Head-to-head comparisons of medication uses, side effects, warnings, and more.
Fenofibrate (Tricor, Trilipix) and atorvastatin (Lipitor) are both used to manage cholesterol levels, but they belong to different classes of medications and work in distinct ways. Fenofibrate is a fibrate that primarily lowers triglycerides and raises "good" cholesterol (HDL) by breaking down lipids in your blood. Atorvastatin, on the other hand, is a statin that lowers "bad" cholesterol (LDL) and triglycerides by blocking an enzyme in your liver that makes cholesterol. While both medications can be taken once daily, fenofibrate is available in various forms and brands, and its dosage may vary based on the specific formulation and your kidney function. Atorvastatin is available as a lower-cost generic and can be taken at any time of the day, with or without food. Both medications can cause serious side effects like liver problems and muscle damage, but atorvastatin also has a risk of raising blood sugar levels. Fenofibrate and atorvastatin are not recommended for use during pregnancy or breastfeeding. Both medications should be used with caution if you have liver problems, but Fenofibrate can also be problematic if you have gallbladder or severe kidney issues. Both medications require regular lab work to monitor their effects.
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).
Atorvastatin (Lipitor) is a statin that lowers "bad" cholesterol, raises "good" cholesterol, lowers triglycerides (TG, also known as fats). In addition, it helps protect your heart and blood vessels. Atorvastatin (Lipitor) is known as a moderate-to-high-intensity statin, meaning it lowers your cholesterol more so than many other statins. And as with all statins, atorvastatin (Lipitor) can cause rare, but serious side effects, such as liver problems or severe muscle pain. It's important that you eat a healthy diet and exercise regularly in order to get the most benefits from this medication.
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