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Pravastatin vs. Tricor

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Pravastatin (Pravachol) and fenofibrate (Tricor, Trilipix) are both medications used to manage cholesterol levels, but they belong to different drug classes and work in distinct ways. Pravastatin is a statin that lowers "bad" cholesterol (LDL) and raises "good" cholesterol (HDL) by blocking a protein in your liver. It is typically taken once a day and is available as a generic. Common side effects include muscle pain, nausea, and headache. Fenofibrate, on the other hand, is a fibrate that primarily lowers triglycerides and also helps with LDL and HDL levels. It is also taken once daily and comes in various brand names and generic forms. Fenofibrate can cause liver problems and stomach pain, and it has a warning against using it with statins due to the risk of muscle damage. While both medications require a healthy diet and regular exercise to be effective, fenofibrate has more specific dietary instructions depending on the brand. Additionally, fenofibrate is not recommended for use during pregnancy or breastfeeding, similar to pravastatin.

Pravastatin

 

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Fenofibrate

 

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Summary for Pravastatin

Prescription only

Pravastatin is a statin that's used to lower cholesterol in adults and certain children. By lowering your cholesterol levels, the medication helps protect your heart and blood vessels from serious and even life-threatening medical problems, such as heart attack or stroke. Pravastatin should be taken with a heart-healthy diet and a regular exercise routine for it to work as best as possible. It's a tablet that's taken by mouth once per day. Pravastatin side effects include muscle or joint pain, nausea, vomiting, and headache.

Indications for Pravastatin

Pros and Cons for Pravastatin

Pros

  • Taken by mouth once per day
  • Has fewer interactions with other medications than other statins
  • Might be safer and better tolerated than other statins
  • Available as a lower-cost generic

Cons

  • Recommended to take in the evening to work better
  • Doesn't replace having a healthy diet and regular exercise routine to lower cholesterol levels
  • Not a high-intensity statin
  • Not safe to use if you're pregnant or breastfeeding

Common Side Effects for Pravastatin

Warnings for Pravastatin

  • Severe muscle pain and damage
  • Worsening liver problems and liver failure
  • Higher blood sugar levels
  • Possible harm during pregnancy or breastfeeding

Summary for Tricor

Prescription only

Fenofibrate (also known as fenofibric acid) is used as an add-on medication to diet to treat high triglycerides and high cholesterol. Common side effects include liver problems, breathing problems, and stomach pain. Fenofibrate includes a warning about avoiding statin medications because of the risk of muscle damage, and also because it doesn't add any extra benefit in reducing the risk of heart problems compared to taking a statin alone. Fenofibrate is available in many brand names (e.g., Antara, Tricor, Trilipix), generics, and dosage forms (e.g., micronized capsules, delayed-release capsules, tablets).

Indications for Tricor

Pros and Cons for Tricor

Pros

  • Lowers triglycerides and LDL ("bad" cholesterol) while raising HDL ("good" cholesterol)
  • Only needs to be taken once daily
  • Some brands can be taken with or without food
  • Some brands available as lower-cost generics

Cons

  • Need to take it alongside a low-fat diet; doesn't work well on its own
  • Can cause muscle damage, especially if taken with a statin
  • Not recommended during pregnancy or breastfeeding
  • Can't take if you have liver, severe kidney, or gallbladder problems

Common Side Effects for Tricor

Warnings for Tricor

  • Liver damage
  • Muscle damage (myopathy and rhabdomyolysis)
  • Possible effect on the kidneys
  • Allergic reactions
  • Gallstones
  • Pancreatitis
  • Blood clots

Prices with our coupons for Pravastatin vs. Tricor

Price Card Drug Icon
Pravastatin90 tablets / 40mg
$23.61$81.03
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Fenofibrate30 tablets / 160mg
$12.69$49.48
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