Mr. Ibrahem/Gemfibrozil
Clinical data
Trade namesLopid, Jezil, others
AHFS/Drugs.comMonograph
MedlinePlusa686002
License data
Routes of
administration
By mouth
Drug classFibrates[1]
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
BioavailabilityClose to 100%
Protein binding95%
MetabolismHepatic (CYP3A4)
Elimination half-life1.5 hours
ExcretionRenal 94%
Feces 6%
Identifiers
  • 5-(2,5-dimethylphenoxy)-2,2-dimethyl-pentanoic acid
Chemical and physical data
FormulaC15H22O3
Molar mass250.338 g·mol−1
3D model (JSmol)
Melting point61 to 63 °C (142 to 145 °F)
  • O=C(O)C(C)(C)CCCOc1cc(ccc1C)C
  • InChI=1S/C15H22O3/c1-11-6-7-12(2)13(10-11)18-9-5-8-15(3,4)14(16)17/h6-7,10H,5,8-9H2,1-4H3,(H,16,17) checkY
  • Key:HEMJJKBWTPKOJG-UHFFFAOYSA-N checkY
  (verify)

Gemfibrozil, sold under the brand name Lopid among others, is a medication used to treat abnormal blood lipid levels.[1] Its is generally less preferred than statins.[1][3] Use is recommended together with dietary changes and exercise.[1] It is unclear if it changes the risk of heart disease.[1] It is taken by mouth.[1]

Common side effects include headache, dizziness, feeling tired, and intestinal upset.[1] Serious side effects may include angioedema, gallstones, liver problems, and muscle breakdown.[1] Use in pregnancy and breastfeeding is of unclear safety.[4] It belongs to the fibrates group of medications and works by decreasing the breakdown of lipids in fat cells.[1]

Gemfibrozil was patented in 1968 and came into medical use in 1982.[5] It is available as a generic medication.[3] A month supply in the United Kingdom costs the NHS about 30 £ as of 2019.[3] In the United States the wholesale cost of this amount is about 6 USD.[6] In 2017, it was the 138th most commonly prescribed medication in the United States, with more than four million prescriptions.[7][8]

References edit

  1. ^ a b c d e f g h i j k "Gemfibrozil Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 3 March 2019.
  2. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Retrieved 5 September 2020.
  3. ^ a b c British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 198–199. ISBN 9780857113382.
  4. ^ "Gemfibrozil Use During Pregnancy". Drugs.com. Retrieved 3 March 2019.
  5. ^ Fischer, Jnos; Ganellin, C. Robin (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 474. ISBN 9783527607495.
  6. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Retrieved 3 March 2019.
  7. ^ "The Top 300 of 2020". ClinCalc. Retrieved 11 April 2020.
  8. ^ "Gemfibrozil - Drug Usage Statistics". ClinCalc. Retrieved 11 April 2020.