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What the FDA labels say about taking them together

Atorvastatin and gemfibrozil

Atorvastatin's FDA label of April 15, 2024 names gemfibrozil in its drug interactions section, and gemfibrozil's label names atorvastatin too. The atorvastatin label: “Drug Interactions that may Increase the Risk of Myopathy and Rhabdomyolysis with LIPITOR Cyclosporine or Gemfibrozil”

Check it at the source: the atorvastatin FDA label on DailyMed (effective April 15, 2024, Viatris Specialty LLC); the gemfibrozil FDA label on DailyMed (effective April 10, 2026, Northstar RxLLC).

What does the atorvastatin label say about gemfibrozil?

Atorvastatin label, drug interactions

Drug Interactions that may Increase the Risk of Myopathy and Rhabdomyolysis with LIPITOR Cyclosporine or Gemfibrozil

Atorvastatin label, warnings and precautions

Concomitant use of cyclosporine, gemfibrozil, tipranavir plus ritonavir, or glecaprevir plus pibrentasvir with LIPITOR is not recommended.

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 gemfibrozil label say about atorvastatin?

Gemfibrozil label, drug interactions

(D) OATP1B1 substrates: Gemfibrozil is an inhibitor of OATP1B1 transporter and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan).

Source: FDA drug label (Gemfibrozil), Northstar RxLLC, effective April 10, 2026 (SPL set 75cac02c-56e3-4dfe-b1e2-4ce166b28833), 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
27Gemfibrozil generic labelers
AtorvastatinGemfibrozil
Labeled forHigh cholesterol, Angina, High triglycerides, Heart attack and coronary artery diseaseHigh cholesterol, Heart attack and coronary artery disease
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0228 per tablet 10 mg tablet$0.104 per tablet 600 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?