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Generic Name: clofibrate (kloe FIB rate)
Brand Names: Atromid-S

What is clofibrate?

Clofibrate is used to lower high levels of cholesterol (a type of fat) in the blood. Clofibrate is especially good at lowering triglycerides and very-low-density lipoprotein (VLDL) (a form of cholesterol).

Clofibrate may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about clofibrate?

Follow any diet or exercise plan outlined by your doctor. Diet and exercise are very important factors in controlling cholesterol.

Call your doctor immediately if you experience chest pain, shortness of breath, an irregular heartbeat, severe stomach pain with nausea and vomiting, fever and chills, a sore throat, a flulike feeling, blood in your urine, a decrease in urination, muscle cramps, muscle pain, muscle weakness, painful joints, swelling in your ankles or legs, or sudden weight gain. These could be early signs of serious side effects.

Who should not take clofibrate?

Before taking this medication, tell your doctor if you have

• an underactive thyroid gland (hypothyroidism),

• diabetes, or

• an ulcer in your stomach or intestines.

You may not be able to take clofibrate, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

How should I take clofibrate?

Take clofibrate exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Clofibrate is usually taken several times a day. Follow the directions your doctor has given to you.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

What should I avoid while taking clofibrate?

Follow any diet or exercise plan outlined by your doctor. Diet and exercise are very important factors in controlling cholesterol.

Clofibrate side effects

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

• chest pain or an irregular heart beat;

• severe stomach pain with nausea and vomiting;

• fever and chills, a sore throat, or a flu-like feeling;

• blood in your urine or a decrease in urination;

• swelling of your ankles or legs;

• muscle cramps, muscle weakness, muscle aches, or muscle pain;

• joint pain; or

• sudden weight gain.

Other, less serious side effects may be more likely to occur. Continue to take clofibrate and talk to your doctor if you experience

• bloating or flatulence;

• nausea, vomiting, or diarrhea;

• headache;

• dizziness or drowsiness; or

• impotence.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect clofibrate?

Clofibrate may increase the effects of the following drugs, which could lead to dangerous side effects:

• anticoagulants (blood thinners) such as warfarin (Coumadin); and

• insulin or oral medications used to treat diabetes such as glipizide (Glucotrol), glyburide (Micronase, Diabeta, Glynase), tolbutamide (Orinase) or tolazamide (Tolinase).

Clofibrate is generally not recommended for use with other cholesterol-lowering drugs such as lovastatin (Mevacor), simvastatin (Zocor), pravastatin (Pravachol), atorvastatin (Lipitor), and gemfibrozil (Lopid). A serious reaction involving the muscles and kidneys may occur if these drugs are taken together and can result in death.

Drugs other than those listed here may also interact with clofibrate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

• Your pharmacist has more information about clofibrate written for health professionals that you may read.

What does my medication look like?

Clofibrate is available with a prescription under the brand name Atromid-S. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Atromid-S 500 mg--red, hard-gelatin capsules

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.