This medicine contains fenofibrate as active ingredient; it belongs to the class of lipid-lowering drugs. These drugs reduce the levels of fats in the blood by altering the way in which the liver converts fatty acids in the blood into different types of lipids. Fibrates can reduce the level of both cholesterol and triglycerides in the blood.
For maximum benefit, these drugs are used in conjunction with a low-fat diet and a reduction in other risk factors such as obesity and smoking. The choice of drug depends on the type of lipid causing problems, so a full medical history, examination, and laboratory analysis of blood samples are needed before drug treatment is prescribed.
The drug reduces the risk of heart attack or other cardiac event in people with high triglyceride levels and low levels of HDL cholesterol, especially among people with diabetes. The evidence for this benefit is not as strong as it is for the statin drugs.
The medicine is prescribed for:
• High blood cholesterol and/or triglycerides
• Lowering the risk of heart attack
Cautions and Warnings
The drug can increase the susceptibility to gallstones and occasionally upset the balance of fats in the blood.
People with liver or severe kidney disease should avoid this medication. People with less severe kidney disease require reduced dosage.
Combining this medication with one of the statines (for instance atorvastatin, fluvastatin, pravastatin, or simvastatin) can lead to severe muscle pain, muscle cell destruction, and kidney failure.
This medication increased the effects of anticoagulant (blood-thinning) drugs. Your anticoagulant dosage may need an adjustment.
Before using this medicine
Before you use this medicine check with your doctor, or pharmacist:
• if you ever had any unusual or allergic reaction to this medication
• if you are pregnant or intend to become pregnant while using this medicine
• if you are breast-feeding an infant; no problem expected, but consult your doctor
• if you have angina, heart or blood-vessel disease
• if you have a liver disorder, characterized by jaundice
• if you have constipation or hemorrhoids
• if you have kidney disease.
This medication is used for treatment of high cholesterol levels or excess bile acids. The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor’s approval.
Usual dosage: 67-200 mg a day with food. Senior: begin with 67 mg a day. This beginning dosage also applies to people with kidney disease.
Children: The drug is not recommended for children.
Diet: People should take this medication only after a triglyceride-lowering
diet and other medications have failed. While taking this medication, follow the diet recommended by your doctor.
Along with the needed effects, a medicine may cause some unwanted effects. Possible side effects include:
• Abnormal liver function
• Abdominal pain
• Respiratory disorders
• Upset stomach
• Flu-like stomach
• Joint pain
• Abnormal heart rhythms
• Reduced sex drive
• Increased appetite
Increased side effects and adverse reactions are a sign of overdose. An overdose is unlikely to threaten life.
Call a doctor or hospital emergency room for instructions.
This medicine reduces the body’s ability to absorb other drugs. The dosage of other drugs may need to be adjusted. Possible interaction with other drugs may occur: oral anticoagulants, digitalis preparations, thiazides, vitamins.
Be sure to tell your doctor about any medications you are currently taking.
Driving or hazardous work
No problems expected.
The preparations should be stored at room temperature; store away from heat and direct light. Keep out of reach of children, since overdose may be dangerous in children.