Niacin and Pravachol (Cont.)

Niacin and Pravachol: Recommendations

Generally, it is recommended that people not take niacin and Pravachol together. If you are taking Pravachol and niacin (or a supplement with niacin in it), let your healthcare provider know.
 
However, there may be some cases where your healthcare provider does recommend both niacin and Pravachol. This is most often the case when neither Pravachol nor niacin alone is able to lower cholesterol to "normal" levels. For some people, a combination of the two drugs is needed to reach healthy cholesterol levels. For your particular situation, your healthcare provider may feel that the risk of a niacin and Pravachol interaction is less than the risk of high cholesterol.
 
If you develop muscle pain, tenderness, or weakness while taking niacin and/or Pravachor (especially if you also have a fever or feel ill), call your healthcare provider immediately. This could be a sign that you have a serious condition that needs treatment right away (see Pravachol and Muscle Pain).
 
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;