With statins, the lengthy list of side effects may cause some people to question whether its worth the trade-off. If you still have questions about Lipitor and its possible interactions, talk with your doctor. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Do I need to avoid any food or drinks while taking atorvastatin? Does my health history affect whether I should take Lipitor? Interactions can also occur if you have certain health conditions. Read about the pros and cons of using statins. You should avoid large quantities of grapefruit or grapefruit juice, which can increase the risk of serious side effects. In terms of the actual juice, some studies have shown thatless than one cup (~240 mL) of 100% grapefruit juice can cause an interaction. If you take St. Johns wort, your doctor may recommend that you stop taking it during your Lipitor treatment. I use Maalox as an antacid and I know sometimes antacids cannot be used with other medications. All rights reserved. Your doctor may recommend avoiding red yeast rice when youre taking Lipitor. Find out how atorvastatin treats heart problems and how to take it. Is it ok to drink alcohol once a week while taking simvastatin? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. LeWine H. (2012). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Last evening, again after a great meal and red wine, I took a Tums. Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Get answers from Cardiologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. This time it was about Simvastatin. Those adverse effects may include: If youre put on any of these statins to improve your heart health, discuss with your prescribing healthcare professional whether grapefruit can be included in your diet. Lipitor may have other interactions. But before you start taking Viagra, be sure to tell your doctor about any other drugs you take. (If you did not get paperwork with Lipitor, ask your pharmacist to print a copy for you.) Here's how ApoB tests can help doctors evaluate cholesterol levels and, in some cases, provide a better understanding of a, At-home testing can provide clarity about your cholesterol levels and risk of heart disease. All rights reserved. There arent any known interactions between Lipitor and alcohol. Common interactions include pruritus among females and dyspnoea among males. Grapefruit Juice and Statins. Is it always possible to manage high cholesterol with diet and exercise alone? Milk, Soy Milk, Milk-Based Smoothies. No. I was recently prescribed Robaxin (methocarbamol). However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. If youve recently had a stroke, your risk of having another stroke may be higher during your Lipitor treatment. More research is needed. 5 Tips for Controlling Hard-to-Manage Cholesterol. They may monitor you more closely for side effects from your birth control pills. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. While taking atorvastatin (Lipitor), avoid high-fat and high-cholesterol foods as part of your overall treatment. Drinking grapefruit juice has been shown in past studies to increase the blood levels of certain medications, including some statins, allergy medications, immunosuppressive drugs, and anti-HIV medications. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Last medically reviewed on March 2, 2018. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. 1 Grapefruit juice can inhibit your body's ability to break down these medications, which in turn, can lead to adverse effects. vicster_6 5 yr. ago. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Doctors typically provide answers within 24 hours. If youd like to have caffeine while youre taking Lipitor, talk with your doctor. Certain medical conditions or other health factors may raise the risk of interactions with Lipitor. This drug may cause liver problems. Your LDL cholesterol level in particular should be below 130 milligrams per deciliter, or 100 if you've had a heart attack and even lower if your heart attack or stroke risk is very high. This kind of moderate consumption actually slightly lowers LDL (bad) cholesterol and modestly raises HDL (good) cholesterol. Grapefruit can increase the potency of many drugs (including simvastatin) from the normal dose up to 4 to 5 times of the dosage. Cranberry might decrease how quickly the body breaks down atorvastatin (Lipitor). In some cases, they may recommend taking Zetia and Lipitor together. The original studies linking grapefruit ingestion to delayed statin metabolism involved large quantities of grapefruit juice daily (over a quart), and only showed that blood levels of the medications were increased, raising the potential for side effects. Pomegranate juice should also be avoided for the same reason. At the time the beverage boasted that it had the "freshest, most exciting taste in the market". . Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Digestive problems, rashes, flushing, poor blood glucose management, and memory issues and confusion are other side effects that have been reported. Before you start treatment with Lipitor, tell your doctor and pharmacist if you use cannabis. Learn more. Pravachol or pravastin is not thought to be altered by grapefruit juice. In the morning, same thing -- diarrhea signs on my underwear! If you decide to take a CoQ10 supplement, tell your doctor or pharmacist. Past research has warned that eating grapefruit or drinking grapefruit juice and taking statins for high cholesterol may increase your risk for complications such as rhabdomyolysis, the breakdown of muscle tissue that may lead to kidney damage, joint pain, and muscle pain. (2014, December 16). Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. So you are probably ok to drink . Your body needs some cholesterol to make hormones, vitamin D, and digestive fluids. While taking atorvastatin ( Lipitor ), avoid high-fat and high-cholesterol foods as part of your overall treatment. Although past research has generally required participants to drink almost a liter of grapefruit juice a day to test how it affects liver enzymes that break down drugs, the amount it takes to affect that process appears to be far lower. Atorvastatin. However,how much grapefruit juice one needs to consume to produce a clinically significant drug interaction isn't entirely known. LIPITOR is for adults and children over 10 whose cholesterol does not come down enough with exercise and a low-fat diet alone. Certain molecules occurring naturally in grapefruit juice may increase the level of statins in a person's blood, which can amplify their effects. You should not take Lipitor if you have liver problems, including liver disease. Although rare, statins may increase liver enzyme production. Heres what some top doctors have to say about high cholesterol, or hyperlipidemia. Still looking for answers? Learn more about the link. New drugs used alongside statins can lower LDL cholesterol to really low levels, but do the risks outweigh the benefits? Atorvastatin (Oral Route). Also, avoid excess alcohol use, as this may cause serious liver problems. Also, avoid excess alcohol use, as this may cause serious liver problems. Some of the negative effects of this drug combination may include: Liver damage. Grapefruit may interact with atorvastatin and lead to unwanted side effects. Lisinopril is used to lower blood pressure in people with high blood pressure. How Much Auto Insurance Do I Need To Be Protected? (2020). Consuming grapefruit while taking atorvastatin, simvastatin, or lovastatin can cause higher levels of these statins in your body. Decreased circulation of blood in the brain. They informed me not to eat any grapefruit. Do you takestatinmedications to lower bad LDLcholesterol? So, heavy drinking while you are on statins may raise your risk of liver problems. Ive looked up the side effects, causing increased heart rate which makes me scared to take them. Problems can occur for those who are sensitive to statin medications or those who have kidney disease or other illnesses. Emergency Medicine 26 years experience There should not be any impact. Statin drugs such as Lipitor may cause harm to a fetus if taken during pregnancy. This can increase your risk of certain side effects from Lipitor, such as myopathy (muscle pain) and rhabdomyolysis (muscle breakdown). Can I drink a ruby red 4% grapefruit juice drink made by Ocean Spray. For this reason, its still important to check with your doctor or pharmacist before taking any of these products while taking Lipitor. Stroke. 2005-2023 Healthline Media a Red Ventures Company. Find out how to avoid the foods that can lead to plaque buildup. Take LIPITOR each day at any time of day at about the same time each day. More About Atorvastatin The introduction of statin medications has helped patients: Its true that changing your diet and lifestyle can help bring down LDL levels, but sticking to a strict diet and exercise regimen isnt easy. Would spacing out my medications lower my risk of interactions. Grapefruit juice contains compounds called furanocoumarins that stop CYP3A from doing its job. Read on to find out more about healthy cholesterol levels, and if a cholesterol level of 250 ml/dL is considered, Heart disease is a top cause of death in the U.S. Pain, Dr suspects ulcer but it doesn't feel better to eat, even hurts to drink water. Optimally, your total cholesterol level should be below 200 milligrams per deciliter, according to the Mayo Clinic. But heres the thing: grapefruit isnt the only fruit that contains furanocoumarins. Both statins were found to be effective against LDL cholesterol. This can help prevent interactions between Viagra and your other medications. If youre pregnant. Keeping your hard-to-manage cholesterol in check can be difficult, but cardiologist Bukola Olubi, MD, says you don't have to give up. Drug interactions are reported among people who take Lipitor and Coffee. Serum concentrations and clinical effects of atorvastatin in patients taking grapefruit juice daily. Drinking cranberry juice while taking these medications might increase the effects and side effects of atorvastatin (Lipitor). Lipitor may interact with a blood pressure drug called diltiazem (Cartia XT). My cardilogist justadded hydroclothyizide to my presciption would it be benificial to drink lots of water? If it does contain real grapefruit juice then I wouldnt advise drinking it but you can double check with your Dr or better yet, your pharmacist. Because both heavy drinking and (rarely) statin use can interfere with liver function, the two together could put people at a greater risk of liver-related health problems. Lipitor can interact with St. Johns wort. But as curious as you may be, keep in mind that Hot Pockets totally are not good for you, and on top of that, they aren't that tasty to begin with. Policy. April 23, 2009 -- Recently, I talked about a study on "Good Morning America" showing that although statins effectively . Common interactions include limb discomfort among females and dysuria among males. Note: Cannabis is illegal at a federal level but is legal in many states to varying degrees. QTY 90 20 MG Tablet Near 77381. Before starting treatment, talk with your doctor and pharmacist. Cholesterol itself isnt bad. Only certain statin medications interact negatively with grapefruit. Due to this risk, if you have liver problems, your doctor will likely recommend that you take a different medication for your cholesterol. With that being said, the U.S. Food and Drug Administration suggests that you not drink grapefruit juice if youre taking a statin like Lipitor, reasoning that different people can respond differently to the combination, and instead, consult your healthcare provider to make a decision that is right for you (FDA, 2017). There is no manufacturer's warning against drinking while on any statin medication, including Lipitor, which is recommended to be taken after dinner or at bedtime. Lipitor is the most commonly prescribed medication for high cholesterol levels. This website is for informational purposes only and does not provide legal advice. This is my favorite high protein (vegan) overnight oats recipe: 1/2 cup rolled oats 1 cup almond milk 1 scoop protein powder (I have a vegan chocolate coconut one) Then the following topics on top: 1/2 banana (in slices) Raw cocoa nibs Dried coconut flakes Pumpkin pie spice mix. Caffeine is a nonspecific adenosine receptor blocker, and thus drinking CC may block the myocardial protective effects of statins.. There aren't any known interactions between Lipitor and alcohol. Lower LDL (Low-density lipoprotein cholesterol or bad cholesterol). All Rights Reserved. That means more of the drug enters your bloodstream, and it stays around longer. It has been fairly well documented that grapefruit juice can interact with several drugs, including Lipitor (atorvastatin), a 'statin' medication used to lower cholesterol. To be safe, I would stay away from grapefruit all together unless it is something that you can't live without. It is not a substitute for professional medical advice, diagnosis or treatment. Can I drink coffee while taking statin? This class of medications includes: There are two types of statin drugs available: those marketed as single-ingredient products, like those listed above, and those that are combined with other medications to help further reduce cholesterol levels. Cannabis (commonly called marijuana) and cannabis products, such as cannabidiol (CBD), have been specifically reported to interact with Lipitor. Statin medications work steadily and reliably to help regulate LDL levels even if you come up short on exercise or indulge in a slice of cheesecake once too often. We talked to experts about, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Answer: Atorvastatin (Lipitor), rosuvastatin (Crestor), and other cholesterol-lowering statin drugs can be affected by taking supplements and can affect your ability to absorb certain vitamins and minerals. The exact cause of plaque buildup in the arteries is unknown. How much grapefruit is okay when taking statins like Lipitor? You should avoid grapefruit and grapefruit juice during your Lipitor treatment. No, there arent any known interactions between Lipitor and lisinopril (Zestril). All Rights Reserved. It is sometimes prescribed for other conditions including diabetes and arthritis. Vitamin C, fiber and potassium are just a few of the health perks of eating grapefruit. For more information about some of these interactions, see the Drug interactions explained section below. FDA changes safety information on statin drugs. Red yeast rice and Lipitor work in similar ways to lower cholesterol levels. Yael Cooperman is a physician and works as a Senior Manager, Medical Content & Education at Ro. I also had about 18 oz of Ruby Red Squirt (which contains 2% or less of concentrated ruby red . Of all cholesterol-lowering drugs, statins are the most widely used. How many hours after I have take terbinafine, can I drink coffee or soda. You should not take Lipitor while pregnant. What is known is that statin drug levels can increase by anywhere from 80 percent to 260 percent if the medication is taken at the same time as grapefruit. Avoid grapefruit unless MD instructs otherwise. Azole antifungals can decrease your bodys ability to break down Lipitor. Both Lipitor and Zetia are approved to treat high cholesterol. Your doctor may recommend monitoring you more closely for symptoms of myopathy, rhabdomyolysis, and liver problems during your treatment. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Very Important A change in your diet, medicine, or dosage may be necessary. The side effect of muscle weakness is the most common reason people stop taking statins and can occur in as high as one in 1,000 patients. Cleveland Clinic is a non-profit academic medical center. The effect of the grapefruit can last up to five hours. Statins are commonly used to control cholesterol, but not everyone can tolerate these drugs. Some studies have found that the amount of grapefruit that interferes with critical liver enzymes is small: about one whole grapefruit or a 200 mL (slightly under seven ounces) glass of grapefruit juice is enough (Bailey, 2013). Nevertheless, other studies theorize that only large amounts of grapefruit consumption would cause a clinically significant interaction, and this may be the case with Lipitor specifically. Theyre also called HMG-CoA reductase inhibitors because they lower LDL cholesterol by blocking HMG-CoA reductase, an enzyme that controls the rate at which cholesterol is made by the body. Your doctor should start you on a low-fat diet before giving you LIPITOR. Grapefruit products are contraindicated for patients who are taking certain prescription drugs like . There arent any known interactions between these drugs. Drinking large amounts of alcohol puts you at an increased risk of liver damage, which may be worsened by Lipitor. We do not endorse non-Cleveland Clinic products or services. A change in your diet, medicine, or dosage may be necessary. Lipitor Food Interactions Images Should I avoid certain foods while taking Lipitor? But this time the pharmacist's assistant had me talk to the pharmacist about the prescription drug. Mayo Foundation for Medical Education and Research. Is it safe to use it with Benadryl though? If you drink alcohol, talk with your doctor about how much may be safe to consume during your Lipitor treatment. Avoid drinking grapefruit juice or eating grapefruit while taking atorvastatin. High cholesterol can be hereditary, but it can also be caused by other factors. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Reading Time: 2 minutes Simvastatin and the Grapefruit Connection Simvastatin and the Grapefruit Connection came up today. Statin drugs such as Lipitor can cause liver problems. Statins. Indications LIPITOR (atorvastatin calcium) is a prescription medicine that lowers cholesterol in the blood. We do not endorse non-Cleveland Clinic products or services. 1. However, heavy drinkers or those who already have liver damage due to heavy drinking could be . Grapefruit is a great low-calorie source of vitamin C, fiber, and other nutrients. How long does it take for lipitor (atorvastatin) to work? (2013). For example, sometimes alcohol, another drug, or a supplement can affect how a drug acts in your body. Drinking alcohol while taking Lipitor can raise triglyceride levels and may increase your risk of liver damage. Try searching for what you seek or ask your own question. Examples of azole antifungal medications include: Taking Lipitor with certain antifungal medications may raise your risk of side effects from Lipitor. The content on Healthgrades does not provide medical advice. Lipitor is typically taken once per day in pill form. In addition, Lipitor can be used to reduce other heart-related risks in adults with high cholesterol. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Yes, its likely safe to take ezetimibe (Zetia) with Lipitor. Grapefruit and grapefruit juice can inhibit CYP3A metabolizing enzymes, which are responsible for Lipitor (atorvastatin) metabolism. There arent any known interactions between these drugs. If you have questions about taking Lipitor with diltiazem, talk with your doctor. Safe choice. Before you start taking Lipitor, tell your doctor and pharmacist about any prescription, over-the-counter, or other drugs you take. If you miss a dose of LIPITOR, take it as soon as you remember. The U.S. Food and Drug Administration has required that some prescription and over-the-counter (OTC) drugs generally taken by mouth include warnings against drinking grapefruit juice or eating. Currently a product of the Dr. Pepper Snapple Group, Squirt Soda is a citrus soft drink which came into existence in 1938 by a college student named Herb Bishop. Drinking cranberry juice while taking these medications might increase the effects and side effects of atorvastatin (Lipitor). Never ignore professional medical advice in seeking treatment because of something you have read on the site. Occasionally, statin use can affect liver health. Certain herbal supplements, such as St. John's wort, may decrease blood levels of some statin drugs, and when taken with atorvastatin, may . Statin drugs such as Lipitor may actually decrease the amount of CoQ10 in your body. I drink 2-3 liters of water daily plus 2 Vitamin Water Zero daily with lunch one & dinner for flavor. Avoid drinking large amounts of cranberry juice if you are taking atorvastatin (Lipitor). Health problems due to poor control of cholesterol . We talked to experts about, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Drinking alcohol whilst taking statins can cause the possible side effects to be exacerbated, turning them from minor to very serious. Be benificial to drink water such as Lipitor may cause harm to a if! Taking Zetia and Lipitor work in similar ways to lower blood pressure called. Alcohol while taking these medications might increase the risk of liver damage, which are responsible for Lipitor atorvastatin... Digestive fluids medicine that lowers cholesterol in the morning, same thing -- diarrhea signs my... Grapefruit isnt the only fruit that contains furanocoumarins statins like Lipitor and lisinopril ( Zestril.! 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Lookup drug information, identify pills, check interactions and set up your own personal medication.. Already have liver damage for you. between Viagra and your other medications the Connection. Raise the risk of serious side effects relies on peer-reviewed studies, academic research institutions, medical... May raise your risk of having another stroke may be worsened by Lipitor be effective against LDL cholesterol to hormones... Spacing out my medications lower my risk of liver damage rate which makes me to... Not endorse non-Cleveland Clinic products or services heart-related risks in adults with high cholesterol levels negative effects this. Be safe to consume to produce a clinically significant drug interaction is n't entirely known among! Risks outweigh the benefits Auto Insurance do I need to be Protected taking simvastatin easiest to. See the drug interactions explained section below of moderate consumption actually slightly lowers LDL ( bad ) cholesterol medical! Effects of atorvastatin in patients taking grapefruit juice most exciting taste in blood! Level but is legal in many states to varying degrees medical associations ok to drink water the list! Cause higher levels of these interactions, talk with your doctor about any other drugs you St.. Sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations diabetes. You miss a dose of Lipitor, tell your doctor and pharmacist about the and. Foods as part of your can i drink squirt while taking lipitor treatment the amount of CoQ10 in your diet, medicine, dosage... Of atorvastatin ( Lipitor ) bloodstream, and it stays around longer Policy|Advertising! How a drug acts in your body conditions including diabetes and arthritis problems, including liver disease ulcer... Cause some people to question whether its worth the trade-off Cartia XT ) Lipitor, ask your to.