Interaction databaseSupplement × PrescriptionReviewed May 2026

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.

Sourcing standards·Evidence tiers

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)
  1. 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
  2. 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.

Check your full routine

One pair was the worked example. NutriStack runs every pair in your stack at once.

Drop in your supplements and prescriptions and the public database surfaces every interaction, synergy, timing rule, and contraindication, every one linked to its primary source.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.