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What the FDA labels say about taking them together

Clarithromycin and fluvastatin

Clarithromycin's FDA label of April 9, 2026 names fluvastatin in its drug interactions section; the fluvastatin labels PlainMeds reads (2) do not name clarithromycin. The clarithromycin label: “… increasing the risk of toxicities from these drugs Atorvastatin, Pravastatin, Fluvastatin:”

Check it at the source: the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation); the fluvastatin FDA label on DailyMed (effective April 21, 2025, Teva Pharmaceuticals USA, Inc.).

What does the clarithromycin label say about fluvastatin?

Clarithromycin label, drug interactions

Lomitapide Lovastatin Simvastatin; Contraindicated; Lomitapide, Lovastatin, Simvastatin: Clarithromycin may increase the exposure of these drugs by inhibition of CYP3A metabolism, thereby increasing the risk of toxicities from these drugs [See Contraindications and Warnings and Precautions ] Atorvastatin, Pravastatin, Fluvastatin: [See Warnings and Precautions ]

Clarithromycin label, warnings and precautions

Use of a statin that is not dependent on CYP3A metabolism (e.g., fluvastatin) can be considered.

Source: FDA drug label (Clarithromycin), Solaris Pharma Corporation, effective April 9, 2026 (SPL set 4d42821d-ce7a-7d64-e063-6294a90a0875), via openFDA; the full label on DailyMed

What does the fluvastatin label say about clarithromycin?

Fluvastatin's label (effective April 21, 2025) and its 1 other brand-application label do not name clarithromycin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Fluvastatin), Teva Pharmaceuticals USA, Inc., effective April 21, 2025 (SPL set aad8b373-0aec-4efb-8e61-3d8114b31127), 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

26Clarithromycin generic labelers
4Fluvastatin generic labelers
ClarithromycinFluvastatin
Labeled forBacterial infections, Acid reflux and ulcersHigh cholesterol
Boxed warningNoNo
Pharmacy cost (NADAC)$0.466 per tablet 500 mg tablet$2.88 per tablet 80 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?