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Drug interactions

Colestipol + Fenofibrate

Severity: Moderate

Colestipol and Fenofibrate: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Colestipol binds fenofibrate in the gut and can reduce its absorption. Lower exposure could weaken the lipid-lowering effect of fenofibrate.

What this interaction means in plain words

Colestipol and Fenofibrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Colestipol belongs to Cardiovascular; Fenofibrate belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Colestipol binds fenofibrate or fenofibric acid in the gastrointestinal lumen and reduces absorption.

What to do

Give fenofibrate at least 1 hour before or 4 to 6 hours after colestipol. Check the lipid response.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Colestipol with Fenofibrate?

MediHelp rates the interaction as moderate. Colestipol and Fenofibrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Colestipol binds fenofibrate in the gut and can reduce its absorption. Lower exposure could weaken the lipid-lowering effect of fenofibrate.

How serious is the interaction between Colestipol and Fenofibrate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give fenofibrate at least 1 hour before or 4 to 6 hours after colestipol. Check the lipid response.

What other medicines interact with Fenofibrate?

MediHelp also lists interactions of Fenofibrate with, for example, Atorvastatin, Cholestyramine, Cholic acid. The full list is on the Fenofibrate page.

Full monographs, dosing and an interaction checker in the MediHelp app

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