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Drug interactions

Fenofibric acid + Lovastatin

Severity: Moderate

Fenofibric acid and Lovastatin: 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

Co-prescription of fenofibric acid with lovastatin may increase the risk of myopathy and rhabdomyolysis. Risk factors include advanced age, renal impairment, diabetes and high statin doses.

What this interaction means in plain words

Fenofibric acid and Lovastatin 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.

Fenofibric acid belongs to Cardiovascular; Lovastatin belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive muscle toxicity of the two lipid-lowering classes.

What to do

Use the lowest effective lovastatin dose and educate the patient to report unexplained muscle symptoms. Measure CK and stop treatment if myopathy is suspected.

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 Fenofibric acid with Lovastatin?

MediHelp rates the interaction as moderate. Fenofibric acid and Lovastatin 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. Co-prescription of fenofibric acid with lovastatin may increase the risk of myopathy and rhabdomyolysis. Risk factors include advanced age, renal impairment, diabetes and high statin doses.

How serious is the interaction between Fenofibric acid and Lovastatin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective lovastatin dose and educate the patient to report unexplained muscle symptoms. Measure CK and stop treatment if myopathy is suspected.

What other medicines interact with Lovastatin?

MediHelp also lists interactions of Lovastatin with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Lovastatin page.

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

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