User:Mr. Ibrahem/Fenofibrate

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Mr. Ibrahem/Fenofibrate
Clinical data
Trade namesFenoglide, Lipofen, others
AHFS/Drugs.comMonograph
MedlinePlusa601052
License data
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth
Legal status
Legal status
  • UK: POM (Prescription only)[1]
  • US: ℞-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Protein binding99%
Metabolismglucuronidation
Elimination half-life20 h
Excretionurine (60%), feces (25%)
Identifiers
  • propan-2-yl 2-[4-(4-chlorobenzoyl)phenoxy]-2-methylpropanoate
Chemical and physical data
FormulaC20H21ClO4
Molar mass360.83 g·mol−1
3D model (JSmol)
Melting point80 to 81 °C (176 to 178 °F)
  • O=C(c1ccc(Cl)cc1)c2ccc(OC(C(=O)OC(C)C)(C)C)cc2
  • InChI=1S/C20H21ClO4/c1-13(2)24-19(23)20(3,4)25-17-11-7-15(8-12-17)18(22)14-5-9-16(21)10-6-14/h5-13H,1-4H3 checkY
  • Key:YMTINGFKWWXKFG-UHFFFAOYSA-N checkY
  (verify)

Fenofibrate, sold under the brand name Tricor among others, is a medication of the fibrate class used to treat abnormal blood lipid levels.[3] It is less preferred to statin medications as it does not appear to reduce the risk of heart disease or death.[3][4] Its use is recommended together with dietary changes.[3] It is taken by mouth.[3]

Common side effects include liver problems, breathing problems, abdominal pain, muscle problems, and nausea.[3] Serious side effects may include toxic epidermal necrolysis, rhabdomyolysis, gallstones, blood clots, and pancreatitis.[3] Use in pregnancy and breastfeeding is not recommended.[4][5] It works by a number of mechanisms.[3]

It was patented in 1969, and came into medical use in 1975.[6] It is available as a generic medication.[4] A month supply in the United Kingdom costs the NHS about 3.67 £ per month as of 2019.[4] In the United States the wholesale cost of this amount is about US$8.40.[7] In 2018, it was the 73rd most commonly prescribed medication in the United States with more than 11 million prescriptions.[8][9]

References[edit]

  1. ^ "Fenofibrate 267mg Capsules - Summary of Product Characteristics (SmPC)". (emc). 12 February 2020. Retrieved 13 April 2020.
  2. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Retrieved 7 September 2020.
  3. ^ a b c d e f g "Fenofibric Acid/Fenofibrate Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 3 March 2019.
  4. ^ a b c d British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 198. ISBN 9780857113382.
  5. ^ "Fenofibrate Pregnancy and Breastfeeding Warnings". Drugs.com. Retrieved 3 March 2019.
  6. ^ Fischer, Jnos; Ganellin, C. Robin (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 474. ISBN 9783527607495.
  7. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Retrieved 3 March 2019.
  8. ^ "The Top 300 of 2021". ClinCalc. Retrieved 18 February 2021.
  9. ^ "Fenofibrate - Drug Usage Statistics". ClinCalc. Retrieved 18 February 2021.