Lipitor Oral

Lipitor Oral Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

See also How to Use section.

This drug should not be used with the following medication because very serious (possibly fatal) interactions may occur:

• telithromycin

If you are currently using this medication, tell your doctor or pharmacist before starting atorvastatin.

Infrequently, muscle problems (myopathy) may occur when atorvastatin is used with certain other drugs that lower cholesterol/triglycerides. Use caution if you are taking the following drugs along with atorvastatin, and tell your doctor immediately if any muscle problems (see also Side Effects section) occur:

• fibrates (e.g., gemfibrozil, fenofibrate)
• high doses of niacin (1 gram or more per day)

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

• aliskiren
• hormonal birth control (e.g., pills, patch, ring)
• clopidogrel
• daptomycin
• digoxin
• drugs affecting liver enzymes that remove atorvastatin from your body (such as azole antifungals including itraconazole/ketoconazole, certain macrolide antibiotics including erythromycin/clarithromycin/troleandomycin, HIV protease inhibitors including indinavir/ritonavir, amiodarone, cyclosporine, diltiazem, efavirenz, nefazodone, rifampin, St. John's wort, carbamazepine)

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.