Atorvastatin and Fluconazole Interaction

Drug interaction information between Atorvastatin and Fluconazole.

Atorvastatin and Fluconazole have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Atorvastatin and Fluconazole. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Atorvastatin

HMG-CoA Reductase Inhibitor (Statin)

Drug B

Fluconazole

Azole Antifungal

How They Interact

Fluconazole changes how your body processes atorvastatin, which can lead to a dangerous buildup and cause muscle damage.

FDA Label Information

HMG-CoA reductase inhibitors : The risk of myopathy and rhabdomyolysis increases when fluconazole is coadministered with HMG-CoA reductase inhibitors metabolized through CYP3A4, such as atorvastatin and simvastatin, or through CYP2C9, such as fluvastatin.

Frequently Asked Questions

What SPL severity band is on file for Atorvastatin + Fluconazole?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Fluconazole has 67 labeled pairs on file vs Atorvastatin's 36. In the moderate band specifically: Atorvastatin has 8 (also Cyclosporine, Colchicine, Gemfibrozil, Niacin); Fluconazole has 7 (also Simvastatin, Carbamazepine, Amiodarone, Fluvastatin).

What mechanism field is on file for Atorvastatin and Fluconazole?

Fluconazole changes how your body processes atorvastatin, which can lead to a dangerous buildup and cause muscle damage.

Fluconazole's labeled portfolio outnumbers Atorvastatin

SPL source-record counts only. This page's band is moderate · classes on file: Atorvastatin (HMG-CoA Reductase Inhibitor (Statin)); Fluconazole (Azole Antifungal).

Atorvastatin

3 major · 8 moderate · 25 minor · 36 total

Fluconazole

3 major · 7 moderate · 57 minor · 67 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.