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Lipantil Supra

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Lipantil Supra

Quick Facts

Property Description
Active ingredient Fenofibrate (INN)
Form Oral tablet (typically micro-ionized formulation)
Pharmacological class Fibrate class (Fibric Acid Derivative)
General purpose Management of dyslipidemia
Origin Synthetic compound

What Type of Medicine is Lipantil Supra (Fenofibrate)?

Lipantil Supra is a prescription-only pharmaceutical preparation containing the synthetic compound Fenofibrate as its sole active ingredient. This substance is classified as a fibric acid derivative, placing it within the fibrate class of drugs. This group of lipid-modulating agents is used to manage specific abnormal levels of fats, or lipids, in the bloodstream, a condition broadly referred to as dyslipidemia. Fenofibrate is used for lowering triglycerides and increasing high-density lipoprotein cholesterol, an effect clinically recognized across numerous pharmacological studies.


Composition and Advanced Tablet Form

The medication is taken by oral administration as a tablet. Due to the inherently low solubility of Fenofibrate, Lipantil Supra utilizes an advanced micro-ionized formulation. This specialized technique reduces the particle size of the active ingredient to ensure predictable and enhanced absorption into the bloodstream, thereby increasing its bioavailability. The formulation's design allows for reliable efficacy, ensuring the Fenofibrate consistently reaches its intended targets within the adult patient population.


Lipantil Supra’s General Purpose in Lipid Management

The general purpose of the Fenofibrate in Lipantil Supra is to actively improve the lipid profile, primarily by influencing the body's lipid metabolism through the activation of the Peroxisome Proliferator-Activated Receptor alpha (PPAR alpha). This action results in two major effects: a potent reduction of high plasma triglyceride (TG) levels and a concurrent beneficial increase in High-Density Lipoprotein cholesterol (HDL-C) levels. Therefore, the medicine serves as an important therapeutic option for managing conditions such as isolated hypertriglyceridemia and mixed dyslipidemia.

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What side effects are possible with Lipantil Supra?

Possible Side Effects and Safety Information

Fenofibrate, the active ingredient in Lipantil Supra, is associated with a range of officially documented adverse reactions. These reactions are categorized by the body systems they affect and their frequency of occurrence, as defined by regulatory authorities.


Documented Adverse Reactions

The most frequently reported adverse reactions typically involve the hepatobiliary and gastrointestinal systems. Common reactions often include headache, abdominal pain, and elevations in liver transaminases (AST/ALT) and Creatine Phosphokinase (CPK). Other reported reactions involve musculoskeletal disorders, such as myalgia (muscle pain), and nervous system disorders, such as dizziness.

Serious adverse reactions documented in regulatory labeling include Hepatotoxicity (liver injury), Rhabdomyolysis (severe muscle breakdown), Pancreatitis, and Venothromboembolic Disease (blood clots).

Safety Considerations and Restrictions

Specific patient populations have increased safety considerations. Fenofibrate is contraindicated in individuals with severe renal impairment, active liver disease, and pre-existing gallbladder disease. The risk of muscle toxicity is increased in elderly patients and when fenofibrate is co-administered with statins or other fibrates.

Time-related safety notes indicate that changes in liver enzymes have been reported to occur within the first few weeks or after several months of treatment. Official labeling emphasizes the need for periodic monitoring of liver enzymes and renal function throughout therapy.

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Overdose and Emergency Response

Overdose and When to Seek Help

The official regulatory documentation for fenofibrate does not detail a specific set of clinical signs or symptoms that occur in the event of an overdose. As a result, the regulatory guidance focuses entirely on emergency management and supportive care, requiring that urgent medical attention must be sought immediately.

Domain Official Regulatory Statement
Antidote Information No specific treatment or antidote is known for fenofibrate overdosage.
Emergency Action General supportive care of the patient is indicated should an overdose occur.
Procedural Requirements Elimination of unabsorbed drug, if clinically necessary, should be achieved by emesis or gastric lavage, with required precautions observed to maintain the patient's airway.
Monitoring Mandate Patient management requires professional monitoring of vital signs and continuous observation of clinical status.
Ineffective Measures Hemodialysis should not be considered as a means of drug removal because the active metabolite, fenofibric acid, is highly bound to plasma proteins.

The official profile strictly establishes that a specific pharmacological antidote is not available, which necessitates comprehensive general supportive care under immediate medical supervision. This mandate dictates both the required monitoring of vital signs and the specific procedural steps for drug elimination, while specifically excluding the use of hemodialysis.

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Therapeutic Uses of Lipantil Supra

What Lipantil Supra treats: main uses and benefits

The medication is primarily used in situations involving certain distressing symptoms related to elevated blood lipids. The main therapeutic goal of this medication is to help manage blood fat levels that are too high, a condition that is commonly used across conditions presenting with acute episodes of systemic imbalance. The medicine is indicated as an adjunct to diet and lifestyle changes for treating key conditions, including primary hypercholesterolemia, mixed dyslipidemia, and severe hypertriglyceridemia.

The medication is applied across domains where additional symptomatic support is needed. This is particularly relevant in clinical settings that involve acute or unstable symptom patterns. Specifically, the medication may assist with managing different types of elevated blood fats, while contributing to improved functional stability. The medication is relevant for easing the overall symptom burden associated with elevated fats and helps with maintaining functional stability in conditions where symptoms may intensify temporarily.

Quick Fact: Relief for Symptoms related to systemic imbalance

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Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Lipantil Supra — official regulatory information

Lipantil Supra (fenofibrate) is generally approved for adult patients with primary hypercholesterolemia, mixed dyslipidemia, or severe hypertriglyceridemia.


Eligibility Status Defined Populations (Regulatory Classification)
Contraindicated Severe Renal Dysfunction (e.g., end-stage renal disease/dialysis), Active Liver Disease, Pre-existing Gallbladder Disease, Nursing Mothers, and known Hypersensitivity to fenofibrate or fibrates.
Use Not Recommended Children and Adolescents younger than 18 years, as safety and efficacy have not been established. Use is also not recommended in patients with general hepatic impairment due to lack of data.
Restricted Use Patients with Mild to Moderate Renal Impairment require a dose reduction. Patients over 70 or those with factors like hypothyroidism are at increased risk of myopathy, requiring caution and monitoring.
Pregnancy Status Should only be used after a careful benefit/risk assessment; use is contraindicated during lactation.

Official labels strictly define eligibility by creating exclusionary boundaries based on organ function (severe renal/hepatic status), comorbidity, and physiological state. These classifications define who must not use the medicine and who requires conditional use.

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What should I know about interactions with other medicines?

Interactions with other medicines and products

Lipantil Supra (Fenofibrate) has officially documented interaction patterns that are classified based on pharmacokinetic and pharmacodynamic effects, as described in regulatory sources.

Documented Interaction Patterns

Co-administration with HMG-CoA Reductase Inhibitors (Statins) or other fibrates is associated with an officially increased risk of serious muscle toxicity (myopathy and rhabdomyolysis). Co-use is restricted and should generally be avoided due to this pharmacodynamic risk.

Fenofibrate potentiates the anticoagulant effect of coumarin-type oral anticoagulants, such as Warfarin, by displacing them from plasma protein binding sites. This necessitates regulatory oversight to maintain appropriate Prothrombin Time/INR levels.

Fenofibric acid, the active metabolite, is documented as a mild-to-moderate inhibitor of the CYP2C9 enzyme, which can alter the clearance of co-administered drugs metabolized by this pathway. It is also a weak inhibitor of CYP2C19 and CYP2A6.

Interacting Substance Category Interaction Outcome Classification
Bile Acid Sequestrants/Resins (e.g., Cholestyramine) Requires mandatory timing separation of administration.
Cyclosporine Associated with reversible renal function impairment, potentially leading to reduced fenofibric acid clearance.
Glimepiride Co-administration results in an officially documented 35% increase in AUC (exposure).

Fenofibrate administration requires timing rules when co-administered with Bile Acid Sequestrants/Resins; the dose must be separated by at least 1 hour before or 4 to 6 hours after the resin to prevent reduced absorption. Population-specific regulatory notes indicate that the risk of muscle toxicity with statin co-administration is heightened in geriatric patients, those with renal impairment, and those with hypothyroidism.

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Mechanism of Action

Mechanism of Action: Fenofibrate

The action of Fenofibrate begins with its role as a selective agonist (activator) of the Peroxisome Proliferator-Activated Receptor alpha (PPAR α) . This nuclear receptor acts as a gene regulator, modulating the transcription of genes controlling fat synthesis and catabolism primarily in the liver. This activation initiates a cascade that modifies multiple aspects of lipid metabolism.

Activation of PPAR α results in two simultaneous physiological actions: the upregulation of Lipoprotein Lipase (LPL) and the downregulation of Apolipoprotein C-III (Apo C-III), which naturally inhibits LPL. This combined effect accelerates the catabolism and clearance of triglyceride-rich particles like VLDL from the plasma. This mechanistic domain drives a substantial decrease in the plasma concentration of triglycerides as a direct physiological consequence.

The gene-regulating action also promotes the synthesis of Apo A-I and Apo A-II, structural components for assembling High-Density Lipoprotein (HDL) particles, leading to an increase in HDL cholesterol concentration. Furthermore, the mechanism exerts pleiotropic effects, including the modulation of inflammatory pathways and the enhancement of renal excretion of uric acid (a uricosuric effect).

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Dosage and Administration Information

How Lipantil Supra (Fenofibrate) Is Used

The usage of Lipantil Supra follows a standardized approach to administration and dosing. The medicine is taken orally and follows a once-daily dosing regimen across all approved indications, serving as a long-term adjunct to diet and lifestyle changes.

Official Administration Protocol

The drug is supplied in tablet or capsule forms that must be swallowed whole; the specialized formulations should not be crushed, broken, or chewed. Dosing is generally standardized for maintenance therapy, with common tablet strengths ranging from 120 mg to 160 mg once daily. Treatment for specific conditions, such as severe hypertriglyceridemia, may require individualized starting doses between 48 mg and 145 mg.

Contextual Use Requirements

The timing of administration relative to meals is product-dependent. Some fenofibrate formulations must be taken with a meal for optimal absorption, while others may be taken with or without food.

For specific patient populations, dose adjustment is required. In cases of mild to moderate renal impairment, a reduced initial daily dose is required, as determined by the patient's measured renal function. Use is not recommended for pediatric patients or those with severe renal impairment.

Therapy is not indefinite; lipid levels must be assessed within the first four to eight weeks of treatment. If an adequate response is not achieved after several months at the maximum recommended dose, the treatment should be discontinued.

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Recent Clinical Evidence

Research Evidence / Overview of Studies for Lipantil Supra

This section summarizes the type of research that has been conducted on Lipantil Supra (Fenofibrate). It describes what the studies explored and what their findings suggest, without offering clinical advice or making guarantees about individual outcomes.


Evidence for Management of Primary Hypercholesterolemia and Mixed Dyslipidemia

Research exploring the use of Lipantil Supra in managing high cholesterol (hypercholesterolemia) and mixed dyslipidemia primarily involved short-term, placebo-controlled clinical trials and reviews. These studies focused on adult patients and observed the medicine's association with various Lipid Biomarkers in the bloodstream.

The trials consistently reported measurements related to changes in these markers, specifically observing patterns that included lower Triglycerides (TG) levels and higher High-Density Lipoprotein Cholesterol (HDL-C) levels. These initial studies, which typically lasted only a few weeks to months, provide limited information for long-term outcomes regarding the direct measurement of major long-term health events like heart attack or stroke for the general population.


Evidence for Management of Severe Hypertriglyceridemia

Lipantil Supra was studied for use in patients with markedly elevated triglyceride levels (often defined as levels above 500 mg/dL). The studies research examined the changes in these high triglyceride levels over short-term observation periods, and the evidence reported measurements showing changes in triglyceride concentrations.

However, the controlled clinical trials have not definitively established that Fenofibrate therapy directly influences the risk of pancreatitis itself. The specific influence on the risk of pancreatitis is not fully established through randomized trials.


Research on Long-Term Cardiovascular Outcomes

Several large-scale, long-term trials were conducted to explore whether Fenofibrate was associated with changes in the rate of serious cardiovascular events in high-risk groups, such as patients with Type 2 Diabetes. The results from these trials varied across studies and did not meet the primary study goal.

Trial Findings on Overall Cardiovascular Event Rate

Overall, the largest long-term trials reported that findings did not show a reduction in the overall rate of Major Adverse Cardiovascular Events (MACE) within the broad population of T2DM patients studied. The positive findings observed in specific subgroups, such as patients with high TG and low HDL-C, are uncertain and their clinical significance remains limited.

Key Studies & References

  1. ACCORD Study Group: Effects of Combination Lipid Therapy in Type 2 Diabetes Mellitus (ACCORD-Lipid Trial)
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Frequently Asked Questions (FAQ)

Common questions about Lipantil Supra (FAQ)

Q: Is Lipantil Supra used to lower LDL cholesterol, triglycerides, or both?

Official product information states that fenofibrate is indicated to reduce elevated triglycerides (TG). It is also used to reduce elevated low-density lipoprotein cholesterol (LDL-C), total cholesterol, and apolipoprotein B, while helping to increase high-density lipoprotein cholesterol (HDL-C).


Q: Is Lipantil Supra typically safe for older adults (seniors)?

Regulatory documents indicate that the way the body processes fenofibrate in elderly volunteers is generally similar to that in younger adults. A similar dosage may be used in elderly patients, provided their renal function is within normal limits, as determined by a healthcare provider. However, the risk of certain side effects may be heightened in this population.


Q: Is it better to take Lipantil Supra in the morning or at night?

According to the official prescribing information, Lipantil Supra is administered as a single dose once daily. The specific time of day (morning or night) is not mandated by the label. Consistency of dosing is an important consideration for taking any daily medicine, and some formulations are advised to be taken with food, depending on the product instructions.


Q: Is Lipantil Supra approved by major health organizations like the FDA or EMA?

The medicine and its formulations are regulated and documented by major governmental agencies, including the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA). These authorities provide the official prescribing information that guides its use.


Q: Is Lipantil Supra considered a long-term preventive medicine?

Fenofibrate is used as a long-term treatment alongside diet and lifestyle changes. However, studies exploring the long-term impact on serious health events have varied. Official information states that the largest trials in high-risk patients, such as those with Type 2 Diabetes, did not show a reduction in the overall rate of major cardiovascular events.


Q: How does Lipantil Supra relate to cardiovascular health?

The drug is indicated to manage lipid disorders that are associated with cardiovascular risk factors. While fenofibrate is associated with improvements in certain lipid markers, official clinical trial data has not conclusively demonstrated that it reduces the risk of heart attack or stroke in all patient groups.


Q: Do studies suggest Lipantil Supra has benefits beyond just lowering lipids?

Official reports describe a pleiotropic effect, meaning the drug has actions beyond its main purpose. The mechanism of action is described to include a minor uricosuric effect, meaning it promotes the renal excretion of uric acid.


Q: How quickly does Lipantil Supra start to affect cholesterol levels?

Initial changes in triglyceride levels may begin within about two weeks of starting treatment. The maximum therapeutic effect on both cholesterol and triglyceride levels is typically achieved after four to eight weeks of consistent use, which is why official guidelines call for lipid monitoring during this period.


Q: What is the difference between Lipantil Supra and generic fenofibrate?

Fenofibrate formulations, including Lipantil Supra, often utilize advanced techniques such as micro-ionization. This process reduces the particle size of the active ingredient to ensure predictable and enhanced absorption into the bloodstream, which may differ from standard generic formulations.


Q: Can Lipantil Supra affect blood sugar levels?

Official warnings note that fenofibrate may affect the action of certain diabetes medications, such as sulfonylureas or insulin. The label indicates an interaction that may affect the risk of low blood sugar (hypoglycemia) in patients taking these specific drugs.


Q: What common over-the-counter pain relievers interact with Lipantil Supra?

Official prescribing information indicates that some over-the-counter pain relievers classified as NSAIDs (Nonsteroidal Anti-inflammatory Drugs) may potentially interact with fenofibrate. Regulatory documents indicate that co-administration may require monitoring by a healthcare provider.


Q: What happens if I take Lipantil Supra with certain heart medicines?

The official documentation advises that combining fenofibrate with HMG-CoA reductase inhibitors (commonly known as statins), which are frequently prescribed heart medicines, is generally avoided. This is due to an officially documented increased risk of severe muscle toxicity, including rhabdomyolysis.


Q: Are there specific foods I should avoid while using Lipantil Supra?

Regulatory guidance emphasizes that all patients must be placed on an appropriate lipid-lowering diet, exercise program, and weight loss regimen throughout treatment. While adherence to an appropriate lipid-lowering diet is required for treatment, no specific individual foods are named in the official label for complete avoidance.


Q: Can women who are planning pregnancy take Lipantil Supra?

Official regulatory documents state there is limited available data on the drug-associated risk in pregnant women. Official documents state that the medicine should be used during pregnancy only if the potential benefit is considered to outweigh the potential risk to the fetus.


Q: What is the risk classification for Lipantil Supra during pregnancy?

The US Food and Drug Administration (FDA) has transitioned away from using the old lettered pregnancy categories (A, B, C, D, X). Instead, the official label provides a risk summary based on available clinical data and information to help guide healthcare providers' decisions.


Q: What if I forget to take my Lipantil Supra dose?

According to the official patient counseling information, if a dose is missed, patients should not take an extra dose to make up for it. Official patient counseling states that treatment should be resumed with the next scheduled dose at the usual time.


Q: What should I do if I accidentally take two doses of Lipantil Supra?

Official information regarding overdosage states there is no specific antidote for fenofibrate overdose. Management of an overdose involves contacting a poison control center or seeking emergency medical attention immediately.


Q: Are there research studies comparing Lipantil Supra to diet and exercise alone?

Regulatory guidelines specify that fenofibrate is only intended to be used as an adjunct to lifestyle intervention. This means all patients must be placed on an appropriate lipid-lowering diet, exercise program, and weight loss regimen before receiving the drug, rather than the drug being studied as a replacement.


Q: Can Lipantil Supra cause any changes to skin sensitivity or sun exposure?

Official post-marketing experience reports have documented photosensitivity reactions, which is an increased sensitivity of the skin to sunlight. Due to this potential reaction, official information indicates that precautions regarding sun exposure are generally advised while using this medicine.


Q: Can Lipantil Supra affect the way I metabolize alcohol?

The official product information lists high alcohol intake as a factor that contributes to high triglyceride levels. Furthermore, excessive alcohol use is a pre-disposing factor for muscle disorders like myopathy, a risk that may be increased while taking fenofibrate.

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How should Lipantil Supra be stored and disposed of?

Official Storage and Disposal Requirements

To ensure the stability and integrity of Lipantil Supra (fenofibrate 160 mg), storage must comply strictly with documented regulatory conditions.

Item Official Regulatory Statement
Storage Temperature Store at a temperature not exceeding 30 C (86°F).
Protection Requirements Must be kept in the original package and protected from moisture.
Child Safety Must be kept out of the sight and reach of children.
Disposal Rule Dispose of unused product or waste material in accordance with local requirements.

The product's stability is tied to the maximum temperature limit, and maintaining the original packaging is necessary for protection from moisture. Regulatory mandates require that the medicine not be disposed of via wastewater or household waste and that disposal follows established pharmaceutical waste protocols.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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