Pharmacy and Medication

Tricor (Fenofibrate) Guide: Uses, Dosage, Side Effects & FAQs

Morgan Spalding

Morgan Spalding

Tricor (Fenofibrate) Guide: Uses, Dosage, Side Effects & FAQs

TL;DR

  • Tricor is the brand name for fenofibrate, a drug that lowers triglycerides and raises good cholesterol.
  • Typical adult dose is 145mg once daily with a meal; dose may differ for kidney problems.
  • Common side effects include stomach upset, muscle aches and headache; serious risks are rare but include liver issues.
  • Avoid grapefruit juice and tell your doctor about other meds, especially statins or blood thinners.
  • Ask your doctor for a blood test after 4‑6 weeks to see if the drug is working.

What is Tricor and How It Works

When you hear the name "Tricor" most doctors are talking about the generic drug fenofibrate. It belongs to a class called fibrates, which are specially designed to clean up the blood’s fat profile. Instead of targeting LDL (the "bad" cholesterol) directly, fenofibrate mainly lowers triglycerides and can raise HDL (the "good" cholesterol).

The magic happens in the liver. Fenofibrate activates a protein called PPAR‑α (peroxisome proliferator‑activated receptor‑alpha). Think of PPAR‑α as a switch that tells the liver to burn more fatty acids and produce fewer triglycerides. The result is a slimmer, healthier blood‑lipid picture.

Doctors typically prescribe Tricor for people who have:

  • High triglyceride levels (often >150mg/dL) that haven’t improved with diet alone.
  • Low HDL‑C, especially when combined with high LDL‑C.
  • Metabolic syndrome or type2 diabetes, where abnormal fats are common.

It’s not a first‑line drug for everyone with high cholesterol, but for the right patient it can make a noticeable difference in heart‑risk numbers.

Dosage Guidelines and How to Take It

Getting the dose right is crucial for safety and effectiveness. Below is a quick‑reference table that shows the most common Tricor strengths and how they’re usually prescribed for adults.

Strength Typical Daily Dose Form Special Adjustments
145mg One tablet daily Immediate‑release tablet Standard dose for most patients.
160mg One capsule daily Micronized capsule Useful for patients with mild renal impairment.
200mg One tablet daily Extended‑release tablet May be chosen for better adherence.

Key take‑aways for taking Tricor safely:

  1. Take with food. A full meal helps absorption and reduces stomach irritation.
  2. Swallow the tablet whole. Do not crush or chew, especially the extended‑release version.
  3. Stick to the same time each day. Consistency improves blood‑level stability.
  4. If you miss a dose, take it as soon as you remember - but if it’s almost time for the next dose, skip the missed one. Don’t double‑dose.

People with kidney disease often need a lower dose or a different formulation. Your doctor will check your creatinine clearance before deciding.

Common Side Effects and Precautions

Common Side Effects and Precautions

Like any medication, Tricor isn’t free from side effects. Most users experience only mild, short‑lived symptoms, but it’s good to know what to watch for.

  • Gastrointestinal upset: nausea, abdominal pain, or diarrhea are the most frequent complaints. Taking the pill with a bigger meal usually eases them.
  • Muscle pain or weakness: especially when combined with a statin. If the ache feels like a deep, constant soreness, contact your doctor right away - rare cases of rhabdomyolysis have been reported.
  • Headache and dizziness may pop up during the first week.
  • Elevated liver enzymes can occur. Routine blood tests before starting, then after 4‑6 weeks, help catch any problem early.

Serious but uncommon risks include:

  • Severe liver injury (jaundice, dark urine).
  • Gallstones - fenofibrate can increase cholesterol saturation in bile.

Precaution checklist:

  1. Inform your doctor if you have a history of liver disease, gallstones, or kidney problems.
  2. Avoid grapefruit juice. The fruit interferes with fenofibrate metabolism and can raise drug levels.
  3. Tell your pharmacist about every other medication you’re on - especially statins, anticoagulants (warfarin), or niacin.
  4. Pregnant or breastfeeding women should only use Tricor if the benefit outweighs the risk.

Frequently Asked Questions

Can I take Tricor with a statin?

Yes, many doctors prescribe a fibrate‑statin combo for patients with both high triglycerides and high LDL‑C. However, the combination raises the chance of muscle toxicity, so your doctor will likely start with a low statin dose and monitor creatine kinase levels.

How long before I see results?

Blood‑lipid labs usually show a noticeable drop in triglycerides within 2‑4 weeks. Full effect on HDL may take up to 12 weeks. Your doctor will schedule a follow‑up test after about a month.

Is Tricor safe for older adults?

Older patients can use Tricor, but dose adjustments are common because kidney function tends to decline with age. Always have a baseline kidney panel before starting.

What should I do if I experience muscle pain?

Stop the medication and call your healthcare provider immediately. They may order a CK (creatine kinase) test to rule out serious muscle breakdown.

Can I switch from generic fenofibrate to Tricor brand?

Both contain the same active ingredient, so the switch is usually seamless. Make sure the dosage strength matches; brand tablets often come in 145mg, while some generics are 160mg.

Do I need to monitor blood tests while on Tricor?

Yes. A baseline liver‑function test and kidney panel are taken before starting. Follow‑up labs are recommended at 4‑6 weeks and then every 6‑12 months, or sooner if you develop symptoms.

Having these answers handy can make your treatment smoother and help you spot issues early. If anything feels off, never wait - reach out to your clinician.