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At a glance

Pemafibrate is a selective PPARα modulator used as adjunctive therapy to diet to reduce TG in patients with dyslipidemia, including familial hyperlipidemia.

Indications
  • Dyslipidemia (hypertriglyceridemia)
  • Familial hyperlipidemia
Pharmacology

Pemafibrate is a selective PPARα modulator containing benzoxazole and phenoxyalkyl side-chains along with a fibric acid group. It binds tightly to the PPARα receptor and provides maximum activation. It is over 2,500-fold more potent than conventional fibrates with high selectivity.

Dosage

Adult Dose (Oral):

  • Usual dose: 0.1 mg twice daily
  • Dose may be individualized according to patient's age and symptoms
  • Renal impairment (eGFR <30 mL/min/1.73m²): Lower starting dose or prolonged dosing intervals; max 0.2 mg/day

Pediatric Dose: Safety not established.

Side effects

Side Effects:

  • Gastro-intestinal disorders (nausea, diarrhea, abdominal pain)
  • Jaundice
  • Skin rashes
  • Gallstones
  • Myotoxicity
Use in pregnancy

Use in Pregnancy: Contraindicated in pregnant or possibly pregnant women; safety not established.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Rhabdomyolysis risk (with statins); suspect muscle toxicity if myalgia, myositis, muscle cramps, weakness, or CK >5 x ULN; discontinue treatment
  • Caution in hepatic disorders; monitor liver function
  • Caution in history of cholelithiasis
  • Monitor LDL-cholesterol levels
Overdose effects

No overdose information available; consult your doctor if taken in excess.

Storage conditions

Do not store above 30°C; keep away from light; keep out of reach of children.

Pemafibrate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.