Efavirenz/Emtricitabine/Tenofovir and Atorvastatin Interaction
Drug interaction information between Efavirenz/Emtricitabine/Tenofovir and Atorvastatin.
Efavirenz/Emtricitabine/Tenofovir and Atorvastatin have a documented minor interaction in FDA labeling.
FDA drug labeling documents a minor-severity interaction between Efavirenz/Emtricitabine/Tenofovir and Atorvastatin. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
The HIV medicine makes your body process the cholesterol drug more quickly, lowering its level in your blood.
What To Do
Your doctor may need to check your cholesterol levels and adjust your dose to make sure the medicine is working.
FDA Label Information
HMG-CoA reductase inhibitors: Atorvastatin Pravastatin Simvastatin ↓ atorvastatin * ↓ pravastatin * ↓ simvastatin * Plasma concentrations of atorvastatin, pravastatin, and simvastatin decreased.
Efavirenz/Emtricitabine/Tenofovir Also Interacts With
- Clarithromycin moderate
- Sofosbuvir/Velpatasvir moderate
- Posaconazole moderate
- Sertraline minor
- Bupropion minor
Atorvastatin Also Interacts With
- Clarithromycin major
- Darunavir major
- Itraconazole major
- Cyclosporine moderate
- Colchicine moderate
Frequently Asked Questions
Can I take Efavirenz/Emtricitabine/Tenofovir and Atorvastatin together?
This is a minor interaction. Your doctor may need to check your cholesterol levels and adjust your dose to make sure the medicine is working.
How serious is the interaction between Efavirenz/Emtricitabine/Tenofovir and Atorvastatin?
This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.
Why do Efavirenz/Emtricitabine/Tenofovir and Atorvastatin interact?
The HIV medicine makes your body process the cholesterol drug more quickly, lowering its level in your blood.
Understanding the Efavirenz/Emtricitabine/Tenofovir and Atorvastatin Interaction
FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Efavirenz/Emtricitabine/Tenofovir belongs to the NNRTI / NRTI Combination class and Atorvastatin belongs to the HMG-CoA Reductase Inhibitor (Statin) class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: The HIV medicine makes your body process the cholesterol drug more quickly, lowering its level in your blood. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Efavirenz/Emtricitabine/Tenofovir has 32 total documented interactions on file in this dataset, and Atorvastatin has 36. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor may need to check your cholesterol levels and adjust your dose to make sure the medicine is working. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Efavirenz/Emtricitabine/Tenofovir or Atorvastatin based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.