atorvastatin vs sofosbuvir/velpatasvir

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of atorvastatin and sofosbuvir/velpatasvir. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

atorvastatin fluvastatin lovastatin simvastatin ↑ atorvastatin ↑ fluvastatin ↑ lovastatin ↑ simvastatin Coadministration with VOSEVI may increase the concentrations of atorvastatin, fluvastatin, lovastatin, and simvastatin.

Drug Class
atorvastatin HMG-CoA Reductase Inhibitor (Statin)
sofosbuvir/velpatasvir NS5B/NS5A Inhibitor (HCV)
Type
atorvastatin Prescription
sofosbuvir/velpatasvir Prescription
Summary
atorvastatin

Atorvastatin is a drug that lowers cholesterol and reduces the risk of heart problems and stroke. It belongs to a class of drugs called statins.

sofosbuvir/velpatasvir

Vosevi is a drug that combines three medicines into one tablet. It is used to treat hepatitis C in adults who have already tried other treatments.

What It Treats
atorvastatin

Atorvastatin is used to lower bad cholesterol (LDL) and triglycerides in your blood. It can help prevent heart attacks, strokes, and the need for heart procedures in adults with heart disease or risk factors for it. It is also used in children 10 years and older with certain inherited cholesterol problems.

sofosbuvir/velpatasvir

Vosevi treats chronic hepatitis C (HCV) infection in adults. It is for those without cirrhosis or with compensated cirrhosis (Child-Pugh A). You can use it if you have genotype 1, 2, 3, 4, 5, or 6 HCV. You must have already been treated with a hepatitis C medicine containing an NS5A inhibitor, or sofosbuvir without an NS5A inhibitor (for genotypes 1a or 3).

How It Works
atorvastatin

Atorvastatin works by blocking a substance your body needs to make cholesterol. This helps to lower the amount of cholesterol in your blood. Lowering cholesterol can help prevent heart disease.

sofosbuvir/velpatasvir

Vosevi contains sofosbuvir, velpatasvir, and voxilaprevir. Sofosbuvir blocks a protein called NS5B polymerase that the hepatitis C virus needs to multiply. Velpatasvir blocks the NS5A protein, and voxilaprevir blocks the NS3/4A protease protein, both of which the virus also needs.

Common Side Effects
atorvastatin
  • Common cold symptoms
  • Joint pain
  • Diarrhea
  • Pain in arms or legs
  • Urinary tract infection
sofosbuvir/velpatasvir
  • Headache
  • Fatigue (feeling tired)
  • Diarrhea
  • Nausea (feeling sick to your stomach)
FAERS Reports
atorvastatin
  • Fatigue 13,812
  • Nausea 12,425
  • Type 2 Diabetes Mellitus 11,244
  • Diarrhoea 11,037
  • Dyspnoea 11,029
sofosbuvir/velpatasvir
  • Feeling tired 2,307
  • Hepatitis C infection 1,734
  • Headache 1,639
  • Feeling sick to your stomach 1,386
  • Low red blood cell count 1,185
Serious Warnings
atorvastatin

Atorvastatin can cause muscle problems, including muscle pain, tenderness, or weakness. In rare cases, this can lead to serious kidney damage. Tell your doctor right away if you have unexplained muscle pain, tenderness, or weakness, especially if you also have a fever or feel sick. Atorvastatin can also cause liver problems. Your doctor may do blood tests to check your liver before you start taking atorvastatin and while you are taking it.

sofosbuvir/velpatasvir

Vosevi can cause Hepatitis B to become active again if you have had it in the past. This can cause serious liver problems, including liver failure and death. Before starting Vosevi, your doctor will test you for Hepatitis B. They will also monitor you during and after treatment.

Pregnancy
atorvastatin

Atorvastatin can harm an unborn baby. You should not take atorvastatin if you are pregnant or planning to become pregnant. It is also not recommended to breastfeed while taking atorvastatin.

sofosbuvir/velpatasvir

It is not known if Vosevi can harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if Vosevi passes into breast milk, so discuss this with your doctor if you are breastfeeding.

Also Compare, Nearby Drugs

How to Read This atorvastatin vs sofosbuvir/velpatasvir Comparison

atorvastatin is classified in the HMG-CoA Reductase Inhibitor (Statin) drug class, while sofosbuvir/velpatasvir sits within the NS5B/NS5A Inhibitor (HCV) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, atorvastatin has 59,547 submissions while sofosbuvir/velpatasvir has 8,251. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to this hepatitis c medicine can increase the amount of atorvastatin in your body, making side effects more likely.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for atorvastatin or sofosbuvir/velpatasvir.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.