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Educational draft · awaiting clinical reviewUse Rapid for revision, not patient-care decisions. Check current national and local guidance and the BNF or BNFC before acting.
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Drug interactions

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Possible interaction-related serious toxicity

New collapse, major bleeding, severe muscle weakness or altered consciousness after a medicine change can indicate an important interaction.

Action: Assess with ABCDE, obtain urgent clinical help and withhold suspected contributors while investigating the relevant toxicity. Preserve necessary treatment through a supervised alternative plan.

Synopsis

Explain how interactions change drug exposure or effect, then choose avoidance, substitution, dose adjustment or monitoring according to the clinical consequence.

  • Check interactions when medicines are started, stopped, restarted or switched between formulations and routes.
  • Pharmacokinetic interactions alter exposure; pharmacodynamic interactions change combined effects without requiring a concentration change.
  • An interaction alert becomes useful only when its consequence, timing and management are understood.

Key red flags

New muscle pain or weakness with dark urine during simvastatin treatment, particularly after an interacting medicine, needs urgent assessment for muscle injury and kidney complications.

Reasoning priorities

01
Complete exposure map

Identify every drug and non-prescription factor that could participate.

Include intermittent analgesics, supplements, short antibiotic courses, recent discontinuations and changes in smoking. Establish actual start and stop dates. A prescription record alone may miss the newly purchased product that explains why previously tolerated treatment has become problematic.

Worked reasoning

Worked caseHandle a contraindicated temporary combination

A 63-year-old taking simvastatin 40 mg nightly is prescribed clarithromycin for an infection. He has not started the antibiotic and reports no muscle symptoms. The antibiotic prescriber has not seen his repeat list.

  1. Confirm the infection assessment, the precise antibiotic indication and the current statin exposure. There is time to prevent the interaction because the new treatment has not started; do not tell the person simply to watch for symptoms while taking both.
  2. Recognise potent inhibition of simvastatin metabolism and the resulting muscle-toxicity risk. The combination is contraindicated. Separating the doses between morning and evening will not resolve enzyme inhibition.
  3. Contact the treating clinician to choose an effective, clinically appropriate non-interacting antibiotic if possible. If clarithromycin is necessary, arrange a documented temporary suspension of simvastatin during the course rather than an unplanned dose reduction.
  4. Tell the person exactly which medicine to take, which to pause and when the long-term treatment will be reviewed or resumed. Check that the amended instructions reach the dispensing team and are not contradicted by the printed repeat label.
  5. Verify that no doses of the combination were taken and ask about muscle pain, weakness or dark urine. If exposure and symptoms emerge, arrange prompt clinical and laboratory assessment. Ensure the temporary interruption does not become permanent loss of indicated lipid treatment.

Key medicines

Simvastatin with amlodipine: restricted continuationIf simvastatin remains appropriate with amlodipine, give no more than 20 mg orally once daily in the evening; continue long term only with an agreed lipid-treatment review.A dose ceiling does not authorise use with contraindicated strong CYP3A4 inhibitors such as clarithromycin. Review efficacy and consider a suitable alternative statin when more lipid lowering is needed.
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Sources and review status5 sources · checked 7 Sept 2026 · clinical review pending
Sources

Sources and review status

National guidance is shown before implementation-dependent detail. Typical adult dose examples remain subject to patient factors, contraindications and the live BNF or specialist protocol. Source check completed 7 Sept 2026; clinical approval remains outstanding.

Authoring stateRapid draftClinical stateAwaiting reviewJurisdictionUnited Kingdom