Fenofibrate Interactions

Brand names: Fenofibrate

Peroxisome Proliferator Receptor alpha Agonist · Peroxisome Proliferator-activated Receptor alpha Agonists

Route: Oral

Contraindications

CONTRAINDICATIONS Fenofibrate Capsules are contraindicated in patients who exhibit hypersensitivity to fenofibrate. Fenofibrate Capsules are contraindicated in patients with hepatic or severe renal dysfunction, including primary biliary cirrhosis, and patients with unexplained persistent liver function abnormality. Fenofibrate Capsules are contraindicated in patients with preexisting gallbladder disease (see WARNINGS ).

Pregnancy & Breastfeeding

Pregnancy Teratogenic Effects Safety in pregnant women has not been established. There are no adequate and well controlled studies of fenofibrate in pregnant women. Fenofibrate should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. In female rats given oral dietary doses of 15, 75, and 300 mg/kg/day of fenofibrate from 15 days prior to mating through weaning, maternal toxicity was observed at 0.3 times the MRHD, based on body surface area comparisons; mg/m 2 . In pregnant rats given oral dietary doses of 14, 127, and 361 mg/kg/day from gestation day 6 to 15 during the period of organogenesis, adverse developmental findings were not observed at 14 mg/kg/day (less than 1 times the MRHD, based on body surface area comparisons; mg/m 2 ). At higher multiples of human doses evidence of maternal toxicity was observed. In pregnant rabbits given oral gavage doses of 15, 150, and 300 mg/kg/day from gestation day 6 to 18 during the period of organogenesis and allowed to deliver, aborted litters were observed at 150 mg/kg/day (10 times the MRHD, based on body surface area comparisons: mg/m 2 ). No developmental findings were observed at 15 mg/kg/day (at less than 1 times the MRHD, based on body surface area comparisons: mg/m 2 ). In pregnant rats given oral dietary doses of 15, 75, and 300 mg/kg/day from gestation day 15 through lactation day 21 (weaning), maternal toxicity was observed at less than 1 times the MRHD, based on body surface area comparisons: mg/m 2 .

9 interactions on record

Cases of myopathy, including rhabdomyolysis, reported with fenofibrate co-administration. Caution should be exercised.

Source: NLP:fenofibrate

Risk of nephrotoxicity and deterioration of renal function due to decreased creatinine clearance. Requires careful benefit-risk assessment and renal function monitoring.

Source: NLP:fenofibrate

Co-administration not recommended; both drugs may increase cholesterol excretion into bile, leading to cholelithiasis.

Source: NLP:ezetimibe

Potentiation of coumarin anticoagulant effects with prolongation of PT/INR. Dosage reduction and frequent PT/INR monitoring recommended to prevent bleeding complications.

Source: NLP:fenofibrate

Fibrates may cause myopathy when given alone. Risk of myopathy and rhabdomyolysis is increased with concomitant use of fibrates with statins.

Source: NLP:fenofibrate

Risk of nephrotoxicity and deterioration of renal function due to decreased creatinine clearance. Requires careful benefit-risk assessment and renal function monitoring.

Source: NLP:fenofibrate

Bile acid resins may bind fenofibrate and impede its absorption. Administer fenofibrate at least 1 hour before or 4-6 hours after the resin.

Source: NLP:fenofibrate

Bile-acid binding resins may bind fenofibrate given concurrently, impeding its absorption.

Source: NLP:fenofibrate

Increases ezetimibe exposure and risk of skeletal muscle effects. Caution advised; may increase cholelithiasis risk.

Source: NLP:ezetimibe and simvastatin