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What the FDA labels say about taking them together

Atorvastatin and voriconazole

Atorvastatin's FDA label of April 15, 2024 names voriconazole in its drug interactions section; voriconazole's label does not name atorvastatin itself but warns about its class (Statins). The atorvastatin label: “Atorvastatin plasma levels were significantly increased with concomitant administration of LIPITOR with select azole antifungals or macrolide antibiotics, due to inhibition of CYP3A4 and/or transporters.”

Check it at the source: the atorvastatin FDA label on DailyMed (effective April 15, 2024, Viatris Specialty LLC); the voriconazole FDA label on DailyMed (effective February 26, 2026, Roerig).

What does the atorvastatin label say about voriconazole?

Atorvastatin label, drug interactions

Select Azole Antifungals or Macrolide Antibiotics Clinical Impact: Atorvastatin plasma levels were significantly increased with concomitant administration of LIPITOR with select azole antifungals or macrolide antibiotics, due to inhibition of CYP3A4 and/or transporters. … titration of either drug. Examples: Erythromycin, clarithromycin, itraconazole, ketoconazole, posaconazole, and voriconazole.

Source: FDA drug label (Atorvaliq, NDA213260), CMP Pharma, Inc., effective April 27, 2024 (SPL set 41fca2d8-7f3f-45b9-8974-81b89accc211), via openFDA

Source: FDA drug label (Lipitor), NDA020702 (Upjohn), as published by Viatris Specialty LLC, effective April 15, 2024 (SPL set a60cc18b-0631-4cf0-b021-9f52224ece65), via openFDA; the full label on DailyMed

What does the voriconazole label say about atorvastatin?

Voriconazole's label does not name atorvastatin itself; it warns about its class (Statins):

Voriconazole label, drug interactions

HMG-CoA Reductase Inhibitors (Statins) (CYP3A4 Inhibition) In Vitro Studies Demonstrated Potential for Voriconazole to Inhibit Metabolism (Increased Plasma Exposure) Frequent monitoring for adverse reactions and toxicity related to statins.

Voriconazole label, drug interactions

Increased statin concentrations in plasma have been associated with rhabdomyolysis.

Source: FDA drug label (VFEND), NDA021630 (Pf Prism Cv), as published by Roerig, effective February 26, 2026 (SPL set ce3ef5cf-3087-4d92-9d94-9eb8287228db), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

59Atorvastatin generic labelers
31Voriconazole generic labelers
AtorvastatinVoriconazole
Labeled forHigh cholesterol, Angina, High triglycerides, Heart attack and coronary artery diseaseFungal infections
Boxed warningNoNo
Pharmacy cost (NADAC)$0.0228 per tablet 10 mg tablet$1.88 per tablet 200 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?