Psyllium Husk and Simvastatin, a synergy.
Psyllium husk can enhance LDL lowering when added to simvastatin. In a randomized trial, low-dose simvastatin plus psyllium produced LDL lowering similar to a higher simvastatin dose, and meta-analysis supports psyllium as a statin adjunct. This is a beneficial lipid interaction, not a dangerous drug-binding interaction when used appropriately.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.
From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Substances
- Psyllium Husk and Simvastatin
- Pair type
- Synergy
- Evidence (highest tier)
- Strong
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Strong evidence
Synergy
What is happening. Psyllium husk can enhance LDL lowering when added to simvastatin. In a randomized trial, low-dose simvastatin plus psyllium produced LDL lowering similar to a higher simvastatin dose, and meta-analysis supports psyllium as a statin adjunct. This is a beneficial lipid interaction, not a dangerous drug-binding interaction when used appropriately.
Mechanism. Psyllium increases bile acid excretion and reduces intestinal cholesterol recycling, while simvastatin reduces hepatic cholesterol synthesis. Together, these complementary mechanisms can lower LDL more than either strategy alone at the same dose.
Recommendation. Consider psyllium husk with simvastatin if LDL remains above goal or if higher statin doses are hard to tolerate. Take it with plenty of water and keep the routine consistent before judging the lipid effect.
Sources (2)
- Moreyra AE, Wilson AC, Koraym A. Effect of combining psyllium fiber with simvastatin in lowering cholesterol. Arch Intern Med. 2005;165(10):1161-1166. PMID 15911730
- Brum JM, Gibb RD, Peters JC, Mattes RD. Meta-Analysis of Usefulness of Psyllium Fiber as Adjuvant Antilipid Therapy to Enhance Cholesterol Lowering Efficacy of Statins. Am J Cardiol. 2018;122(7):1169-1174. PMID 30078477
Stack Score
How this pair moves the number.
Effect on the composite score
If both Psyllium Husk and Simvastatin are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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