Kann ich Atorvastatin und Levothyroxin zusammen einnehmen?

Warum das passiert

Atorvastatin may slightly interfere with the proteins that carry thyroid hormone in your blood, potentially increasing the amount of active levothyroxine. Additionally, if your thyroid condition is not well-controlled (hypothyroidism), it can naturally raise your cholesterol levels, making the statin appear less effective.

You can take these medicines together. However, you should have your thyroid function (TSH levels) monitored regularly by your doctor, especially when starting or changing the dose of atorvastatin. If you notice symptoms of an overactive thyroid, such as a racing heart, feeling unusually hot, or tremors, inform your GP.

Schwangerschaft

Sie dürfen Atorvastatin nicht einnehmen, wenn Sie schwanger sind oder planen, schwanger zu werden, da es einem ungeborenen Kind ernsthaften Schaden zufügen kann. Verwenden Sie während der Einnahme dieses Medikaments eine wirksame Verhütungsmethode.

Muscle disorders - atorvastatin

Suchen Sie umgehend ärztlichen Rat, wenn Sie unerklärliche Muskelschmerzen, Empfindlichkeit oder Schwäche verspüren. In seltenen Fällen kann dies zu einer ernsthaften Erkrankung namens Rhabdomyolyse führen, die Nierenschäden verursacht.

Heart conditions (e.g. angina, heart failure)

If you have a heart condition, your dose must be started very low and increased slowly. Contact your doctor immediately if you experience chest pain or palpitations, as levothyroxine increases the workload on your heart.

Interaction with supplements (Calcium/Iron)

Do not take calcium tablets, iron supplements, or multivitamins at the same time as levothyroxine. You must leave a gap of at least 4 hours between these supplements and your levothyroxine to ensure the medicine works.

Diabetes

Levothyroxine can raise blood sugar levels. If you have diabetes, you must monitor your blood glucose more closely when starting or changing your dose, as your diabetes medication may need to be increased.

Alkohol

Obwohl Alkohol nicht direkt mit Atorvastatin interagiert, kann der Konsum großer Mengen Alkohol das Risiko von Leberproblemen und Muskelsymptomen erhöhen. Es ist am besten, den Konsum innerhalb der empfohlenen Grenzen zu halten (nicht mehr als 14 Einheiten pro Woche).

It is best to avoid or strictly limit alcohol while taking levothyroxine. While there is no direct chemical reaction, alcohol can affect thyroid function and may worsen symptoms like tiredness or mood changes.

Timing of dose

Levothyroxine must be taken on an empty stomach, at least 30 to 60 minutes before breakfast or any caffeine, as food and drink significantly prevent it from being absorbed.

Grapefruitsaft

Grapefruit juice contains compounds that can increase the level of atorvastatin in your blood. This may increase your risk of side effects, such as muscle pain or damage. Avoid drinking large quantities (more than 1.2 litres per day), though it is safest to avoid it altogether or keep intake to very small amounts.

Dairy products (Milk and Yoghurt)

Calcium found in dairy products can interfere with how your body absorbs levothyroxine, making it less effective. You should avoid eating or drinking dairy for at least 30 to 60 minutes after taking your medicine.

Caffeine (Coffee and Tea)

Caffeine can significantly reduce the absorption of levothyroxine. You should wait at least 30 to 60 minutes after taking your tablet before having a coffee or tea.

Sojaprodukte

Soya can stop your body from absorbing levothyroxine properly. If you eat a lot of soya, your doctor may need to monitor your hormone levels more closely.

Papaya

There is some evidence that eating large amounts of papaya can interfere with how levothyroxine is absorbed.

Kelp and Seaweed

These foods are naturally high in iodine. Too much iodine can interfere with your thyroid treatment and make your condition worse.

Ballaststoffreiche Lebensmittel

A diet very high in fibre can reduce the absorption of levothyroxine. If you significantly change your fibre intake, inform your doctor as your dose may need adjusting.

Taking multiple medicines? Our Wechselwirkungs-Checker für Medikamente helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Haftungsausschluss

Diese Informationen dienen nur allgemeinen Bildungszwecken und sollten nicht als Ersatz für professionelle medizinische Beratung herangezogen werden. Konsultieren Sie immer Ihren Hausarzt, Apotheker oder einen anderen qualifizierten Gesundheitsfachmann, bevor Sie Entscheidungen über Ihre Medikamente treffen. Individuelle Umstände können variieren, und nur ein Gesundheitsfachmann, der Ihre Krankengeschichte kennt, kann personalisierte Beratung bieten.