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Do not take Vytorin with any of the following:

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  • atazanavir
  • clarithromycin
  • delavirdine
  • erythromycin
  • grapefruit juice
  • indinavir
  • itraconazole
  • ketoconazole
  • lopinavir; ritonavir
  • mibefradil
  • nefazodone
  • nelfinavir
  • ritonavir
  • saquinavir
  • red yeast rice

Vytorin may also interact with the following medications:

  • alcohol
  • amiodarone
  • barbiturates (examples: phenobarbital, butalbital, primidone)
  • bosentan
  • carbamazepine
  • cyclosporine
  • danazol
  • digoxin
  • diltiazem
  • efavirenz
  • fluconazole
  • medicines to lower cholesterol or triglycerides (examples: fenofibrate, gemfibrozil, niacin)
  • medicine used to stop early pregnancy (mifepristone, RU-486)
  • nicardipine
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  • St. John's Wort
  • telithromycin
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