Can You Take Ashwagandha and Atorvastatin Together?

No documented interaction was identified between ashwagandha and atorvastatin in the sources reviewed.

No documented interaction identifiedEvidence: Moderate

See the full Ashwagandha page and Atorvastatin page for other reviewed interactions and reference information.

What the interaction means

NCCIH's ashwagandha fact sheet does not mention atorvastatin or statins, and atorvastatin's own FDA label does not mention ashwagandha. A 2024 laboratory study also tested ashwagandha root and leaf extracts against CYP3A4, the liver enzyme atorvastatin depends on for metabolism, and found no clinically meaningful inhibition.

No documented interaction between Ashwagandha and Atorvastatin was identified in the authoritative sources reviewed. This is not a guarantee that no interaction exists for every dose, formulation, or individual -- it means the sources checked did not document one.

Practical context

Ashwagandha's NCCIH fact sheet and atorvastatin's FDA label were checked directly, full text, in both directions. A 2024 in vitro pharmacokinetic study (Drug Metabolism and Disposition) that measured ashwagandha's effect on CYP3A4 was also reviewed: it found no reversible CYP3A4 inhibition at physiologically relevant concentrations, with IC50 values roughly 16,000-40,000 times higher than the positive-control inhibitor ketoconazole. This is reassuring mechanistic evidence against a metabolic interaction, but it is a laboratory study, not a clinical trial of the two taken together in people, so it does not by itself establish that concurrent use is safe.

What the sources say

Last reviewed 2026-08-25

Medical information disclaimer: this information is general and educational. It does not diagnose conditions, prescribe treatment, or determine whether a combination is safe for you personally. Follow your prescription label and ask a pharmacist or clinician before starting, stopping, or combining products. Full disclaimer.

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