Fenofibrate

Coronary Artery Disease, Hypercholesterolemia ... show more

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

NO

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Pharmaceutical Class

Peroxisome Proliferator Receptor alpha Agonist

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Controlled Drug Substance

NO

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Summary

Indications and Purpose

What is Fenofibrate used for?

Fenofibrate is indicated for the treatment of severe hypertriglyceridemia and mixed dyslipidemia. It is used to lower elevated triglyceride levels and increase HDL cholesterol in patients who are at risk of cardiovascular disease. It is often used when other treatments are not effective or suitable.

How does Fenofibrate work?

Fenofibrate works by activating peroxisome proliferator-activated receptor alpha (PPARĪ±), which increases the breakdown and removal of triglyceride-rich particles from the blood. It also reduces the production of certain proteins that inhibit fat breakdown, leading to lower triglyceride levels and increased HDL cholesterol.

Is Fenofibrate effective?

Fenofibrate is effective in reducing triglyceride levels and increasing HDL cholesterol in patients with hypertriglyceridemia and mixed dyslipidemia. Clinical trials have shown significant improvements in lipid profiles, although it has not been proven to reduce cardiovascular disease morbidity or mortality.

How does one know if Fenofibrate is working?

The benefit of Fenofibrate is evaluated through regular blood tests to monitor lipid levels, including triglycerides and cholesterol. Your doctor will assess these results to determine if the medication is effectively managing your condition and may adjust the dosage if necessary.

Directions for Use

What is the usual dose of Fenofibrate?

For adults, the usual daily dose of Fenofibrate is 160 mg taken once daily. The safety and effectiveness of Fenofibrate in children have not been established, so it is not recommended for pediatric use. Always follow your doctor's advice for the correct dosage.

How do I take Fenofibrate?

Fenofibrate should be taken once daily, with or without food, depending on the brand. Some brands require it to be taken with a meal. Follow your doctor's instructions and check with your pharmacist if unsure. Maintain a low-fat, low-cholesterol diet while on this medication.

For how long do I take Fenofibrate?

Fenofibrate is typically used as a long-term treatment to manage cholesterol and triglyceride levels. The duration of use depends on individual response and medical advice. Regular monitoring by a healthcare provider is essential to determine the ongoing need for the medication.

How long does it take for Fenofibrate to start working?

Fenofibrate may start to show effects on lipid levels within a few weeks, but it can take up to two months to see the full benefit. Regular blood tests will help monitor its effectiveness, and your doctor may adjust the dosage based on these results.

How should I store Fenofibrate?

Store Fenofibrate in its original container, tightly closed, at room temperature away from excess heat and moisture. Keep it out of reach of children. Do not store it in the bathroom. Dispose of unneeded medication through a take-back program.

Warnings and Precautions

Who should avoid taking Fenofibrate?

Fenofibrate is contraindicated in patients with severe renal impairment, active liver disease, pre-existing gallbladder disease, and known hypersensitivity to the drug. It may cause liver enzyme elevations, muscle toxicity, and increased bleeding risk when used with anticoagulants. Regular monitoring is essential.

Can I take Fenofibrate with other prescription drugs?

Fenofibrate can interact with statins, increasing the risk of muscle damage. It may also enhance the effects of anticoagulants, increasing bleeding risk. Caution is advised when used with immunosuppressants due to potential renal effects. Always inform your doctor of all medications you are taking.

Can I take Fenofibrate with vitamins or supplements?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.

Can Fenofibrate be taken safely while pregnant?

Fenofibrate should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. There is limited data on its use in pregnant women, and animal studies have shown adverse effects at high doses. Consult your doctor for personalized advice.

Can Fenofibrate be taken safely while breastfeeding?

Fenofibrate is likely to be present in human milk and may cause serious adverse reactions in breastfed infants. Women are advised not to breastfeed during treatment with Fenofibrate and for 5 days after the final dose. Consult your doctor for personalized advice.

Is Fenofibrate safe for the elderly?

For elderly patients, it is important to assess renal function before starting Fenofibrate and periodically thereafter. Dosage adjustments may be necessary based on kidney function. Elderly patients are more likely to have renal impairment, which can increase the risk of side effects.

Is it safe to exercise while taking Fenofibrate?

Fenofibrate does not typically limit the ability to exercise. However, if you experience muscle pain, weakness, or tenderness, it is important to stop exercising and consult your doctor, as these could be signs of a serious side effect.

Is it safe to drink alcohol while taking Fenofibrate?

Drinking alcohol, especially in large amounts, can affect the liver and may increase the risk of liver damage when taking Fenofibrate. It is advisable to limit alcohol consumption while on this medication. Consult your doctor for personalized advice.