Red Yeast Rice × Statins

Severity: CRITICAL Evidence: well-established

Mechanism

Red yeast rice contains monacolin K (lovastatin). Combined with prescription statins, this doubles statin dose and increases myopathy/rhabdomyolysis risk.

Effect

Additive statin effect; increased myopathy and rhabdomyolysis risk

Management

Avoid combination. Red yeast rice IS a statin — do not combine with prescription statins.

Source

FDA warning; Gordon RY et al. Am J Cardiol 2010

⚠️ CRITICAL INTERACTION: This combination should be AVOIDED.

Disclaimer

This interaction record is for informational purposes only and does not constitute medical advice. Always consult a healthcare provider before starting or stopping any supplement or medication.