolysis.

Drug interactionsby drug classView label on DailyMed
Moderate

Use the lowest approved statin dose.

Drug interactionsby drug classView label on DailyMed
Moderate

If higher doses are needed, use the lowest necessary statin dose based on a risk/benefit assessment.

Drug interactionsby 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.