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What the FDA labels say about taking them together

Pitavastatin and sofosbuvir/velpatasvir/voxilaprevir

Sofosbuvir/velpatasvir/voxilaprevir's FDA label of July 14, 2025 names pitavastatin in its drug interactions section; the pitavastatin labels PlainMeds reads (2) do not name sofosbuvir/velpatasvir/voxilaprevir. The sofosbuvir/velpatasvir/voxilaprevir label: “Coadministration with VOSEVI may increase the concentration of pitavastatin and is not recommended, due to an increased risk of myopathy, including rhabdomyolysis.”

Check it at the source: the pitavastatin FDA label on DailyMed (effective March 31, 2026, Kowa Pharmaceuticals America, Inc.); the sofosbuvir/velpatasvir/voxilaprevir FDA label on DailyMed (effective July 14, 2025, Gilead Sciences, Inc.).

What does the pitavastatin label say about sofosbuvir/velpatasvir/voxilaprevir?

Pitavastatin's label (effective March 31, 2026) and its 1 other brand-application label do not name sofosbuvir/velpatasvir/voxilaprevir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Livalo), Kowa Pharmaceuticals America, Inc., effective March 31, 2026 (SPL set 44dcbf97-99ec-427c-ba50-207e0069d6d2), via openFDA; the full label on DailyMed

What does the sofosbuvir/velpatasvir/voxilaprevir label say about pitavastatin?

Sofosbuvir/velpatasvir/voxilaprevir label, drug interactions

Concomitant Drug Class/Drug Name: pitavastatin; Effect on Concentration ↓ = decrease, ↑ = increase.: ↑ pitavastatin; Clinical Effect/Recommendation: Coadministration with VOSEVI may increase the concentration of pitavastatin and is not recommended, due to an increased risk of myopathy, including rhabdomyolysis.

Source: FDA drug label (Vosevi), Gilead Sciences, Inc., effective July 14, 2025 (SPL set 17ffc094-8ca7-45d2-80d8-fd043bc9a221), 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

12Pitavastatin generic labelers
0Sofosbuvir/velpatasvir/voxilaprevir generic labelers
PitavastatinSofosbuvir/velpatasvir/voxilaprevir
Labeled forHigh cholesterolHepatitis C
Boxed warningNoYes
Pharmacy cost (NADAC)$0.954 per tablet 2 mg tabletn/a
Shortage nowNo current entryNo current entry

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

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