Can I take Atorvastatin and Shiitake together?
Drug interaction guide
Originally published 24 Jan 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
Taking shiitake mushrooms (especially in concentrated supplement form) alongside atorvastatin may increase the risk of muscle-related side effects, such as muscle aches, weakness, or tenderness. In rare cases, this could lead to a more serious condition called rhabdomyolysis, which can damage the kidneys.
In this article:
Continue reading below
Why this happens
Shiitake mushrooms naturally contain a substance called eritadenine, which helps lower cholesterol. They also contain small amounts of naturally occurring statin-like compounds (similar to lovastatin). When taken with atorvastatin, these effects can add together (an additive effect), potentially increasing the level of statin activity in your body beyond what was intended by your prescription.
What you should do
If you eat shiitake mushrooms occasionally as part of a normal diet, the risk is very low. However, you should avoid taking concentrated shiitake supplements or large medicinal amounts without speaking to your doctor first. If you experience any unexplained muscle pain, tenderness, or weakness while taking these together, contact your GP immediately.
Continue reading below
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

Treatment and medication
Can I take Calcium and Ciprofloxacin together?
Taking calcium at the same time as ciprofloxacin can significantly reduce the amount of the antibiotic that gets into your bloodstream. This means the medicine may not work properly to clear your infection.

Treatment and medication
Can I take Sertraline and Alcohol together?
Drinking alcohol while taking sertraline can make you feel much more drowsy, dizzy, or sleepy than usual. It can also impair your coordination, reaction times, and judgement. In some cases, alcohol can make the symptoms of your depression or anxiety worse, or increase the risk of suicidal thoughts. Additionally, both substances can affect your liver, and combining them may increase the risk of rare but serious side effects like 'serotonin syndrome', which causes confusion, sweating, and a rapid heartbeat.
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
24 Jan 2026 | Originally published

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.