Fenofibrate in New Zealand – Quick Practical Guide

If your doctor mentioned fenofibrate, you probably have high triglycerides or cholesterol that need a push. It’s a pill that helps lower bad fats in your blood, lowering the risk of heart problems. In NZ it’s sold under brand names like Tricor, Lofibra, and as a generic called fenofibrate.

What Is Fenofibrate and When Is It Used?

Fenofibrate belongs to a class called fibrates. It works by activating a protein (PPAR‑α) that tells the liver to burn more fat and make less of it. The result? Lower triglycerides, modestly lower LDL (“bad”) cholesterol, and a slight rise in HDL (“good”) cholesterol.

You’ll usually see it prescribed for:

• Severe hypertriglyceridaemia (triglycerides > 5 mmol/L).
• Mixed dyslipidaemia where statins alone aren’t enough.
• Patients with metabolic syndrome who need extra lipid control.

It’s not a first‑line drug for plain high LDL – statins stay the go‑to. But when triglycerides are the main issue, fenofibrate can make a real difference.

Getting Fenofibrate in NZ: Prescriptions, Cost and Safety

In New Zealand you need a prescription from a GP or a specialist. The standard adult dose is 145 mg tablet taken once a day, preferably with a meal to boost absorption. Some doctors start you on 160 mg if you’re on a brand that uses that strength, but the 145 mg generic is most common.

Here’s what to watch out for:

• Kidney function: If you have reduced kidney clearance, your doctor may lower the dose or avoid the drug.
• Liver health: Abnormal liver tests mean you should skip fenofibrate.
• Drug interactions: Anticoagulants (warfarin), certain statins (especially high‑dose simvastatin), and some antibiotics can raise bleeding risk or cause muscle problems.
• Side effects: Most people feel fine, but a few get stomach upset, mild headache, or muscle aches. If you notice dark urine or severe pain, call your doctor right away.

Pharmacies across NZ, from big chains to local independents, will fill the script. Prices vary – the generic 145 mg tablet often costs around $1‑$2 per tablet, while brand versions can be $3‑$5. If you have a Community Services Card, you may qualify for a discount.

When you pick up the medicine, ask the pharmacist about timing with other meds. Taking fenofibrate with a meal helps, and you should avoid grapefruit juice because it can affect drug levels.

Regular monitoring is key. Your GP will likely check lipid panels after 4‑6 weeks, then every few months. Liver enzymes and kidney function should also be reviewed, especially the first few months.

For women who are pregnant or planning pregnancy, fenofibrate isn’t recommended. The drug can affect fetal development, so discuss alternatives with your health provider.

Finally, don’t stop the pill abruptly. If your doctor decides it’s time to quit, they’ll taper you off or switch to another lipid‑lowering strategy. Going cold turkey can cause your triglycerides to spike back up.

Bottom line: fenofibrate is a solid option when high triglycerides need extra control. Keep your prescription up to date, follow the dosing guidance, and stay on top of lab checks. With the right monitoring, you’ll lower those risky fats and keep your heart in better shape.