Fluvastatin drug interactions: Difference between revisions

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#REDIRECT [[Fluvastatin]]
{{fluvastatin}}
{{CMG}}; {{AE}} {{SS}}
 
==Drug Interactions==
 
===Cyclosporine===
 
[[Cyclosporine ]]coadministration increases fluvastatin exposure. Therefore, in patients taking [[cyclosporine]], therapy should be limited to LESCOL 20 mg twice daily [see Warnings and Precautions (5.1) and Clinical Pharmacology (12.3)].
 
===Fluconazole===
 
Administration of fluvastatin 40 mg single dose to healthy volunteers pre-treated with [[fluconazole]] for 4 days results in an increase of fluvastatin exposure. Therefore, in patients taking [[fluconazole]], therapy should be limited to LESCOL 20 mg twice daily [see Clinical Pharmacology (12.3)].
 
===Gemfibrozil===
 
Due to an increased risk of [[myopathy]]/[[rhabdomyolysis]] when HMG-CoA reductase inhibitors are coadministered with [[gemfibrozil]], concomitant administration of LESCOL/LESCOL XL with [[gemfibrozil]] should be avoided.
 
===Other Fibrates===
 
Because it is known that the risk of [[myopathy]] during treatment with HMG-CoA reductase inhibitors is increased with concurrent administration of other fibrates, LESCOL/LESCOL XL should be administered with caution when used concomitantly with other [[fibrates ]][see Warnings and Precautions (5.1) and Clinical Pharmacology (12.3)].
 
===Niacin===
 
The risk of skeletal muscle effects may be enhanced when LESCOL is used in combination with lipid-modifying doses (≥1 g/day) of [[niacin]]; a reduction in LESCOL dosage should be considered in this setting [see Warnings and Precautions (5.1)].
 
===Glyburide===
 
Concomitant administration of fluvastatin and glyburide increased glyburide exposures. Patients on concomitant therapy of glyburide and fluvastatin should continue to be monitored appropriately [see Clinical Pharmacology (12.3)].
 
===Phenytoin===
 
Concomitant administration of fluvastatin and phenytoin increased phenytoin exposures. Patients should continue to be monitored appropriately when fluvastatin therapy is initiated or when fluvastatin dose is changed [see Clinical Pharmacology (12.3)].
 
===Warfarin===
 
Bleeding and/or increased prothrombin times have been reported in patients taking coumarin anticoagulants concomitantly with other HMG-CoA reductase inhibitors. Therefore, patients receiving warfarin-type anticoagulants should have their prothrombin times closely monitored when fluvastatin sodium is initiated or the dosage of fluvastatin sodium is changed.
 
===Colchicine===
 
Cases of [[myopathy]], including [[rhabdomyolysis]], have been reported with fluvastatin coadministered with [[colchicine]], and caution should be exercised when prescribing fluvastatin with [[colchicine]].<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = LESCOL (FLUVASTATIN SODIUM) CAPSULE LESCOL XL (FLUVASTATIN SODIUM) TABLET, EXTENDED RELEASE [NOVARTIS PHARMACEUTICALS CORPORATION] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=8a1823e7-26fb-4858-bac7-9e152e5ea16a | publisher =  | date =  | accessdate = 12 February 2014 }}</ref>
 
==References==
 
{{Reflist|2}}
 
{{Statins}}
 
[[Category:Statins]]
[[Category:Diols]]
[[Category:Indoles]]
[[Category:Carboxylic acids]]
[[Category:Organofluorides]]
[[Cardiovasular Druf]]
[[Drug]]

Latest revision as of 14:41, 21 July 2014

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