Fibrates

These include bezafibrate (Bezalip®), fenofibrate (Lipidil®), gemfibrozil (Lopid®).

Fibrates lower triglycerides by 30-40% and are generally well tolerated.

Fibrates should be avoided if you have significant kidney disease. If you have an elevated triglyceride level and a low LDL-C level, your doctor may prescribe a triglyceride- lowering drug alone. But if your LDL-C level is high, it would usually be lowered with a statin and perhaps a second drug might be added (such as niacin or a fibrate). While these drug combinations are highly effective, side effects are possible and more careful follow-up with your physician is essential.