Fibrates
If you are taking both
Zocor and fibrates, your body may metabolize the medications differently than intended. This can cause significant reactions, including increasing the risk of developing serious muscle problems like myopathy or rhabdomyolysis.
Niacin
Both
niacin and Zocor alone can increase the chances of developing serious muscle problems. Therefore, it is thought that combining these medicines may cause an even greater risk. If you are taking both Zocor and niacin, your healthcare provider may choose to monitor your progress closely and make necessary dosing adjustments
(see Niacin and Zocor).
Antifungals
There is a possibility that when Zocor is taken with antifungals, you are at higher risk of developing muscle problems. Unless your healthcare provider feels that the benefits outweigh the risks, these medicines should not be taken together.
Erythromycin, Clarithromycin, or Telithromycin
If you are taking Zocor with erythromycin,
clarithromycin, or telithromycin, your body may metabolize the medicines differently than intended. This can cause significant reactions, including increasing the risk of developing serious muscle problems like myopathy or rhabdomyolysis. Unless your healthcare provider feels that the benefits outweigh the risks, these medicines should not be taken together.
HIV Protease Inhibitors
If you are taking Zocor and an
HIV protease inhibitor, your body may metabolize the medicines differently than intended. This can cause significant reactions, including increasing the risk of developing serious muscle problems like myopathy or rhabdomyolysis. Unless your healthcare provider feels that the benefits outweigh the risks, these medicines should not be taken together.
Examples of HIV protease inhibitors include:
Nefazodone
If you are taking Zocor and
nefazodone, your body may metabolize the medicines differently than intended. This can cause significant reactions, including increasing the risk of developing serious muscle problems like myopathy or rhabdomyolysis. Unless your healthcare provider feels that the benefits outweigh the risks, these medicines should not be taken together.
Amiodarone
Taking amiodarone and Zocor together may cause your body to metabolize the medicines differently than intended. This can cause significant reactions, including increasing the risk of developing serious muscle problems like myopathy or rhabdomyolysis. If you are taking these medicines together, your healthcare provider may choose to monitor your progress closely and make necessary dosing adjustments. Your
Zocor dosage should not exceed 20 mg.