Vitamin B3 (niacin)

Additive effects

Beneficial Interaction possible — caution with sustained-release form

Several clinical trials confirm the cholesterol-lowering activity of niacin and the safety of niacin with statins, but the sustained release form may be less safe

Pravastatin (e.g. Pravachol)

Fish oils

Additive effects

Beneficial Interaction possible

A clinical trial suggests Improved llpld-lowerlng effects when used concurrently

Simvastatin (e.g. Llpex, Zocor)

Peppermint oil

Additive effects

Observe — monitor drug requirements (Interaction may be beneficial)

Peppermint oil has been shown to Increase the oral bioavailability of simvastatin In animal studies

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