What is the Difference Between Fenofibrate and Fenofibric Acid

Fenofibrate and fenofibric acid are both medications used to lower cholesterol and triglyceride levels in the blood. However, there is a difference between fenofibrate and fenofibric acid in terms of their potency.

What is the difference between fenofibrate and fenofibric acid? Fenofibric acid is considered to be more potent than fenofibrate.

Key Areas Covered

1. What is Fenofibrate  
      – Definition, Features
2. What is Fenofibric Acid
      – Definition, Features
3. Similarities Between Fenofibrate and Fenofibric Acid
      – Outline of Common Features
4. Difference Between Fenofibrate and Fenofibric Acid
      – Comparison of Key Differences
5. FAQ: Fenofibrate and Fenofibric Acid
      – Answers to Frequently Asked Questions

Key Terms

Fenofibrate, Fenofibric Acid

Difference Between Fenofibrate and Fenofibric Acid - Comparison Summary

What is Fenofibrate

Fenofibrate is a medication primarily used to treat high cholesterol and high triglycerides in the blood. It belongs to a class of drugs known as fibrates, which work by reducing the production of triglycerides and increasing the levels of HDL (good) cholesterol in the body. Fenofibrate is available in various formulations, including tablets and capsules, and is often prescribed alongside lifestyle changes such as diet and exercise.

One of the key benefits of fenofibrate is its ability to lower triglyceride levels significantly. Elevated triglycerides are a risk factor for cardiovascular disease, making fenofibrate an important tool in managing heart health. Additionally, fenofibrate can also help raise HDL cholesterol levels, which further contributes to cardiovascular protection.

Fenofibrate works by activating peroxisome proliferator-activated receptor alpha (PPAR-alpha), a protein involved in the regulation of lipid metabolism. By activating PPAR-alpha, fenofibrate enhances the breakdown of triglycerides and increases the clearance of cholesterol from the bloodstream.

In addition to its lipid-modifying effects, fenofibrate has anti-inflammatory and antioxidant properties. These additional benefits may help reduce inflammation in blood vessels and protect against oxidative stress, further reducing the risk of cardiovascular events.

Fenofibrate

However, like any medication, fenofibrate is not without its risks and side effects. Common side effects may include gastrointestinal upset, muscle pain, and liver function abnormalities. Rare but serious side effects may include severe muscle breakdown (rhabdomyolysis) and liver toxicity.

It’s important for individuals taking fenofibrate to undergo regular monitoring, including blood tests, to assess lipid levels and liver function. Patients should also discuss any concerns or potential drug interactions with their healthcare provider.

What is Fenofibric Acid

Fenofibric acid is a medication primarily used to treat high cholesterol and triglyceride levels in the blood. It belongs to a class of drugs called fibrates, which work by reducing the production of triglycerides and increasing the production of “good” cholesterol (HDL). This dual action helps to lower the overall risk of cardiovascular diseases such as heart attacks and strokes.

The primary mechanism of action of fenofibric acid involves activating peroxisome proliferator-activated receptor alpha (PPAR-alpha), a nuclear receptor involved in lipid metabolism. Activation of PPAR-alpha leads to increased synthesis of enzymes involved in fatty acid oxidation and decreased synthesis of enzymes involved in triglyceride production. This results in a decrease in triglyceride levels and an increase in HDL cholesterol levels.

Clinical studies have demonstrated the efficacy of fenofibric acid in reducing triglyceride levels by up to 50% and increasing HDL cholesterol levels by up to 20%. Additionally, it has been shown to modestly reduce LDL cholesterol levels, especially in patients with high triglyceride levels.

Fenofibric acid is usually taken orally in the form of delayed-release capsules, typically once daily with a meal. It is important to follow the prescribed dosage and directions provided by a healthcare professional to achieve optimal results and minimize the risk of side effects.

Common side effects of fenofibric acid include gastrointestinal discomfort (such as nausea, diarrhea, or abdominal pain), headache, and muscle pain. In rare cases, more serious side effects such as liver problems or muscle damage may occur, so regular monitoring by a healthcare provider is recommended during treatment.

Similarities Between Fenofibrate and Fenofibric Acid

  1. Fenofibrate and fenofibric acid are both medications to treat high cholesterol and triglyceride levels.
  2. Both fenofibrate and fenofibric acid are metabolized in the body to the same active compound, fenofibric acid, which is responsible for their therapeutic effects.

Difference Between Fenofibrate and Fenofibric Acid

Definition

Fenofibrate is the parent compound, while fenofibric acid is the active metabolite of fenofibrate.

Form

Fenofibrate is typically administered as an oral tablet, while fenofibric acid is available in both oral tablet and capsule forms.

Bioavailability

Moreover, fenofibric acid has higher bioavailability compared to fenofibrate.

Potency

Fenofibric acid is more potent than fenofibrate.

Conclusion

In conclusion, fenofibrate and fenofibric acid are vital medications for managing high cholesterol and triglyceride levels, which are crucial for cardiovascular health. While they share similarities in their therapeutic goals and mechanism of action, they differ in potency, formulation, and bioavailability. Fenofibric acid, being the active metabolite of fenofibrate, exhibits higher potency and bioavailability, potentially offering enhanced efficacy. However, both medications pose risks, including side effects and rare but serious adverse reactions. Thus, patients must undergo regular monitoring and adhere to prescribed dosages under healthcare supervision to reap the benefits of these medications while minimizing potential harm.

FAQ: Fenofibrate and Fenofibric Acid

1. What is the difference between fenofibrate and Fenofibric?

Fenofibrate is the ester form of fenofibric acid, meaning it is derived from fenofibric acid through esterification. While fenofibrate requires enzymatic hydrolysis in the body to convert into fenofibric acid for therapeutic action, fenofibric acid is the active form that directly affects lipid metabolism.

2. What is fenofibric used for?

Fenofibric acid is primarily used to treat patients with hypertriglyceridemia, primary hypercholesterolemia, or mixed dyslipidemia. It helps to lower elevated levels of triglycerides and cholesterol in the blood, thereby reducing the risk of cardiovascular diseases such as heart attack and stroke.

3. Does fenofibrate increase BP?

Fenofibrate reduces blood pressure, heart rate, and renal vasoconstriction in salt-sensitive volunteers but not in salt-resistant volunteers.

4. What are the dangers of fenofibrate?

Fenofibrate can cause severe allergic reactions. These can include anaphylaxis and angioedema (swelling) and can be life-threatening. Some reactions can occur days or weeks after starting this drug.

5. Is fenofibrate safe for the liver?

Fenofibrate therapy is associated with mild and transient serum aminotransferase elevations and with rare instances of acute liver injury.

Reference:

1. “Fenofibric Acid – Uses, Side Effects, and More.” WebMD.
2. “Fenofibrate – Uses, Side Effects, and More.” WebMD.

Image Courtesy:

1. “Fenofibrate structure” By User:Mysid – Self-made in bkchem; edited in perl (Public Domain) via Commons Wikimedia

About the Author: Hasini A

Hasini is a graduate of Applied Science with a strong background in forestry, environmental science, chemistry, and management science. She is an amateur photographer with a keen interest in exploring the wonders of nature and science.

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