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Can I take Atorvastatin and Clarithromycin together?

Guía de interacción de medicamentos

Taking these two medicines together significantly increases the level of atorvastatin in your blood. This can lead to serious muscle damage (rhabdomyolysis) and potential kidney problems. Symptoms include unusual muscle pain, tenderness, or weakness, often accompanied by dark-coloured urine or feeling generally unwell.

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Por qué sucede esto

Clarithromycin blocks a specific enzyme in the liver (CYP3A4) that is responsible for breaking down atorvastatin. When this enzyme is blocked, atorvastatin builds up to dangerous levels in the body.

You should not take these two medicines together. If you are prescribed clarithromycin, your doctor will usually advise you to temporarily stop taking atorvastatin until the course of antibiotics is finished. If you must take both, your doctor may prescribe a much lower dose of atorvastatin and monitor you closely. Seek medical help immediately if you experience unexplained muscle pain.

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Drug-drug interaction

Do not take these two medicines together. Clarithromycin significantly increases the levels of atorvastatin in your blood, which can cause severe muscle breakdown (rhabdomyolysis) and kidney damage. Atorvastatin must be paused while taking this antibiotic.

Embarazo

Do not atorvastatin if you are pregnant or planning to become pregnant. It can cause serious harm to an unborn baby. Use effective contraception while taking it and for one month after stopping.

Dolor o debilidad muscular - atorvastatina

You must report any unexplained muscle pain, tenderness, or weakness to a doctor immediately, especially if you also feel unwell or have a fever. This can be a sign of a rare but serious muscle breakdown.

Jugo de toronja

Grapefruit juice contains compounds that can increase the level of atorvastatin in your blood. This can increase your risk of side effects, such as muscle pain or damage. You should avoid drinking large quantities (more than 1.2 litres per day), but it is safest to avoid grapefruit juice altogether while taking this medicine.

Alcohol

Drinking large amounts of alcohol while taking atorvastatin can increase the risk of liver problems. It is recommended to stay within the low-risk weekly guidelines (no more than 14 units per week).

Alimentos (General)

Clarithromycin can be taken with or without food. However, if you find that the medicine upsets your stomach, taking it with a meal or a snack may help reduce these side effects.

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Taking multiple medicines? Our Verificador de Interacciones de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • 25 Ene 2026 | Publicado originalmente
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