Does Simvastatin Interact With Ticagrelor?
( 7.3) • Patients receiving more than 40 mg per day of simvastatin or lovastatin or more than 20 mg per day of rosuvastatin may be at increased risk of statin-related adverse effects.
Severity: Moderate
Severity basis: drug interactions section (keywords: increased risk). Combining Simvastatin (HMG-CoA reductase inhibitor (statin)) and Ticagrelor (P2Y12 antiplatelet) is classified as a moderate interaction.
What to Do
Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Simvastatin is a hmg-coa reductase inhibitor (statin) and Ticagrelor is a p2y12 antiplatelet; together they are documented as a moderate interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Simvastatin and Ticagrelor, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
( 7.3) • Patients receiving more than 40 mg per day of simvastatin or lovastatin or more than 20 mg per day of rosuvastatin may be at increased risk of statin-related adverse effects.
Source: FDA structured product labeling (set_id 1225fd45-9b56-1671-ee77-cd0c9f2174a5).
Check these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Simvastatin and Ticagrelor together?
Simvastatin and Ticagrelor have a documented moderate interaction. Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How serious is the Simvastatin and Ticagrelor interaction?
It is classified as a moderate interaction, based on the FDA label's drug interactions section (keywords: increased risk). A moderate interaction can be clinically meaningful and usually calls for monitoring or a dose adjustment.
What should I do if I'm taking both Simvastatin and Ticagrelor?
If you have been prescribed both Simvastatin and Ticagrelor, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Simvastatin Interactions
- Simvastatin + Clarithromycin(contraindicated)
- Simvastatin + Cyclosporine(contraindicated)
- Simvastatin + Gemfibrozil(contraindicated)
- Simvastatin + Itraconazole(contraindicated)
- Simvastatin + Colchicine(moderate)
- Simvastatin + Digoxin(moderate)
- Simvastatin + Phenytoin(moderate)
- Simvastatin + Amiodarone(minor)
- Simvastatin + Amlodipine(minor)
- Simvastatin + Dapagliflozin(minor)
- Simvastatin + Diltiazem(minor)
- Simvastatin + Ezetimibe(minor)
- Simvastatin + Fluconazole(minor)
- Simvastatin + Ketoconazole(minor)
- Simvastatin + Ramipril(minor)
- Simvastatin + Rifampin(minor)
- Simvastatin + Verapamil(minor)
- Simvastatin + Warfarin(minor)
Other Ticagrelor Interactions
- Ticagrelor + Itraconazole(contraindicated)
- Ticagrelor + Carbamazepine(major)
- Ticagrelor + Clarithromycin(major)
- Ticagrelor + Ketoconazole(major)
- Ticagrelor + Phenytoin(major)
- Ticagrelor + Rifampin(major)
- Ticagrelor + Dabigatran(moderate)
- Ticagrelor + Digoxin(moderate)
- Ticagrelor + Lovastatin(moderate)
- Ticagrelor + Morphine(moderate)
- Ticagrelor + Rosuvastatin(moderate)