Interações de Atorvastatina

Atorvastatina (Lipitor), estatina, tem 141 interações documentadas nas bulas da FDA e nas fichas informativas que indexamos (graves: 19; moderadas: 86; leves: 30; casos em que uma bula relata não haver interação significativa: 6). Cada item abaixo cita a frase em que se baseia. Esta página de medicamento é um ponto de partida, não um veredito para a sua situação.

Aparência de Atorvastatina

Todas as 96 versões
Atorvastatina 10 mg em comprimido: branco, oval, 10 mm, com a gravação 10 VLE 155.
10 / VLE / 155
10 mg · branco · oval · 10 mm
Viatris Specialty
Atorvastatina 20 mg em comprimido: branco, oval, 12 mm, com a gravação 20 VLE 156.
20 / VLE / 156
20 mg · branco · oval · 12 mm
Viatris Specialty
Atorvastatina 40 mg em comprimido: branco, oval, 15 mm, com a gravação 40 VLE 157.
40 / VLE / 157
40 mg · branco · oval · 15 mm
Viatris Specialty
Atorvastatina 80 mg em comprimido: branco, oval, 19 mm, com a gravação 80 VLE 158.
80 / VLE / 158
80 mg · branco · oval · 19 mm
Viatris Specialty

Representações criadas a partir das listas de produtos das bulas da FDA: cor, formato, tamanho e gravação. 96 versões documentadas de 34 fabricantes.

A atorvastatina (nome de marca Lipitor) é uma estatina, um medicamento que reduz o colesterol ao diminuir a quantidade que o fígado produz. É prescrita para reduzir o colesterol LDL e os triglicerídeos e para reduzir o risco de infarto e AVC em pessoas com risco aumentado. É apresentada em comprimido tomado uma vez ao dia, em qualquer horário, com ou sem alimentos, em doses de 10 mg a 80 mg. O tratamento geralmente é de longo prazo.

Interações segundo a bula

Interações graves (19)

  • Cetoconazolantifúngico azólicoGrave

    Myopathy Coadministration of CYP3A4 metabolized HMG-CoA reductase inhibitors such as simvastatin, and lovastatin is contraindicated with ketoconazole tablets (see PRECAUTIONS: Drug Interactions ). (bula de Cetoconazol, Contraindicações)

  • CiclosporinaimunossupressorGrave

    Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended. (bula de Atorvastatina, Advertências e precauções)

  • Citrato férricoquelante de fosfatoGrave

    Table 2: Oral drugs that can be administered concomitantly with Ferric Citrate Tablets Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan Metoprolol Pravastatin Propranolol Sitagliptin Warfarin Oral drugs that have to be separated from Ferric Citrate Tablets and meals… (bula de Citrato férrico, Interações medicamentosas)

  • Claritromicinaantibiótico macrolídeoGrave

    These include colchicine toxicity with colchicine; markedly increased transaminases with lomitapide; rhabdomyolysis with simvastatin, lovastatin, and atorvastatin; hypoglycemia and cardiac arrhythmias (e.g., torsades de pointes) with disopyramide; and hypotension and acute kidney injury with calcium channel blockers metabolized by CYP3A4 (e.g., verapamil, amlodipine,… (bula de Claritromicina, Advertências e precauções)

  • DarunavirantirretroviralGrave

    Lipid Modifying Agents: HMG-CoA reductase inhibitors : lovastatin, simvastatin ↑ lovastatin ↑ simvastatin Co-administration is contraindicated due to potential for serious reactions such as myopathy including rhabdomyolysis. atorvastatin, pravastatin, rosuvastatin ↑ HMG-CoA reductase inhibitors Co-administration of PREZISTA/ritonavir with HMG-Co A reductase inhibitors… (bula de Darunavir, Interações medicamentosas)

  • Darunavir + cobicistateantirretroviralGrave

    Dosage recommendations with atorvastatin or rosuvastatin are as follows: atorvastatin dosage should not exceed 20 mg/day rosuvastatin dosage should not exceed 20 mg/day Other lipid modifying agents: lomitapide ↑ lomitapide Co-administration is contraindicated due to potential for markedly increased transaminases associated with increased plasma concentrations… (bula de Darunavir + cobicistate, Interações medicamentosas)

  • DronedaronaantiarrítmicoGrave

    • Statins: Avoid simvastatin doses greater than 10 mg daily. (bula de Dronedarona, Interações medicamentosas)

  • Lipid-modifying Agents: HMG-CoA Reductase Inhibitors: lovastatin simvastatin ↑ lovastatin ↑ simvastatin Coadministration with lovastatin or simvastatin is contraindicated due to potential for serious reactions such as myopathy including rhabdomyolysis. atorvastatin ↑ atorvastatin Initiate atorvastatin with the lowest starting dose of atorvastatin and titrate… (bula de Elvitegravir + cobicistate + entricitabina + tenofovir, Interações medicamentosas)

  • Eritromicinaantibiótico macrolídeoGrave

    Do not use erythromycin concomitantly with HMG CoA reductase inhibitors (statins) that are extensively metabolized by CYP 3A4 (lovastatin or simvastatin), due to the increased risk of myopathy, including rhabdomyolysis (see PRECAUTIONS - Drug Interactions ). (bula de Eritromicina, Contraindicações)

  • Erva-de-são-joão (hipérico)Fitoterápicos e suplementosGrave

    A erva-de-são-joão (hipérico) pode enfraquecer esses medicamentos ao acelerar a sua degradação, o que pode significar rejeição de órgão, coágulos ou perda de efeito. (NCCIH, St. John's Wort)

  • When used in combination with a statin, fenofibrate, or other LDL-C lowering therapy, ZETIA is contraindicated in patients for whom a statin, fenofibrate, or other LDL-C lowering therapy are contraindicated. (bula de Ezetimiba, Contraindicações)

  • GenfibrozilafibratoGrave

    Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended. (bula de Atorvastatina, Advertências e precauções)

  • Coadministration of ledipasvir and sofosbuvir with rosuvastatin is not recommended. atorvastatin ↑ atorvastatin Coadministration of ledipasvir and sofosbuvir with atorvastatin may be associated with increased risk of myopathy, including rhabdomyolysis. (bula de Ledipasvir + sofosbuvir, Interações medicamentosas)

  • Lopinavir + ritonavirantirretroviralGrave

    Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended. (bula de Atorvastatina, Advertências e precauções)

  • Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended. (bula de Atorvastatina, Advertências e precauções)

  • Posaconazolantifúngico azólicoGrave

    Prevention or Management Atorvastatin, Lovastatin, Simvastatin Concomitant use with posaconazole is contraindicated. (bula de Posaconazol, Interações medicamentosas)

  • RitonavirantirretroviralGrave

    Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended. (bula de Atorvastatina, Advertências e precauções)

  • …↑ pitavastatin 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,… (bula de Sofosbuvir + velpatasvir, Interações medicamentosas)

  • Toranja (grapefruit)Alimentos e bebidasGrave

    Concomitant intake of large quantities, more than 1.2 liters daily, of grapefruit juice is not recommended in patients taking LIPITOR [see Drug Interactions (7.1) ] . (bula de Atorvastatina, Advertências e precauções)

Interações moderadas (86)

  • Ácido bempedoicoinibidor do OATP1B1Moderada

    Table 3: Drug Interactions that may Decrease Exposure to LIPITOR Rifampin Clinical Impact: Concomitant administration of LIPITOR with rifampin, an inducer of cytochrome P450 3A4 and inhibitor of OATP1B1, can lead to variable reductions in plasma concentrations of atorvastatin. (bula de Atorvastatina, Interações medicamentosas)

  • Ácido fenofíbricofibratoModerada

    Cases of myopathy/rhabdomyolysis have been reported with atorvastatin co-administered with lipid modifying doses (>1 gram/day) of niacin, fibrates, colchicine, and ledipasvir plus sofosbuvir [see Adverse Reactions (6.1) ] . (bula de Atorvastatina, Advertências e precauções)

  • ÁlcoolÁlcoolModerada

    Patients who consume substantial quantities of alcohol and/or have a history of liver disease may be at increased risk for hepatic injury [see Use in Specific Populations (8.7) ] . (bula de Atorvastatina, Advertências e precauções)

  • AmiodaronaantiarrítmicoModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Anlodipino + atorvastatinabloqueador dos canais de cálcio di-hidropiridínicoModerada

    • Myopathy and Rhabdomyolysis: Risk factors include age 65 years or greater, uncontrolled hypothyroidism, renal impairment, concomitant use with certain other drugs, and higher amlodipine and atorvastatin dosage. (bula de Anlodipino + atorvastatina, Advertências e precauções)

  • Aprepitantoinibidor da CYP3A4Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • AtazanavirantirretroviralModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Azitromicinaantibiótico macrolídeoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • HMG-CoA Reductase Inhibitors: lovastatin simvastatin ↑ lovastatin ↑ simvastatin Initiate lovastatin and simvastatin with the lowest starting dose and titrate carefully while monitoring for safety (e.g., myopathy). (bula de Bictegravir + entricitabina + tenofovir alafenamida, Interações medicamentosas)

  • CenobamatoanticonvulsivanteModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • However, there was an increase in systemic exposure to weak acids such as furosemide and atorvastatin, and a decrease in systemic exposure to weak bases such as dabigatran when co-administered with LOKELMA, as shown in Figure 2. (bula de Ciclossilicato de zircônio sódico, Interações medicamentosas)

  • Cimetidinabloqueador H2Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Clotrimazolantifúngico azólicoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • ColchicinaModerada

    Cases of myopathy/rhabdomyolysis have been reported with atorvastatin co-administered with lipid modifying doses (>1 gram/day) of niacin, fibrates, colchicine, and ledipasvir plus sofosbuvir [see Adverse Reactions (6.1) ] . (bula de Atorvastatina, Advertências e precauções)

  • DanazolandrogênioModerada

    The risk of myopathy and rhabdomyolysis is increased by concomitant administration of danazol with statins such as simvastatin, atorvastatin and lovastatin. (bula de Danazol, Interações medicamentosas)

  • DaptomicinaantibióticoModerada

    In patients who receive Daptomycin for Injection, CPK levels should be monitored weekly, and more frequently in patients who received recent prior or concomitant therapy with an HMG-CoA reductase inhibitor or in whom elevations in CPK occur during treatment with Daptomycin for Injection. (bula de Daptomicina, Advertências e precauções)

  • Desogestrel + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Diacetato de etinodiol + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Digoxinaglicosídeo digitálicoModerada

    • Digoxin: May increase digoxin plasma levels; monitor patients appropriately ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Diltiazembloqueador dos canais de cálcioModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Drospirenona + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Econazolantifúngico azólicoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • EfavirenzantirretroviralModerada

    Maalox TC ® 30 mL QID , 17 days 10 mg QD for 15 days 0.66 0.67 Efavirenz 600 mg QD , 14 days 10 mg for 3 days 0.59 1.01 Rifampin 600 mg QD , 7 days (co‑administered) Due to the dual interaction mechanism of rifampin, simultaneous co-administration of atorvastatin with rifampin is recommended, as delayed administration of atorvastatin after administration of rifampin… (bula de Atorvastatina, Interações medicamentosas)

  • Efavirenz + lamivudina + tenofovirantirretroviralModerada

    Maalox TC ® 30 mL QID , 17 days 10 mg QD for 15 days 0.66 0.67 Efavirenz 600 mg QD , 14 days 10 mg for 3 days 0.59 1.01 Rifampin 600 mg QD , 7 days (co‑administered) Due to the dual interaction mechanism of rifampin, simultaneous co-administration of atorvastatin with rifampin is recommended, as delayed administration of atorvastatin after administration of rifampin… (bula de Atorvastatina, Interações medicamentosas)

  • Concomitant use of TRIKAFTA may increase exposures of medicinal products that are substrates of these transporters, such as statins, glyburide, nateglinide and repaglinide. (bula de Elexacaftor + tezacaftor + ivacaftor, Interações medicamentosas)

  • Eltrombopagueinibidor do OATP1B1Moderada

    Table 3: Drug Interactions that may Decrease Exposure to LIPITOR Rifampin Clinical Impact: Concomitant administration of LIPITOR with rifampin, an inducer of cytochrome P450 3A4 and inhibitor of OATP1B1, can lead to variable reductions in plasma concentrations of atorvastatin. (bula de Atorvastatina, Interações medicamentosas)

  • EstradiolestrogênioModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Estradiol + dienogesteanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Estradiol + noretisteronaestrogênioModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Estrogênios conjugadosestrogênioModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • EtravirinaantirretroviralModerada

    Dose adjustments for these HMG-CoA reductase inhibitors may be necessary. (bula de Etravirina, Interações medicamentosas)

  • EverolimoimunossupressorModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Ezetimiba + sinvastatinaestatinaModerada

    The risk is also greater in patients taking VYTORIN 80 mg daily compared with patients taking lower VYTORIN dosages and compared with patients using other statins with similar or greater LDL-C-lowering efficacy [see Adverse Reactions (6.1) ] . (bula de Ezetimiba + sinvastatina, Advertências e precauções)

  • FenitoínaanticonvulsivanteModerada

    Carbamazepine, felbamate, lamotrigine, topiramate, oxcarbazepine, lacosamide Antilipidemic agents Atorvastatin, fluvastatin, simvastatin Antiplatelets Ticagrelor Antiviral agents Efavirenz, lopinavir/ritonavir, indinavir, nelfinavir, ritonavir, saquinavir Fosamprenavir: phenytoin when given with fosamprenavir alone may decrease the concentration of amprenavir,… (bula de Fenitoína, Interações medicamentosas)

  • FenofibratofibratoModerada

    Cases of myopathy/rhabdomyolysis have been reported with atorvastatin co-administered with lipid modifying doses (>1 gram/day) of niacin, fibrates, colchicine, and ledipasvir plus sofosbuvir [see Adverse Reactions (6.1) ] . (bula de Atorvastatina, Advertências e precauções)

  • Fidaxomicinaantibiótico macrolídeoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • Fluconazolantifúngico azólicoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • FosamprenavirantirretroviralModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Fosaprepitantoinibidor da CYP3A4Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • FosfenitoínaanticonvulsivanteModerada

    Carbamazepine, felbamate, lamotrigine, topiramate, oxcarbazepine, lacosamide Antiplatelets Ticagrelor Antilipidemic agents Atorvastatin, fluvastatin, simvastatin Antiviral agents Efavirenz, lopinavir/ritonavir, indinavir, nelfinavir, ritonavir, saquinavir Fosamprenavir: phenytoin when given with fosamprenavir alone may decrease the concentration of amprenavir,… (bula de Fosfenitoína, Interações medicamentosas)

  • FulvestrantoestrogênioModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Icosapente etílicoácido graxo ômega-3Moderada

    In a double-blind, placebo-controlled trial of 8,179 statin-treated subjects with established cardiovascular disease (CVD) or diabetes plus an additional risk factor for CVD, adjudicated atrial fibrillation or atrial flutter requiring hospitalization for 24 or more hours occurred in 127 (3%) patients treated with VASCEPA compared to 84 (2%) patients receiving… (bula de Icosapente etílico, Advertências e precauções)

  • Imatinibeinibidor da CYP3A4Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • IsoniazidaantibióticoModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Itraconazolantifúngico azólicoModerada

    Intervention: In patients taking clarithromycin or itraconazole, do not exceed LIPITOR 20 mg [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Interações medicamentosas)

  • Ivacaftorinibidor da CYP3A4Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Lantânioquelante de fosfatoModerada

    Examples of relevant classes of compounds where antacids have been demonstrated to reduce bioavailability include antibiotics (such as quinolones, ampicillin, and tetracyclines), thyroid hormones, ACE inhibitors, statin lipid regulators, and anti-malarials. (bula de Lantânio, Interações medicamentosas)

  • LeflunomidaimunossupressorModerada

    For other substrates of BCRP (e.g., mitoxantrone) and drugs in the OATP family (e.g., methotrexate, rifampin), especially HMG-Co reductase inhibitors (e.g., atorvastatin, nateglinide, pravastatin, repaglinide, and simvastatin), consider reducing the dose of these drugs and monitor patients closely for signs and symptoms of increased exposures to the drugs while… (bula de Leflunomida, Interações medicamentosas)

  • LenacapavirantirretroviralModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • LevonorgestrelprogestinaModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Levonorgestrel + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • LomitapidaModerada

    Weak CYP3A4 Inhibitors Weak CYP3A4 inhibitors (such as alprazolam, amiodarone, amlodipine, atorvastatin, bicalutamide, cilostazol, cimetidine, cyclosporine, fluoxetine, fluvoxamine, ginkgo, goldenseal, isoniazid, lapatinib, nilotinib, pazopanib, ranitidine, ranolazine, ticagrelor, zileuton) can increase lomitapide exposure approximately 2-fold [see Clinical Pharmacology… (bula de Lomitapida, Interações medicamentosas)

  • LovastatinaestatinaModerada

    However, another HMG-CoA reductase inhibitor has been found to produce a less than two-second increase in prothrombin time in healthy volunteers receiving low doses of warfarin. (bula de Lovastatina, Interações medicamentosas)

  • MedroxiprogesteronaprogestinaModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • MegestrolprogestinaModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Miconazolantifúngico azólicoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

  • Mifepristonainibidor da CYP3A4Moderada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Mirabegronaagonista beta-adrenérgicoModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • NefazodonaantidepressivoModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Cases of myopathy/rhabdomyolysis have been reported with atorvastatin co-administered with lipid modifying doses (>1 gram/day) of niacin, fibrates, colchicine, and ledipasvir plus sofosbuvir [see Adverse Reactions (6.1) ] . (bula de Atorvastatina, Advertências e precauções)

  • • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • NoretisteronaprogestinaModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Noretisterona + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Norgestimato + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Norgestrel + etinilestradiolanticoncepcional oralModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • Palbociclibeinibidor da CYP3A4Moderada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • PazopanibeModerada

    Insufficient data are available to assess the risk of concomitant administration of alternative statins and VOTRIENT. (bula de Pazopanibe, Advertências e precauções)

  • PerampanelanticonvulsivanteModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Cases of myopathy/rhabdomyolysis have been reported with atorvastatin co-administered with lipid modifying doses (>1 gram/day) of niacin, fibrates, colchicine, and ledipasvir plus sofosbuvir [see Adverse Reactions (6.1) ] . (bula de Atorvastatina, Advertências e precauções)

  • ProgesteronaprogestinaModerada

    • Oral Contraceptives: May increase plasma levels of norethindrone and ethinyl estradiol; consider this effect when selecting an oral contraceptive ( 7.3 ). (bula de Atorvastatina, Interações medicamentosas)

  • QuininaantimaláricoModerada

    Atorvastatin (CYP3A4 Substrate) Rhabdomyolysis with acute renal failure secondary to myoglobinuria was reported in a patient taking atorvastatin administered with a single dose of quinine. (bula de Quinina, Interações medicamentosas)

  • Ranolazinamedicamento que prolonga o intervalo QTModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • RifampicinaantibióticoModerada

    • Rifampin: May reduce atorvastatin plasma concentrations. (bula de Atorvastatina, Interações medicamentosas)

  • SinvastatinaestatinaModerada

    The risk is also greater in patients taking an 80 mg daily dosage of ZOCOR compared with patients taking lower ZOCOR dosages and compared with patients using other statins with similar or greater LDL-C-lowering efficacy [see Adverse Reactions (6.1) ] . (bula de Sinvastatina, Advertências e precauções)

  • SirolimoimunossupressorModerada

    During sirolimus therapy with or without cyclosporine, patients should be monitored for elevated lipids, and 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. (bula de Sirolimo, Advertências e precauções)

  • Suvorexantosedativo-hipnóticoModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • TeriflunomidaimunossupressorModerada

    For other substrates of BCRP (e.g., mitoxantrone) and drugs in the OATP family (e.g., methotrexate, rifampin), especially HMG-Co reductase inhibitors (e.g., atorvastatin, nateglinide, pravastatin, repaglinide, and simvastatin), consider reducing the dose of these drugs and monitor patients closely for signs and symptoms of increased exposures to the drugs while… (bula de Teriflunomida, Interações medicamentosas)

  • Ticagrelorantiagregante plaquetárioModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • TocilizumabeimunossupressorModerada

    Exercise caution when coadministering TOFIDENCE with CYP3A4 substrate drugs where decrease in effectiveness is undesirable, e.g., oral contraceptives, lovastatin, atorvastatin, etc. (bula de Tocilizumabe, Interações medicamentosas)

  • UpadacitinibeimunossupressorModerada

    Elevations in LDL cholesterol decreased to pre-treatment levels in response to statin therapy. (bula de Upadacitinibe, Advertências e precauções)

  • VarfarinaanticoagulanteModerada

    …ticlopidine, verapamil, zileuton montelukast, moricizine, omeprazole, phenobarbital, phenytoin, cigarette smoking CYP3A4 alprazolam, amiodarone, amlodipine, amprenavir, aprepitant, atorvastatin, atazanavir, bicalutamide, cilostazol, cimetidine, ciprofloxacin, clarithromycin, conivaptan, cyclosporine, darunavir/ritonavir, diltiazem, erythromycin, fluconazole, fluoxetine,… (bula de Varfarina, Interações medicamentosas)

  • Verapamilbloqueador dos canais de cálcioModerada

    LIPITOR plasma levels can be significantly increased with concomitant administration of inhibitors of CYP3A4 and transporters. (bula de Atorvastatina, Interações medicamentosas)

  • Voriconazolantifúngico azólicoModerada

    LIPITOR dosage modifications are recommended for patients taking certain anti-viral, azole antifungals, or macrolide antibiotic medications [see Dosage and Administration (2.5) ] . (bula de Atorvastatina, Advertências e precauções)

Menções leves (30)

  • AbatacepteimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Abrocitinibeinibidor da JAKLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • AdalimumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • AlentuzumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • AzatioprinaimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Baricitinibeinibidor da JAKLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • BexarotenoretinoideLeve

    Atorvastatin was used in 48% (73/152) of patients with CTCL. (bula de Bexaroteno, Advertências e precauções)

  • CiclofosfamidaimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • CladribinaantimetabólitoLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • EtanercepteimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Finasteridainibidor da 5-alfa-redutaseLeve

    …acid, α-blockers, angiotensin-converting enzyme (ACE) inhibitors, analgesics, anti-convulsants, beta-adrenergic blocking agents, diuretics, calcium channel blockers, cardiac nitrates, HMG-CoA reductase inhibitors, nonsteroidal anti-inflammatory drugs (NSAIDs), benzodiazepines, H 2 antagonists and quinolone anti-infectives without evidence of clinically significant… (bula de Finasterida, Interações medicamentosas)

  • FingolimodeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Fumarato de dimetilaimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • GuselcumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • InfliximabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • MercaptopurinaantimetabólitoLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • MetotrexatoimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • MicofenolatoimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • NatalizumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Nilotinibemedicamento que prolonga o intervalo QTLeve

    Should treatment with any HMG-CoA reductase inhibitor (a lipid lowering agent) be needed to treat lipid elevations, evaluate the potential for a drug-drug interaction before initiating therapy as certain HMG-CoA reductase inhibitors are metabolized by the CYP3A4 pathway [see Drug Interactions ( 7.1 )] . (bula de Nilotinibe, Advertências e precauções)

  • OcrelizumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Pimecrolimoinibidor da calcineurinaLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • PonesimodeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • Prasugrelantiagregante plaquetárioLeve

    Effient can be administered with aspirin (75 mg to 325 mg per day), heparin, GPIIb/IIIa inhibitors, statins, digoxin, and drugs that elevate gastric pH, including proton pump inhibitors and H 2 blockers [see Clinical Pharmacology (12.3) ] . (bula de Prasugrel, Interações medicamentosas)

  • Ritlecitinibeinibidor da JAKLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • RituximabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • SecuquinumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • TacrolimoimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • TofacitinibeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

  • UstequinumabeimunossupressorLeve

    IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persists despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing necrotizing myopathy; and improvement with immunosuppressive agents. (bula de Atorvastatina, Advertências e precauções)

Nenhuma interação significativa relatada (6)

  • DoravirinaantirretroviralSem interação

    …clinically significant changes in concentration were observed for the following agents when co-administered with doravirine: dolutegravir, lamivudine, TDF, elbasvir and grazoprevir, ledipasvir and sofosbuvir, atorvastatin, an oral contraceptive containing ethinyl estradiol and levonorgestrel, metformin, methadone, and midazolam [see Clinical Pharmacology (12.3) ] . (bula de Doravirina, Interações medicamentosas)

  • Entricitabina + rilpivirina + tenofovirantirretroviralSem interação

    No clinically significant drug interactions have been observed between RPV and the following medications: acetaminophen, atorvastatin, chlorzoxazone, ethinyl estradiol, ledipasvir/sofosbuvir, norethindrone, sildenafil, simeprevir, sofosbuvir, sofosbuvir/velpatasvir, sofosbuvir/velpatasvir/voxilaprevir, or TDF. (bula de Entricitabina + rilpivirina + tenofovir, Interações medicamentosas)

  • Quinaprilinibidor da ECASem interação

    Co-administration of multiple 10 mg doses of atorvastatin with 80 mg of quinapril hydrochloride resulted in no significant change in the steady-state pharmacokinetic parameters of atorvastatin. (bula de Quinapril, Interações medicamentosas)

  • RaltegravirantirretroviralSem interação

    Based on these data, ISENTRESS is not expected to affect the pharmacokinetics of drugs that are substrates of these enzymes or P-glycoprotein (e.g., protease inhibitors, NNRTIs, opioid analgesics, statins, azole antifungals, proton pump inhibitors and anti-erectile dysfunction agents). (bula de Raltegravir, Interações medicamentosas)

  • RilpivirinaantirretroviralSem interação

    …included in Table 6, the interaction between EDURANT and the following drugs was evaluated in clinical studies and no dose adjustment is needed for either drug [see Clinical Pharmacology (12.3) ] : acetaminophen, atorvastatin, chlorzoxazone, cabotegravir, ethinylestradiol, norethindrone, raltegravir, sildenafil, simeprevir and tenofovir disoproxil fumarate. (bula de Rilpivirina, Interações medicamentosas)

  • Telmisartana + anlodipinobloqueador do receptor da angiotensina II (BRA)Sem interação

    Amlodipine has no clinically relevant effects on the pharmacokinetics or pharmacodynamics of the following: atorvastatin, digoxin, warfarin. (bula de Telmisartana + anlodipino, Interações medicamentosas)

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