Pravastatin and Azithromycin Interaction

Drug interaction information between Pravastatin and Azithromycin.

Pravastatin and Azithromycin have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Pravastatin and Azithromycin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Pravastatin

HMG-CoA Reductase Inhibitor (Statin)

Drug B

Azithromycin

Macrolide Antibiotic

How They Interact

This antibiotic can increase the amount of the cholesterol medicine that stays in your blood.

FDA Label Information

Other macrolides (e.g., erythromycin and azithromycin) have the potential to increase statin exposures while used in combination. Other macrolides (e.g., erythromycin and azithromycin) have the potential to increase statin exposures while used in combination.

Pravastatin Also Interacts With

View all Pravastatin interactions →

Frequently Asked Questions

What SPL severity band is on file for Pravastatin + Azithromycin?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Pravastatin has 16 labeled pairs on file vs Azithromycin's 9. In the minor band specifically: Pravastatin has 7 (also Darunavir, Diltiazem, Efavirenz, Glecaprevir/Pibrentasvir); Azithromycin has 8 (also Warfarin, Digoxin, Colchicine, Phenytoin).

What mechanism field is on file for Pravastatin and Azithromycin?

This antibiotic can increase the amount of the cholesterol medicine that stays in your blood.

Azithromycin carries more major-labeled pairs than Pravastatin

SPL source-record counts only. This page's band is minor · classes on file: Pravastatin (HMG-CoA Reductase Inhibitor (Statin)); Azithromycin (Macrolide Antibiotic).

Azithromycin has 1 major-labeled pair vs Pravastatin's 0. This page itself is in the minor band, not the major band.

Pravastatin

0 major · 9 moderate · 7 minor · 16 total

Azithromycin

1 major · 0 moderate · 8 minor · 9 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.