Can I take Co-codamol and Lipitor together?
Drug interaction guide
Originally published 25 Jan 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
There is no direct interaction between co-codamol and Lipitor (atorvastatin). However, both medications can occasionally affect the liver, and co-codamol contains paracetamol, which must be used carefully.
Why this happens
Co-codamol is a combination of paracetamol and codeine. Lipitor is a statin used for cholesterol. They are processed by different pathways in the liver and do not interfere with how the other is absorbed or cleared from the body.
What you should do
It is generally safe to take these together. Ensure you do not exceed the maximum dose of co-codamol, as it contains paracetamol, and taking too much can damage the liver. If you experience unusual muscle pain, tenderness, or weakness (potential side effects of Lipitor), or yellowing of the skin/eyes, consult your doctor.
Important precautions
Paracetamol overdose
Co-codamol contains paracetamol. Do not take it with any other paracetamol-containing products (such as cold and flu remedies), as this can lead to fatal liver damage.
Opioid addiction and withdrawal
Co-codamol contains codeine, which can cause addiction if used for more than 3 days. Stopping suddenly after long-term use can cause withdrawal symptoms.
Breathing difficulties
Do not take co-codamol if you have severe asthma or breathing problems, as the codeine can dangerously slow your breathing.
Pregnancy
Do not take Lipitor if you are pregnant or planning to become pregnant, as it can cause serious harm to an unborn baby.
Muscle pain or weakness - lipitor
You must contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness. In rare cases, this can lead to serious kidney problems.
Food and drink warnings
Alcohol
You must avoid drinking alcohol while taking co-codamol. Combining alcohol with codeine increases the risk of serious side effects, such as extreme sleepiness, breathing difficulties, and loss of consciousness. Additionally, both alcohol and paracetamol can affect the liver; combining them regularly increases the risk of liver damage. Drinking large amounts of alcohol while taking Lipitor can also increase the risk of liver damage.
Grapefruit juice
Grapefruit juice can increase the level of Lipitor in your blood, which may increase the risk of side effects like muscle pain or damage. Avoid drinking large amounts (more than 1.2 litres daily), though a small glass is usually fine.
Caffeine
Some versions of co-codamol already contain caffeine. If you consume extra caffeine from coffee, tea, or energy drinks, it may make you feel shaky, anxious, or cause a racing heart.
Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker 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.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Drug interactions checker
Can I take Adcal-D3 and Collagen together?
There is no known harmful interaction between Adcal-D3 and collagen supplements. In fact, they are often used together to support bone and joint health.

Drug interactions checker
Can I take Sertraline and Fluoxetine together?
Taking sertraline and fluoxetine together significantly increases the risk of a rare but serious condition called serotonin syndrome. This happens because both medicines work by increasing the level of a chemical called serotonin in your brain. If levels get too high, it can cause symptoms like shivering, diarrhoea, confusion, severe muscle tightness, fever, and even seizures. Additionally, fluoxetine can slow down how your body breaks down sertraline, leading to a build-up of the drug in your system and increasing the risk of side effects.
Article history
The information on this page is written and peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
25 Jan 2026 | Originally published
Join the conversation
Share your thoughts or experiences with others in our patient communities.

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.
More in drug interactions checker
- Can I take Amitriptyline and Fexofenadine together?
- Can I take Apixaban and Rybelsus together?
- Can I take Aspirin and Evolocumab together?
- Can I take Atorvastatin and Cardioace together?
- Can I take Atorvastatin and Flecainide together?
- Can I take Atorvastatin and Furosemide together?
- Can I take Atorvastatin and Royal sun together?
- Can I take Atorvastatin and Shiitake together?
- Can I take Candesartan and Mirtazapine together?
- Can I take Chaga and Turkey tail together?
- Can I take Citalopram and Ibuprofen together?
- Can I take Danazol and Sertraline together?
- Can I take Esomeprazole and Losartan together?
- Can I take Fenofibrate and Paracetamol together?
- Can I take Fexofenadine and Trazodone together?
- Can I take Lansoprazole and Tramadol together?
- Can I take Lercanidipine and Pregabalin together?
- Can I take Losartan and Vitamin B12 together?
- Can I take Magnesium and Bisoprolol together?
- Can I take Pyridostigmine and Ramipril together?