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Can I take Co-codamol and Lipitor together?

Drug interaction guide

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.

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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.

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.

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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.

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.

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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.

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 25 Jan 2026 | Originally published
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