Webinhibitors, boceprevir, telaprevir, nefazodone), gemfibrozil, cyclosporine, danazol : Contraindicated with simvastatin ; Verapamil, diltiazem : Do not exceed 10 mg … WebMay 25, 2024 · Strong CYP3A4 inhibitors: Simvastatin, like several other inhibitors of HMG-CoA reductase, is a substrate of CYP3A4. Simvastatin is metabolized by CYP3A4 but has no CYP3A4 inhibitory activity; …
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WebAug 5, 2011 · HMG CoA reductase inhibitors (statins) are prone to interaction with antiretrovirals as a result of metabolism through CYP3A4 and CYP2C19 and inhibition of hepatic uptake by the OATP1B1 transporter [2,109]. Protease inhibitors can induce dyslipidemia or augment existing dyslipidemia, resulting in the need for antilipidemic … WebJun 6, 2024 · Adjustments in simvastatin strength reduce potential statin-associated toxicities, including fatigue and myopathy. Potent CYP3A4 inhibitors (clarithromycin, HIV protease inhibitors, cyclosporine) … list of internet radio stations
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WebIf a potent CYP3A4 inhibitor such as erythromycin must be used, then simvastatin or atorvastatin therapy should be stopped for the duration of therapy. Fluvastatin, … WebJun 16, 2014 · The concurrent use of OATP inhibitors plus separate CYP3A4 inhibitors would produce a similar risk of elevated plasma concentrations. This dual mechanism can result in a very large increase in statin concentrations, as demonstrated by the cyclosporine—simvastatin interaction. Inhibition of OATP may also alter the efficacy of … WebMar 1, 2024 · Simvastatin tablets are contraindicated in the following conditions: • Concomitant use of strong CYP3A4 inhibitors (select azole anti-fungals, macrolide antibiotics, anti-viral medications, and ... 5 WARNINGS AND PRECAUTIONS 5.1 Myopathy and Rhabdomyolysis - Simvastatin may cause myopathy and rhabdomyolysis. imbe industria