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Gemfibrozil

A lipid-lowering tablet for very high triglycerides and reducing heart disease risk in selected patients.

Clinical information

Common uses

  • very high triglycerides with risk of pancreatitis
  • reducing coronary heart disease risk in selected patients

Common side effects

  • indigestion (dyspepsia)
  • stomach pain
  • diarrhoea
  • nausea or vomiting
  • fatigue

Cautions

  • gallstone risk — stopped if gallstones found
  • muscle damage risk, especially with statins — report muscle pain
  • not with liver disease, severe kidney disease or gallbladder disease
  • must not be combined with simvastatin, repaglinide, dasabuvir or selexipag

Interactions

  • simvastatin (contraindicated — severe muscle damage risk)
  • repaglinide (contraindicated)
  • warfarin (blood thinner) — dose reduced, clotting monitored
  • statins generally (rhabdomyolysis risk)
  • CYP2C8 substrate drugs (levels rise)
  • OATP1B1 substrate drugs, e.g. rosuvastatin (dose reduction may be needed)

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, Gemfibrozil tablets label, setid 4260d746-bb58-4e10-9ffe-fc414f22b591 (accessed 2026-08-16)

Approved brands & formulations6

Brand nameDosage formStrengthImporterCategory
GemfibrozilCapsule300 mgPOM
GemfibrozilTablet600mgPOM
GemfibrozilTablet300 mg USPPOM
GemfibrozilTablet900mgPOM
LipistorolCapsule300 mgHeart Land PharmacyPOM
LIPISTOROLTablet300 mg USPauthorized medicine importersPOM
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