Probenecid and colchicine and Simvastatin interaction

Probenecid and colchicine and Simvastatin: the Simvastatin prescribing label describes 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

Lipid modifying doses (≥1 gram/day) of niacin, fibrates, colchicine, and grapefruit juice may also increase the risk of myopathy and rhabdomyolysis [see Drug Interactions (7.1) ] .

Warnings and precautionsnames Probenecid and colchicineView label on DailyMed
Moderate

Intervention: Consider if the benefit of using colchicine concomitantly with ZOCOR outweighs the increased risk of myopathy and rhabdomyolysis.

Drug interactionsnames Probenecid and colchicineView label on DailyMed
Minor

Colchicine Clinical Impact: Cases of myopathy and rhabdomyolysis have been reported with concomitant use of colchicine with ZOCOR.

Drug interactionsnames Probenecid and colchicineView 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.