Pharmacology · single question

Which drug combination is most associated with the risk of rhabdomyolysis?

  1. Aspirin + clopidogrel
  2. A statin (e.g., simvastatin) + fluconazole
  3. ACE inhibitor + thiazide
  4. Beta-blocker + CCB
Show answer and explanation

Correct answer: B. A statin (e.g., simvastatin) + fluconazole

  • A. Dual antiplatelet therapy raises bleeding risk, not rhabdomyolysis.
  • B. Correct. Azole antifungals (fluconazole) inhibit statin metabolism (CYP), raising statin levels and rhabdomyolysis risk.
  • C. This antihypertensive combo isn't linked to rhabdomyolysis.
  • D. This rate-control combo can cause bradycardia, not rhabdomyolysis.

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