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Tricor vs. Atorvastatin

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

Key takeaways

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

 

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Atorvastatin

(Lipitor)

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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

Summary for Atorvastatin

Prescription only

Atorvastatin (Lipitor) is a statin that helps lower cholesterol. As a moderate-to-high-intensity statin, it can lower cholesterol by a greater amount than many other statins. It can also help protect your heart health. The dosage is taken by mouth once a day. Atorvastatin tablets are available as brand-name Lipitor and a generic. There's also a liquid form that only comes as brand name Atorvaliq. It's possible to have side effects like muscle pain, joint pain, and stomach upset. Most times, atorvastatin (Lipitor) is taken along with a heart-healthy diet to get the most benefits from treatment.

Indications for Atorvastatin

Pros and Cons for Atorvastatin

Pros

  • Can lower cholesterol by more than 50% at higher doses
  • Taken just once a day
  • Approved for children as young as 10 years old with genetic cholesterol problems
  • Also available as a liquid (Atorvaliq) for those who have trouble swallowing pills

Cons

  • Can't take if you have liver problems
  • Higher risk of side effects for some people, like older adults and people who drink alcohol daily
  • Risk of a serious muscle problem called rhabdomyolysis
  • Not recommended while pregnant or breastfeeding

Common Side Effects for Atorvastatin

Warnings for Atorvastatin

  • Severe muscle pain and damage
  • Liver problems
  • Higher blood sugar levels
  • Possible higher risk of brain bleed in certain people taking the 80 mg dose
  • Possible risk of harm when taken while pregnant or breastfeeding

Prices with our coupons for Tricor vs. Atorvastatin

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Fenofibrate30 tablets / 160mg
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Atorvastatin30 tablets / 40mg
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