Drugs that interact with statins Flashcards
Macrolides, esp erythromycin
P450 inhibitors
Increases plasma concentration of statins
How is ezetimibe therapy given?
only in combination with statins: synergistic
Ritonavir
P450 inhibitor
Increases plasma concentration of statins
Rifampin
P450 activator
Decreases plasma concentration of statins
Gemfibrozil (fibric acid derivative) drug interaction
Inhibits metabolism of statins
Barbiturates
P450 activator
Decreases plasma concentration of statins
Verapamil
P450 inhibitor
Increases plasma concentration of statins
Grapefruit juice
P450 inhibitor
Increases plasma concentration of statins
Griseofulvin
P450 activator
Decreases plasma concentration of statins
Ketoconazole
P450 inhibitor
Increases plasma concentration of statins
Phenytoin
P450 activator
Decreases plasma concentration of statins
Who can’t take statins?
Pregnant
Hepatic disease
Cyclosporine
P450 inhibitor
Increases plasma concentration of statins