First and second groups were given a daily dose of tab pioglitazone 30mg and gemfibrozil
600mg, respectively, while the third group served as the healthy control.
The agency also noted that simvastatin should not be used along with the following drugs, which can increase the risk of myopathy: itraconazole, ketoconazole, posaconazole, erythromycin, clarithromycin, telithromycin, HIV protease inhibitors, nefazodone, gemfibrozil
, cyclosporin and danazol.
NEW ORLEANS -- Gemfibrozil
produces multiple benefits in children with severe metabolic syndrome, including a sharp reduction in triglyceride levels, increased HDL cholesterol levels, and a decrease in elevated liver enzymes, Courtney M.
None reported gastric upset, a major side effect in adults on gemfibrozil
4% hepatotoxicity) among 252 atherosclerotic patients receiving a statin plus gemfibrozil
, leading the authors to conclude that the combination could be used safely in high-risk patients (Am.
Some physicians are reluctant to prescribe statin/fibrate combinations due to the interaction of gemfibrozil
with statins; plus, patients must forego grapefruit juice with fibrates to avoid toxicity.
Patients were randomly assigned (by chance, like flipping a coin) to receive gemfibrozil
(Lopid), a drug used to treat dyslipidemia (37 patients); metformin (Glucophage), a drug used to treat insulin resistance (35 patients); or a placebo (36 patients).
When drugs become necessary, we recommend as initial therapy pravastatin or atorvastatin for elevated low-density lipoprotein cholesterol levels and gemfibrozil
or fenofibrate when triglyceride concentrations exceed 500 mg/dL.
Health officials determined Baycol carried a higher risk than similar drugs for producing kidney failure and the muscle disease rhabdomyolysis, especially for patients who also took the drug gemfibrozil
Among those drugs that survived passage through waste-treatment facilities--but not drinking-water-treatment plants--were diltiazem, which is used to regulate blood pressure; metformin, an antidiabetes drug; gemfibrozil
, a cholesterol-lowering drug; and dehydronifedipine, a breakdown product of a drug for angina.
We report a case of fatal rhabdomyolysis caused by the combination of simvastatin and gemfibrozil
Bayer said the drug, named Baycol, could cause muscle destruction if taken together with gemfibrozil
, another cholesterol-lowering drug.