Imatinib and Simvastatin: Drug Interaction Guide
Quick answer: This combination requires caution. Imatinib and Simvastatin can be used together with adjustments and monitoring.
How Imatinib interacts with Simvastatin
Imatinib inhibits CYP3A4, increasing exposure to simvastatin, a CYP3A4 substrate. Higher statin concentrations increase risk of myopathy.
What you should do
Prefer a statin with less CYP3A4 dependence or use the lowest effective simvastatin dose. Monitor for muscle pain, weakness, and creatine kinase elevation if symptomatic.
Key facts
Severity
Moderate — caution required
Mechanism
Imatinib inhibits CYP3A4, increasing exposure to simvastatin, a CYP3A4 substrate. Higher statin concentrations increase ...
Action
Prefer a statin with less CYP3A4 dependence or use the lowest effective simvastatin dose. Monitor for muscle pain, weakn...
Frequently asked questions
Can I take Imatinib and Simvastatin together?
With caution. Prefer a statin with less CYP3A4 dependence or use the lowest effective simvastatin dose. Monitor for muscle pain, weakness, and creatine kinase elevation if symptomatic.
What is the severity of this interaction?
The interaction between Imatinib and Simvastatin is classified as Moderate — caution required. Imatinib inhibits CYP3A4, increasing exposure to simvastatin, a CYP3A4 substrate. Higher statin concentrations increase risk of myopathy.
What should I do if I'm prescribed both?
Prefer a statin with less CYP3A4 dependence or use the lowest effective simvastatin dose. Monitor for muscle pain, weakness, and creatine kinase elevation if symptomatic. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.