Gemfibrozil: Difference between revisions

(Created page with "==Administration== *Type: Antihyperlipidemic *Dosage Forms: *Routes of Administration: oral *Common Trade Names: ==Adult Dosing== *600mg PO BID 30m before meals ==Pediatric...")
 
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*Dosage Forms:
*Dosage Forms:
*Routes of Administration: oral
*Routes of Administration: oral
*Common Trade Names:  
*Common Trade Names: Lopid


==Adult Dosing==
==Adult Dosing==
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==Pediatric Dosing==
==Pediatric Dosing==
''Safety/efficacy not established''
*''Safety/efficacy not established''


==Special Populations==
==Special Populations==

Revision as of 07:46, 1 September 2017

Administration

  • Type: Antihyperlipidemic
  • Dosage Forms:
  • Routes of Administration: oral
  • Common Trade Names: Lopid

Adult Dosing

  • 600mg PO BID 30m before meals

Pediatric Dosing

  • Safety/efficacy not established

Special Populations

  • Pregnancy Rating: C
  • Lactation risk: Infant risk cannot be ruled out
  • Renal dosing: not recommended in severe renal impairment
  • Hepatic dosing: contraindicated in hepatic dysfunction

Contraindications

  • Allergy to class/drug
  • Concomitant dasabuvir, repaglinide, or simvastatin
  • Hepatic dysfunction, primary biliary cirrhosis, preexisting gallbladder disease
  • Severe renal impairment

Adverse Reactions

Serious

  • Increased LFTs
  • Rhabdomyolysis

Common

  • Abdominal pain, indigestion
  • Appendicitis

Pharmacology

  • Half-life: 1.5h
  • Metabolism: Hepatic. Inhibitor of CYP2C8, OATP1B1, and OAT3, substrate of UGT2B7
  • Excretion: Mostly renal

Mechanism of Action

  • Stimulates peroxisome proliferator activated receptor alpha, which causes a decrease in triglyceride levels and an increase in high-density lipoprotein levels

Comments

See Also

References