Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Simvastatin (Zocor, Flolipid) and fenofibrate (Tricor, Trilipix) are both medications used to manage cholesterol levels, but they belong to different classes and work in distinct ways. Simvastatin is a statin that lowers "bad" cholesterol (LDL) and triglycerides while raising "good" cholesterol (HDL) by blocking an enzyme in your liver. Fenofibrate, on the other hand, is a fibrate that breaks down lipids in your blood to achieve similar effects. Simvastatin is typically taken at night, while fenofibrate can be taken at any time of the day. Both simvastatin and fenofibrate can cause muscle damage, and taking fenofibrate with statins is usually avoided due to the increased risk of muscle damage. Both medications have generic forms available, making them more affordable. However, fenofibrate has a broader range of dosage forms, including micronized and delayed-release capsules. Both medications require you to follow a low-fat diet and regular exercise to be most effective.
Simvastatin (Zocor)
Fenofibrate
Simvastatin (Zocor)
Fenofibrate
Summary of Simvastatin vs. Tricor
Summary for Statin
Prescription only
Simvastatin (Zocor) is a statin used to lower your cholesterol to help protect your heart and blood vessels from serious, and even life-threatening, medical problems, such as heart attack or stroke. Simvastatin (Zocor) isn't meant to lower cholesterol on its own. Instead, you should take it in addition to eating a healthy diet and having a regular exercise routine. To get the most out of the medication, it's best to take simvastatin (Zocor) nightly before going to sleep.
Summary for Fibrate
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 of Simvastatin vs. Tricor
Indications for
•Prevention of heart or blood vessel problems (e.g., heart attack or stroke) in people at higher-risk for heart problems