Fenofibrate has 12 known drug interactions based on U.S. FDA drug labeling data. Of these, 1 are contraindicated combinations that should be avoided entirely. 7 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Ezetimibe, Colchicine, Cyclosporine. Patients taking Fenofibrate should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 12
- Contraindicated
- 1
- Major
- 7
- Moderate
- 4
Contraindicated (1)
- Fenofibrate + Ezetimibe— Co-administration of ezetimibe with fibrates other than fenofibrate is not recommended until adequately studied.
Major (7)
- Fenofibrate + Colchicine— Cases of myopathy, including rhabdomyolysis, reported with fenofibrate co-administration. Caution should be exercised.
- Fenofibrate + Cyclosporine— Risk of nephrotoxicity and deterioration of renal function due to decreased creatinine clearance. Requires careful benef…
- Fenofibrate + Ezetimibe And Simvastatin— Combination increases exposure of ezetimibe; increased risk of cholelithiasis. If suspected, gallbladder studies indicat…
- Fenofibrate + Mao Inhibitors— Combined use should be avoided unless benefit of further lipid alterations outweighs increased risk of this drug combina…
- Fenofibrate + Oral Anticoagulants— Potentiation of coumarin anticoagulant effects with prolongation of PT/INR. Dosage reduction and frequent PT/INR monitor…
- Fenofibrate + Statins— Fibrates may cause myopathy when given alone. Risk of myopathy and rhabdomyolysis is increased with concomitant use of f…
- Fenofibrate + Tacrolimus— Risk of nephrotoxicity and deterioration of renal function due to decreased creatinine clearance. Requires careful benef…
Moderate (4)
- Fenofibrate + Bempedoic Acid And Ezetimibe— Both fenofibrate and ezetimibe may increase cholesterol excretion into bile, leading to cholelithiasis. Monitor for chol…
- Fenofibrate + Bile Acid Binding Resins— Bile acid resins may bind fenofibrate and impede its absorption. Administer fenofibrate at least 1 hour before or 4-6 ho…
- Fenofibrate + Cholic Acid— Bile-acid binding resins may bind fenofibrate given concurrently, impeding its absorption.
- Fenofibrate + Rosuvastatin— No clinically significant increase in AUC observed, but risk of myopathy is increased with concomitant use of fenofibrat…