Key takeaways
Pravastatin (Pravachol) and gemfibrozil (Lopid) are both medications used to manage cholesterol levels, but they belong to different classes and work in distinct ways. Pravastatin is a statin that lowers "bad" cholesterol (LDL) and triglycerides while raising "good" cholesterol (HDL) by blocking a protein in your liver. It's typically taken once a day and is available as a generic. Common side effects include muscle pain, nausea, and headache. On the other hand, gemfibrozil is a fibrate that helps break down fats in your body and is taken twice a day before meals. It also lowers LDL and triglycerides while raising HDL, but it has more interactions with other medications, especially statins, which can increase the risk of muscle damage. Common side effects of gemfibrozil include indigestion, stomach pain, and diarrhea. While both medications require a prescription, gemfibrozil is not recommended for people with gallbladder or severe kidney problems, and it should not be taken with certain other medications.
