NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Red Yeast Rice and Simvastatin: what the published research says

PubMed indexes 5 records that name Red Yeast Rice and Simvastatin together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

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An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Red Yeast Rice and Simvastatin. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

5 studies naming Red Yeast Rice and Simvastatin.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Systematic review of red yeast rice compared with simvastatin in dyslipidaemia.

Journal of clinical pharmacy and therapeutics · 2016 · PMID 26956355

Systematic ReviewHuman subjects

“A number of small trials show that red yeast rice and simvastatin produce similar lipid-lowering effects. Larger trials with increased methodological rigour and trials with clinical outcomes are necessary for more robust inferences.”

Ong et al. · Authors' conclusion

Names both Red Yeast Rice and Simvastatin in its title.

Red yeast rice induces less muscle fatigue symptom than simvastatin in dyslipidemic patients: a single center randomized pilot trial.

BMC cardiovascular disorders · 2017 · PMID 28521773

Comparative StudyRandomized Controlled Trial

“Among dyslipidemic patients with low to moderate cardiovascular risk, red yeast rice induced less fatigue side effect and exerted comparable lipid-lowering effects when compared to simvastatin in this pilot primary prevention study.”

Xue et al. · Authors' conclusion

Names both Red Yeast Rice and Simvastatin in its title.

Xuezhikang contributes to greater triglyceride reduction than simvastatin in hypertriglyceridemia rats by up-regulating apolipoprotein A5 via the PPARα signaling pathway.

PloS one · 2017 · PMID 28934253

Animal study

“However, PPARα knockdown eliminated the above effects of XZK on hepatocytes. Therefore, our study indicates that XZK has greater hypotriglyceridemic performance than simvastatin in the setting of an equivalent LDL-C lowering power, which is attributed to more apoA5 up-regulation by this agent via the PPARα signaling pathway.”

Zhao et al. · From the abstract

Names both Red Yeast Rice and Simvastatin in its title.

Effects of xuezhikang and simvastatin on cerebral ischemia-reperfusion injury in rat

Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica · 2006 · PMID 17087088

Animal study

“Xuezhikang has protective effects on ischemic brain damage in rats, which the beneficial effects are partly due to the statins components. The other components in Xuezhikang may also account for the neuroprotective effects, which is worth further investigations.”

Zhou et al. · Authors' conclusion

Names both Red Yeast Rice and Simvastatin in its title.

Simvastatin monotherapy as a potential option for statin-associated muscle symptoms: a case report.

Journal of clinical pharmacy and therapeutics · 2016 · PMID 27425755

Case ReportsHuman subjects

“Our case suggests that patients with SAMS who are intolerant to a wide variety of statins may be successfully managed with simvastatin monotherapy.”

Qu et al. · Authors' conclusion

Names Red Yeast Rice and Simvastatin together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Red Yeast Rice, Simvastatin, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

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.