Fenofibric acid

Generic Name: fenofibric acid (FEN-oh-FYE-bric AS-id)
Brand Name: Fibricor

Fenofibric acid is used for:

Lowering high cholesterol and triglyceride levels in the blood. It also increases high-density lipoprotein (HDL) ("good") cholesterol levels. It is used along with an appropriate diet.

Fenofibric acid is a lipid-lowering agent. It works by increasing a certain substance that helps to remove triglycerides from the blood. This also helps the body to decrease the amount of other bad cholesterol in the blood.

Do NOT use fenofibric acid if:

  • you are allergic to any ingredient in fenofibric acid or to fenofibrate
  • you have gallbladder problems, liver problems (eg, cirrhosis, hepatitis), or persistent abnormal liver function tests
  • you have severe kidney problems or are receiving dialysis
  • you are breast-feeding

Contact your doctor or health care provider right away if any of these apply to you.

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Before using fenofibric acid:

Some medical conditions may interact with fenofibric acid. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines or other substances
  • if you have a history of diabetes, underactive thyroid, heart problems (eg, heart blood vessel problems), gallbladder problems (eg, gallstones), pancreatitis, kidney or liver problems, or muscle problems
  • if you have a history of blood clots in your veins or lungs (deep vein thrombosis or pulmonary embolism)
  • if you are very overweight, have an inactive lifestyle, have a poor diet, or you drink alcohol
  • if you are taking a beta-blocker (eg, propranolol), estrogen, or thiazide diuretic (eg, hydrochlorothiazide)

Some MEDICINES MAY INTERACT with fenofibric acid. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Colchicine or HMG-CoA reductase inhibitors (statins) (eg, simvastatin) because the risk of serious muscle problems may be increased
  • Immunosuppressants (eg, cyclosporine) or other medicines that may harm the kidney (eg, aminoglycoside antibiotics [eg, gentamicin], amphotericin B, nonsteroidal anti-inflammatory drugs [NSAIDs] [eg, ibuprofen], tacrolimus, vancomycin), or probenecid because they may increase the risk of fenofibric acid's side effects. Ask your doctor if you are unsure if any of your medicines might harm the kidney
  • Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by fenofibric acid

This may not be a complete list of all interactions that may occur. Ask your health care provider if fenofibric acid may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use fenofibric acid:

Use fenofibric acid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take fenofibric acid by mouth with or without food.
  • If you also take a bile acid-binding resin (eg, cholestyramine), do not take it within 4 to 6 hours before or 1 hour after taking fenofibric acid. Check with your doctor if you have any questions.
  • Take fenofibric acid on a regular schedule to get the most benefit from it.
  • Taking fenofibric acid at the same time each day will help you remember to take it.
  • Continue to take fenofibric acid even if you feel well. Do not miss any doses.
  • If you miss a dose of fenofibric acid, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Do not take more than 1 dose of fenofibric acid in the same day unless your doctor tells you otherwise.

Ask your health care provider any questions you may have about how to use fenofibric acid.

Important safety information:

  • Fenofibric acid may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use fenofibric acid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Follow the diet, exercise, and weight loss program given to you by your health care provider.
  • Tell your doctor or dentist that you take fenofibric acid before you receive any medical or dental care, emergency care, or surgery.
  • Do NOT take more than the recommended dose, change your dose, or stop taking fenofibric acid without checking with your doctor.
  • Muscle problems (myopathy) may occur with fenofibric acid. The risk of muscle problems may be greater in elderly patients and in people who have kidney problems or low thyroid function. It may also be greater in those who take fenofibric acid with certain other medicines (eg, colchicine; HMG-CoA reductase inhibitors [statins], such as simvastatin). Tell your doctor right away if you notice any unexplained muscle pain, tenderness, or weakness, especially if you also have a fever or general body discomfort.
  • Lab tests, including liver function, kidney function, blood cholesterol, and complete blood cell counts, may be performed while you use fenofibric acid. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use fenofibric acid with caution in the ELDERLY; they may be more sensitive to its effects, especially muscle problems.
  • Fenofibric acid should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: It is not known if fenofibric acid can cause harm to the fetus. If you become pregnant or plan to become pregnant, contact your doctor. You will need to discuss the benefits and risks of using fenofibric acid while you are pregnant. It is not known if fenofibric acid is found in breast milk. Do not breast-feed while taking fenofibric acid.

Possible side effects of fenofibric acid:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; constipation; headache; nausea; runny or stuffy nose.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); calf or leg pain, swelling, redness, or tenderness; chest pain; coughing up blood; dark urine; decreased urination; fever, chills, or persistent sore throat; loss of appetite; muscle pain, tenderness, or weakness (especially along with fever or unusual tiredness); pale stools; red, swollen, blistered, or peeling skin; severe or persistent headache or dizziness; severe or persistent nausea or vomiting; shortness of breath; stomach pain; unusual bruising or bleeding; unusual tiredness or weakness; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of fenofibric acid:

Store fenofibric acid between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep fenofibric acid out of the reach of children and away from pets.

General information:

  • If you have any questions about fenofibric acid, please talk with your doctor, pharmacist, or other health care provider.
  • Fenofibric acid is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take fenofibric acid or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about fenofibric acid. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to fenofibric acid. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using fenofibric acid.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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