Can I take Amytriptaline and Nustendi together?
Drug interaction guide
Originally published 24 Jan 2026
Meets Patient’s editorial guidelines
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There is no known direct interaction between amitriptyline and Nustendi (bempedoic acid and ezetimibe). However, amitriptyline can sometimes cause side effects like muscle pain or weakness, which are also rare side effects of the ingredients in Nustendi. Taking them together might slightly increase the risk of these symptoms being noticed.
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Why this happens
Amitriptyline is an antidepressant that can occasionally cause muscle-related side effects. Nustendi contains bempedoic acid and ezetimibe; bempedoic acid is known to increase the levels of certain cholesterol medications (statins) which cause muscle pain, though it does not directly interact with amitriptyline's metabolism in the liver.
What you should do
It is generally safe to take these two medications together. However, you should inform your doctor if you experience any unexplained muscle pain, tenderness, or weakness while taking this combination. Always ensure your doctor is aware of all medications you are taking.
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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.
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Treatment and medication
Can I take Aspirin and Nustendi together?
Taking aspirin with Nustendi (which contains bempedoic acid and ezetimibe) may slightly increase the levels of bempedoic acid in your blood. Additionally, if you are taking high doses of aspirin (over 325mg daily), there is a theoretical risk that it could interfere with how bempedoic acid works to lower your cholesterol.

Treatment and medication
Can I take Amytriptaline and Aspirin together?
Taking amitriptyline and aspirin together can increase your risk of bleeding, particularly in the stomach or gut. You may also find that you bruise more easily.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
24 Jan 2026 | Originally published

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