Darunavir Atorvastatin 871

Prezista label

Interaction Color Code
Clinical Bottom Line
Adjust dosing to avoid increased levels of atorvastatin
Drug 1
Drug 1 dose
300 mg with 100 mg ritonavir BID
Drug 1 effect

Not reported

Drug 2
Drug 2 dose
40 mg once daily on days 1-4, then 10 mg once daily on days 4-7
Drug 2 effect

Cmax decrease 44%, AUC decrease 15%, Cmin increase 81% (10 mg daily with darunavir / ritonavir compared to atorvastatin 40 mg daily alone)

Clinical Effects

Increased risk of atorvastatin adverse effects (e.g. myopathy, rhabdomyolysis)

Management

Consider using alternative agents. If coadministering, consider low dose atorvastatin and doses < 20 mg. Monitor for myopathy

Import ID
871