Lipcor

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

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.

Overview of Lipcor

What is Lipcor? (Fenofibrate)

Quick Facts

Property Description
Active ingredient Fenofibrate
Form Capsule or Tablet (Oral preparation)
Pharmacological class Fibrate (Antihyperlipidemic agent)
General use Management of high blood fat levels (dyslipidemia)
Origin Synthetic compound (Pro-drug)

Lipcor is a prescription-only medication whose active ingredient is Fenofibrate, a synthetic compound classified as a fibric acid derivative. It belongs to the fibrate class of drugs and functions as a lipid-regulating agent. This classification means it is used to manage fat imbalances in the blood. Fenofibrate is designed as a pro-drug because it must be converted in the body into its active metabolite, Fenofibric acid, to produce its therapeutic effects, a characteristic common to this type of agent.

Composition and General Purpose

The medicine is supplied as a single-active-ingredient product intended for oral administration, typically manufactured as a capsule or tablet. The Fenofibrate molecule is often available in specialized micronized or nanoparticle formulations to improve its absorption profile, distinguishing it from older fibrate compounds by ensuring reliable systemic delivery.

Fenofibrate’s general purpose is the systemic modulation of lipid metabolism to treat the pathological state of dyslipidemia. Fenofibrate is indicated as an adjunct to diet to reduce elevated triglycerides and to increase levels of High-Density Lipoprotein (HDL) cholesterol. This action, which involves functioning as a Peroxisome Proliferator-Activated Receptor Alpha (PPARalpha) agonist, is foundational for patients managing conditions such as high hypertriglyceridemia or complex cases of mixed dyslipidemia.

Regulatory References

  1. Fenofibrate: MedlinePlus Drug Information

What side effects are possible with Lipcor?

Possible Side Effects and Safety Information

Lipcor (fenofibrate) safety information is based strictly on the findings documented in official regulatory labels, which classify potential adverse reactions by frequency and affected body system. These effects are organized into categories such as Common, Uncommon, and Rare.

Documented Adverse Reactions

The most Common adverse reactions typically involve Gastrointestinal disorders, such as abdominal pain, flatulence, and diarrhea. Increases in transaminases (liver enzymes) are also frequently reported in laboratory investigations. Uncommon effects include headache, muscle disorders (myalgia), cholelithiasis (gallstones), and thromboembolic events.

Serious Safety Risks

Official regulatory documents highlight the risk of serious adverse reactions, though these are typically less common. These include severe Muscle Toxicity, such as myopathy and, rarely, rhabdomyolysis, and significant Hepatotoxicity, which can manifest as hepatitis or severe liver injury. The risk of pancreatitis and venous thromboembolism is also documented.

Safety Constraints and Special Populations

Fenofibrate use is formally Contraindicated in individuals with pre-existing conditions that affect drug clearance or safety, specifically active liver disease and severe renal impairment (including patients on dialysis). The risk of muscle toxicity is officially noted to be increased in older adults and when the medication is used concurrently with statin therapy. Periodic monitoring of liver function and renal function is required as part of the established safety management framework.

Overdose and Emergency Response

Overdose and When to Seek Help

Immediate medical attention must be sought if an overdose of Lipcor (Fenofibrate) is suspected or confirmed. Official regulatory documents specify the potential clinical manifestations and required emergency actions.

Overdose may present as an exaggeration of known effects, primarily involving the muscle and renal systems. Documented clinical manifestations can include acute muscle pain, tenderness, or generalized weakness, alongside laboratory findings of elevated creatine kinase (CK). The most severe, life-threatening outcomes formally described are Rhabdomyolysis (severe muscle breakdown) and subsequent Acute Renal Failure.

Action/Finding Regulatory Requirement
Help-Seeking Seek immediate medical attention.
Antidote No specific antidote is known.
Management Symptomatic and supportive treatment is required.
Monitoring Hospital monitoring may be required for observation.

Official labeling confirms that management is limited to symptomatic and supportive treatment because no specific antidote is known for Fenofibrate overdose. Hemodialysis is not considered effective due to the high plasma protein binding of the active metabolite. Furthermore, patients with pre-existing renal impairment are documented to face an increased risk of severe complications following an overdose.

Therapeutic Uses of Lipcor

What Lipcor Treats: Main Uses and Benefits

Lipcor (fenofibrate) is a prescription therapy commonly used as an adjunct to diet and other non-pharmacological treatment to manage chronic, abnormal fat levels in the bloodstream. The therapeutic use is applied across domains where additional symptomatic support is needed. This medicine is commonly used to help with conditions presenting with systemic or localized discomfort, such as severe hypertriglyceridemia (markedly high triglycerides), mixed dyslipidemia, and primary hyperlipidemia.

Its application helps address symptom clusters that may become intense or disruptive, such as the elevated risk for acute pancreatitis associated with high blood fats and the progression of microvascular damage in diabetic patients. The medication is applied in addressing the imbalance, assisting in the management of harmful fats and increasing levels of HDL cholesterol. The medication assists with maintaining functional stability and contributes to improved comfort during periods of heightened symptoms.

Quick Fact: Therapeutic Support

The medication is used for managing conditions characterized by periods of heightened symptoms (markedly high triglycerides) and is considered relevant for easing the overall symptom load related to chronic fat disorders and vascular risk factors.

Regulatory References

  1. DailyMed - NIH prescribing information

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Lipcor—Official Regulatory Information

Lipcor (Fenofibrate) is approved for use in adult patients but is strictly contraindicated in several specific populations according to regulatory documents.

Category Official Eligibility Status
Populations for whom use is allowed Adults are the primary approved patient population.
Populations for whom use is not recommended Children and adolescents (under 18 years) are not recommended for use, as safety and efficacy have not been established.
Populations for whom use is contraindicated Patients with severe renal impairment (eGFR <30 mL/min/1.73 m^2) or End-Stage Renal Disease (ESRD) and patients with active liver disease (including unexplained persistent function abnormalities) must not use this medicine. The medicine is also contraindicated in patients with pre-existing gallbladder disease, known hypersensitivity to the drug, and nursing mothers (breastfeeding women).
Eligibility-related restrictions Use is restricted in patients with mild to moderate renal impairment (eGFR 30 to <60 mL/min/1.73 m^2), who require a lower starting dose. Dosage selection for older adults should be determined based on renal function.

Connection to the overall eligibility profile: The official regulatory documents define the eligible population as adults who do not exhibit specific contraindicating conditions. Eligibility is primarily structured by mandatory exclusions relating to severe organ dysfunction (hepatic and renal), a history of pre-existing gallbladder disease, hypersensitivity to the product, and the physiological status of lactation.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The official interaction profile for this medicine (Lisinopril) is structured around several critical categories that may lead to constraints or necessary monitoring when co-administered with other products.

Key Interaction Domains and Constraints:


Interacting Product Category Regulatory Constraint or Requirement
Neprilysin Inhibitors (e.g., Sacubitril) Co-administration is contraindicated. A 36-hour washout period is required after stopping the inhibitor before starting this drug.
RAS Dual Blockade Agents (e.g., Aliskiren, ARBs) Contraindicated with Aliskiren in patients with diabetes or moderate-to-severe renal impairment. Dual therapy is generally not recommended.
Potassium-Raising Agents (e.g., K-Sparing Diuretics, Supplements) May cause clinically significant hyperkalemia (high potassium). Frequent monitoring of serum potassium is required.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) May decrease the drug's intended effect and increase the risk of worsening kidney function, especially in high-risk patients.
Lithium Co-administration may increase Lithium levels and toxicity. Frequent serum lithium concentration monitoring is necessary.

Specific procedural constraints also apply: Anaphylactoid reactions have been documented in patients undergoing dialysis with certain high-flux membranes or LDL apheresis with dextran sulfate while receiving this medication, necessitating caution or alternative procedures. These restrictions reflect official regulatory guidance on managing pharmacokinetic and pharmacodynamic risks.

Mechanism of Action

Activating the PPAR alpha Metabolic Master Switch

Lipcor's action begins when its active form, Fenofibric acid, acts as an agonist (activator) of the Peroxisome Proliferator-Activated Receptor Alpha (PPAR alpha) in metabolic cells. This nuclear receptor is a transcription factor that, once activated, binds to specific DNA sequences to alter gene expression, influencing the production of enzymes and proteins involved in fat transport and processing.


Enhancing Clearance of Circulating Triglycerides

The genetic modulation driven by PPAR alpha increases the synthesis of Lipoprotein Lipase (LPL) while simultaneously suppressing its inhibitor, Apolipoprotein C-III (ApoC-III). This dual action enhances the breakdown and clearance of triglyceride-rich lipoproteins (such as VLDL) from the bloodstream, leading to a lowered concentration of plasma triglycerides.


Remodeling Lipoprotein Structure and Composition

The transcriptional effects also lead to the increased production of Apolipoprotein A-I and ApoA-II, the building blocks of High-Density Lipoprotein (HDL). This process increases HDL levels and results in a remodeling of LDL particles, shifting them towards a larger, more buoyant structure, which contributes to the overall modification of the body's lipid profile.

Dosage and Administration Information

How Lipcor is Used

Lipcor (fenofibrate) is administered as an oral medication, typically in the form of a capsule or tablet, and is intended for the long-term management of elevated blood lipid levels. The medication is dosed once daily and is generally available in a variety of strengths, such as 40 mg to 200 mg, reflecting different formulations designed for optimized absorption.


Dosing and Schedule

Treatment begins with an initial dose, which is then adjusted based on the patient's lipid profile. Dosage adjustments are made by a healthcare professional, commonly after an evaluation period of 4 to 8 weeks. For most products, the maximum approved daily dose is typically 160 mg. If an adequate response is not achieved after two months of therapy at the maximum dose, treatment may be considered for withdrawal.

Usage Instruction Domain Official Requirement
Route of Administration Swallowed whole; oral only.
Frequency Administered once daily.
Timing with Meals Varies by product; some must be taken with food, while others can be taken without.

Special Administration Conditions

Tablets and capsules must be swallowed whole and must not be crushed, dissolved, or chewed. Patients taking bile acid resins must separate the administration of Lipcor by at least 1 hour before or 4 to 6 hours after the resin to prevent reduced absorption of fenofibrate. Dose selection for older adults requires specific consideration of the patient's renal function, and a lower starting dose (e.g., 40 mg) is necessary for those with mild-to-moderate renal impairment. If a daily dose is missed, the patient should continue with the next scheduled dose and not take an extra dose.

Recent Clinical Evidence

Research evidence / Overview of Studies for Lipcor (Fenofibrate)

Evidence Review for High Triglyceride Levels

The clinical evaluation of Lipcor (Fenofibrate) was conducted in research exploring its role in adults with markedly high blood fat levels, particularly severe hypertriglyceridemia. These investigations were designed to explore how serum triglyceride concentrations change when the medicine is used. Studies reported patterns showing measured reductions in the targeted triglyceride biomarker over short-term to medium-term follow-up periods.

A notable research gap is that while studies explored changes in triglyceride levels, large-scale studies specifically designed to measure a reduced occurrence of acute pancreatitis, which is a severe clinical risk associated with hypertriglyceridemia, are not consistently established in the primary research base.

Evidence Review for Mixed Dyslipidemia and Cholesterol Management

Research for mixed dyslipidemia involves trials exploring a range of blood fat outcomes, including observed changes in LDL-C, non-HDL-C, and HDL-C. Studies documented measured reductions in triglycerides and measured increases in HDL-C. Long-term studies also examined major cardiovascular events, such as heart attack or stroke.

However, when long-term cardiovascular outcomes were tracked, trials generally did not report a significant difference in the occurrence of these major events between the group receiving fenofibrate and the comparison groups receiving standard therapy alone. Research continues to explore the relationship between the observed lipid marker shifts and consistent long-term clinical event patterns.

Evidence Review for Progression of Diabetic Retinopathy

The evidence for this use comes primarily from large-scale, long-term randomized controlled trials focused on adults with Type 2 diabetes who had existing signs of diabetic retinopathy. These studies monitored outcomes related to disease progression. Findings included measured differences in the rate of worsening of the condition over several years. Research primarily explored patterns related to the progression of existing disease rather than the primary prevention of the condition.

Frequently Asked Questions (FAQ)

Common questions about Lipcor (FAQ)


Q: How quickly does Lipcor typically begin to work, according to studies?

The official product information indicates that the active form of the medicine reaches steady-state concentrations in the bloodstream within about 5 to 9 days of consistent daily use. Clinical evaluation for potential dose adjustments is typically assessed after 4 to 8 weeks of treatment, based on the observed effect on lipid levels.


Q: Is Lipcor safe for people who have kidney issues?

Regulatory documents state that this medicine is contraindicated (is not permitted for use) in patients who have severe renal impairment (severe kidney problems). For those with mild-to-moderate impairment, a lower starting dose may be required, and close monitoring of kidney function is required throughout treatment, according to official guidelines.


Q: Can older adults (70+) take Lipcor safely?

Official labeling notes that older adults can use the medicine, but dosage selection should be determined based on an assessment of their renal function (how well the kidneys work). Furthermore, the official risk of serious muscle toxicity (myopathy/rhabdomyolysis) is noted to be increased in older adult patients.


Q: What are the signs of a rare, serious side effect associated with Lipcor?

Official guidance advises patients to promptly report symptoms to a healthcare provider if they suspect serious side effects. Signs of muscle toxicity include unexplained muscle pain, tenderness, or weakness, especially if accompanied by malaise (general discomfort) or fever. Signs of severe liver injury may include jaundice (yellowing of the skin or eyes).


Q: Are there any specific lifestyle changes that studies suggest pair well with Lipcor?

Official guidance states that this medicine is an adjunct to diet, meaning it is used alongside dietary changes. Other ancillary measures mentioned in regulatory documents include physical exercise and the recommendation to manage excess body weight.


Q: How frequently are follow-up appointments suggested when starting Lipcor?

Periodic monitoring of serum lipid levels is required during initial therapy, with dose evaluation often occurring after four to eight weeks. Official documentation indicates that liver function and renal function (kidney) monitoring is required at baseline and periodically while on therapy.


Q: What are the regulatory warnings associated with Lipcor?

Major regulatory warnings include the risks of serious hepatotoxicity (liver injury) and myopathy/rhabdomyolysis (muscle toxicity). There is also a potential for cholelithiasis (gallstone formation). Close monitoring of liver and kidney function is required as part of the established safety management framework.


Q: What are the key points from the official safety documentation for Lipcor?

Key safety points include the mandatory need for periodic monitoring of liver and kidney function due to potential risks. Patients should be informed about the increased risk of muscle toxicity when the drug is used with certain statins. Official guidance states that women should not breastfeed during treatment.


Q: Are there any common food or drink items that should be avoided with Lipcor?

Regulatory guidance advises patients to limit the consumption of alcohol. Excessive intake may potentially counteract the drug's intended effect and may increase the risk of serious adverse reactions, such as liver damage and pancreatitis.


Q: What is the difference between Lipcor and [Similar Statin Drug Name]?

Official regulatory information indicates that Lipcor is classified as a fibrate (fibric acid derivative), which works as a PPAR alpha agonist, and is a different pharmacological class from statins. Although both manage blood lipid levels, they achieve their effects through different biological mechanisms in the body.


Q: Can Lipcor be taken at the same time as other heart medications?

Regulatory documents caution that the medicine can increase the risk of muscle toxicity when used concurrently with a statin. Official documents require close monitoring when the drug is taken with certain other medicines, including oral anticoagulants (blood thinners).


Q: Why is Lipcor generally not recommended during pregnancy?

Official labeling indicates that there is limited data from the use of the medicine in pregnant women. Based on this, the medication should be used during pregnancy only if the potential benefit is judged to justify the potential risk to the fetus, based on official assessment.


Q: Are there known differences in how Lipcor affects men versus women?

Clinical pharmacology data in the official documents indicates that the way the body processes and eliminates the active medicine (oral clearance) is not significantly altered by age. No major sex-based differences are generally noted in the primary pharmacokinetic data.


Q: How does a healthcare provider decide if Lipcor is the right fit?

Official guidance states that treatment is typically initiated after efforts to control lipid levels with an appropriate diet, exercise, and management of underlying conditions (like diabetes or hypothyroidism) have been attempted but were not sufficient alone.


Q: Is there a generic version of Lipcor available?

Yes. Regulatory documents confirm that the active ingredient, fenofibrate, is widely available as a generic prescription drug. Generic products are expected to meet the same quality and performance standards as the brand-name product.


Q: Can Lipcor cause dizziness or lightheadedness?

Official product safety documentation lists dizziness among the possible reported side effects. Official guidance advises that patients should promptly report any unusual or concerning symptoms to a healthcare provider.


Q: How long does the effect of one dose of Lipcor last in the body?

The active form of the medicine, fenofibric acid, is eliminated from the body with a half-life of approximately 16 to 23 hours. This elimination rate is what allows the medicine to be administered once daily.


Q: Does Lipcor have a common association with skin rash?

Official documents report that Hypersensitivity Reactions, which can include a skin rash or hives (urticaria), have been reported in clinical trials and during post-marketing surveillance. While these are possible, severe cutaneous (skin) reactions have been reported very rarely.


Q: Can Lipcor affect blood sugar levels?

Regulatory documents note that when this medicine is used in combination with insulin or certain oral diabetes medications, there may be an increased risk of hypoglycemia (low blood sugar). The potential for dosage adjustments for the diabetes medication should be considered.


Q: What does it mean if Lipcor is contraindicated?

A contraindication is a strict regulatory term. It means that the medicine must not be used in a specific patient group (such as those with severe liver disease) or with a certain co-administered medicine because the risks of use are officially considered to outweigh any potential benefits.


Q: What are the main potential interactions to discuss with a pharmacist about Lipcor?

Key interactions to be aware of include the increased risk of muscle toxicity when the drug is combined with a statin. There is also an increased risk of bleeding when it is taken with certain coumarin anticoagulants (blood thinners). This combination typically requires monitoring and potential dosage reduction of the anticoagulant.


Q: Can I take Lipcor if I have a history of thyroid problems?

Official documentation states that patients with uncontrolled hypothyroidism (underactive thyroid) are at an increased risk for serious muscle toxicity (myopathy) when taking this medication. Thyroid conditions, such as hypothyroidism, are typically required to be managed and controlled prior to starting Lipcor therapy.


Q: What is the risk of Lipcor interacting with alcohol?

Regulatory documents note that excessive or heavy alcohol intake may counteract the drug's intended benefit by contributing to high triglyceride levels. Alcohol consumption is noted as potentially increasing the risk of serious adverse reactions, such as liver damage and pancreatitis.


Q: How does the effectiveness of Lipcor change over many years of use?

Official evidence reviews indicate that while the drug is intended for long-term management, some large, long-term studies have generally not demonstrated a significant benefit in reducing the occurrence of major cardiovascular events (like heart attack or stroke) in certain patient populations (e.g., those with Type 2 diabetes).


Q: Does Lipcor have an effect on kidney stones?

Regulatory information confirms that the medicine increases the amount of cholesterol excreted into the bile, which carries a risk of cholelithiasis (gallstone formation). Kidney stones are not explicitly listed in the major safety warnings or adverse reactions sections of the official documents.


Q: Is Lipcor a blood thinner?

The official classification of Lipcor is a fibric acid derivative (fibrate) and a lipid-regulating agent used to manage blood fat levels. Regulatory documents confirm that it is not classified as a blood thinner (anticoagulant), although it may interact with blood thinners.


Q: What should be done if Lipcor causes nausea?

Nausea is a potential side effect, as Gastrointestinal disorders are common adverse reactions. Official regulatory guidance advises prompt reporting to a healthcare provider for any unusual or concerning symptoms, such as unexplained muscle pain or fever.


Q: Does Lipcor need to be taken at a specific time of day?

The medicine is typically taken once daily. Official guidance indicates that while taking it at the same time each day helps maintain consistency, it is not strictly required to be taken at a specific time (e.g., morning or night).


Q: What are the specific requirements for women of childbearing age when taking Lipcor?

Regulatory documents specifically state that women who are currently nursing (breastfeeding) are contraindicated (must not use the drug) during treatment. This restriction extends for 5 days after the final dose due to concerns about the potential effects on the infant.

How should Lipcor be stored and disposed of?

How to Store and Dispose of Lipcor (Fenofibrate)

Lipcor must be stored according to official regulatory requirements to maintain its stability and effectiveness.

Storage Requirements

Condition Requirement (Official Labeling)
Temperature Store at controlled room temperature, typically 20 C to 25 C (68 F to 77 F).
Container Keep the medicine in its original container and ensure the cap is tightly closed.
Protection Must be stored away from heat, moisture, and direct light. Do not freeze.
Child Safety Keep the medication out of the reach and sight of children.

Disposal Instructions

Unused or expired Lipcor should be disposed of via an official drug take-back program at a pharmacy or police department. Since fenofibrate is not on the FDA's flush list, if a take-back program is not available, the medicine should be mixed with an unappealing substance (like dirt), placed in a sealed container, and thrown into the household trash, following local regulations.

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

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