Regulipid Tablet - Gemfibrozil (NA) medicine

Regulipid Tablet: A Complete Guide to Uses, Side Effects, and Safety

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🏭 Dr Reddy's Laboratories Ltd 📦 strip of 30 tablets 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. This medicine is not recommended during pregnancy unless clearly needed. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for hypertriglyceridemia; moderate for mixed dyslipidemia.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Unexplained muscle pain, tenderness, or weakness, especially with dark or cola-colored urine
  • Yellowing of the skin or eyes (jaundice)
  • Severe abdominal pain, especially in the upper right quadrant, which may indicate gallbladder or liver problems
  • Signs of an allergic reaction: rash, itching, swelling of the face, lips, tongue, or throat, difficulty breathing
  • Unusual bleeding or bruising, which may indicate a blood disorder
  • Persistent nausea, vomiting, or loss of appetite
  • Decreased urine output or swelling in the legs or feet

If experiencing severe symptoms, call emergency services immediately.

What is Regulipid Tablet used for?

This medicine is a prescription oral tablet containing gemfibrozil, used to lower high triglycerides and raise HDL cholesterol. It works by activating PPAR-alpha, a receptor that regulates fat metabolism. It is taken twice daily before meals. Common side effects include stomach upset and headache. Serious risks include muscle injury and liver problems. Regular monitoring is required.

  • Generic Name: Gemfibrozil (NA)
  • Manufacturer: Dr Reddy's Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Regulipid Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा मुख्य रूप से रक्त में ट्राइग्लिसराइड के स्तर को कम करने के लिए इस्तेमाल की जाती है। यह उच्च ट्राइग्लिसराइड वाले मरीजों में पैन्क्रियाटाइटिस के खतरे को कम करने में मदद कर सकती है। यह एचडीएल कोलेस्ट्रॉल को बढ़ाने में भी मदद करती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में पेट दर्द, अपच, मतली, दस्त और सिरदर्द शामिल हैं। कभी-कभी मांसपेशियों में दर्द या कमजोरी हो सकती है, जो गंभीर हो सकती है। अगर आपको मांसपेशियों में असामान्य दर्द, कमजोरी या गहरे रंग का पेशाब दिखे, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन से 30 मिनट पहले लें। शराब का सेवन न करें। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं। नियमित रूप से लिवर और किडनी की जांच करवाएं। गर्भवती या स्तनपान कराने वाली महिलाएं इस दवा का सेवन न करें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 Regulipid Tablet Uses & Benefits

  • [{"condition":"Severe hypertriglyceridemia","description":"This medicine is used to lower very high triglyceride levels in the blood when diet and other measures have not been effective.
  • It helps reduce the risk of pancreatitis associated with extremely high triglycerides.","evidence":"Well-established"},{"condition":"Mixed dyslipidemia","description":"This medicine may be used to improve lipid profiles in patients with both high triglycerides and low HDL cholesterol, often as an adjunct to statin therapy or when statins are not tolerated.","evidence":"Moderate"},{"condition":"Primary hypercholesterolemia","description":"This medicine may be prescribed as an adjunct to diet in some patients with high cholesterol, though it is not a first-line treatment for this condition.","evidence":"Limited"}]

Off-label uses: [{"condition":"Prevention of cardiovascular events in patients with low HDL","description":"Sometimes prescribed off-label to reduce cardiovascular risk in patients with low HDL cholesterol, but evidence for this use is not strong.","evidence":"Limited"},{"condition":"Non-alcoholic fatty liver disease","description":"Occasionally used off-label to improve liver enzymes and lipid profiles in patients with fatty liver, but this is not an approved indication.","evidence":"Limited"}]

Primary treatment for: Hypertriglyceridemia

Also treats: Mixed dyslipidemia, Hypercholesterolemia

📋 Drug Information

Generic Name(s)Gemfibrozil (NA)
Brand NameRegulipid Tablet
ManufacturerDr Reddy's Laboratories Ltd
Packaging / Formstrip of 30 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a tightly closed container, away from moisture, heat, and direct sunlight. Do not refrigerate unless specified by the manufacturer.
Shelf LifeNot established from the available information. Refer to the packaging for the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine 30 minutes before breakfast and dinner to maximize absorption and effectiveness.
2
Always take this medicine with a full glass of water and swallow the tablet whole; do not crush or chew it.
3
Inform your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by fever or dark urine.
4
Avoid alcohol completely while taking this medicine, as it increases the risk of liver and muscle problems.
5
Your doctor will likely order regular blood tests to monitor liver function, kidney function, and lipid levels; do not skip these appointments.
6
If you are taking a statin for cholesterol, discuss with your doctor because combining it with this medicine can increase the risk of muscle injury.
7
Do not use this medicine if you are pregnant, planning to become pregnant, or breastfeeding without consulting your doctor.
8
Maintain a healthy diet low in saturated fats and sugars, and engage in regular physical activity to enhance the medicine's effects.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High triglycerides
This medicine is commonly prescribed for this condition.
Likely Use
✅
Low HDL cholesterol
This medicine can help raise HDL levels.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Joint pain
This medicine is not a pain reliever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is well absorbed from the gastrointestinal tract after oral administration. The absolute bioavailability is high, but exact values are not established from the available information.
DistributionThis medicine is widely distributed throughout the body. It is highly bound to plasma proteins, primarily albumin. The volume of distribution is not well established from the available information.
Protein BindingThis medicine is approximately 99% bound to plasma proteins, mainly albumin.
MetabolismThis medicine is extensively metabolized in the liver, primarily through glucuronidation. It undergoes enterohepatic recirculation. Several metabolites have been identified, but their activity is not well characterized.
Half-LifeThe elimination half-life of this medicine is approximately 1.5 hours, but due to enterohepatic recirculation, the effective half-life may be longer.
ExcretionThis medicine is primarily excreted in the urine as metabolites and their glucuronide conjugates. About 70% of a dose is excreted in the urine, and about 30% in the feces.
BioavailabilityThe oral bioavailability of this medicine is high, but exact values are not established from the available information.
Onset of ActionThe onset of action for lowering triglycerides is gradual, with effects typically seen within 2 to 4 weeks of starting therapy.
Peak Plasma TimePeak plasma concentrations of this medicine are reached within 1 to 2 hours after oral administration.
Duration of ActionThe lipid-lowering effect of this medicine persists as long as the medicine is taken regularly. The duration of action after a single dose is not well established.

How It Works

This medicine works by activating a nuclear receptor called peroxisome proliferator-activated receptor alpha (PPAR-alpha). Activation of PPAR-alpha leads to increased transcription of genes involved in fatty acid oxidation and lipoprotein metabolism. This results in increased breakdown of triglycerides in the liver and enhanced clearance of triglyceride-rich lipoproteins from the blood. It also increases the production of apolipoprotein A-I and A-II, which are components of HDL cholesterol, thereby raising HDL levels. Additionally, this medicine may reduce the production of apolipoprotein C-III, which can lead to increased activity of lipoprotein lipase and further lowering of triglycerides.

Mechanism Steps

1
Activation of PPAR-alpha: This medicine binds to and activates the peroxisome proliferator-activated receptor alpha (PPAR-alpha) in the liver and other tissues.
2
Gene transcription regulation: Activated PPAR-alpha forms a complex with retinoid X receptor and binds to specific DNA response elements, leading to increased transcription of genes involved in lipid metabolism.
3
Increased fatty acid oxidation: This results in increased expression of enzymes that break down fatty acids, reducing the availability of fatty acids for triglyceride synthesis.
4
Enhanced lipoprotein lipase activity: This medicine reduces apolipoprotein C-III levels, which in turn increases the activity of lipoprotein lipase, an enzyme that breaks down triglycerides in lipoproteins.
5
Increased HDL production: This medicine increases the production of apolipoprotein A-I and A-II, leading to higher levels of HDL cholesterol.

💡 How to Take Regulipid Tablet

Strength: This medicine is available as an immediate-release oral tablet. The strength is not specified in the provided identity. Commonly available strengths include 600 mg. Refer to your prescription for the exact strength.

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet.
3Take it 30 minutes before breakfast and dinner, unless your doctor advises otherwise.
4If you get stomach upset, you may take it with a light meal, but consult your doctor first.
5Do not take more or less than the prescribed dose.
6Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 600 mg taken orally twice daily, 30 minutes before breakfast and dinner. However, the dose may be adjusted by your doctor based on your condition, response to treatment, and kidney function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without consulting your doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose selection should be cautious, usually starting at the lower end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy.
Renal ImpairmentIn patients with mild to moderate renal impairment, dose adjustment may be necessary. This medicine is contraindicated in patients with severe renal impairment. Consult your doctor for individualized dosing.
Hepatic ImpairmentThis medicine is contraindicated in patients with severe hepatic impairment. In patients with mild to moderate hepatic impairment, use with caution and monitor liver function closely. Dose adjustment may be needed.
Maximum Daily DoseThe maximum recommended daily dose is 1200 mg, taken as 600 mg twice daily. Do not exceed this dose unless directed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take 30 minutes before meals
Enhances absorption and reduces stomach upset.
Grapefruit
No specific interaction
No known interaction with this medicine.
Alcohol
Avoid
Increases risk of liver and muscle problems, and raises triglycerides.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed (e.g., less than 6 hours since missed dose)
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed (e.g., more than 6 hours since missed dose)
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of Regulipid Tablet

✅ Common Side Effects

Stomach pain (Common (5-10%))
Take with food to reduce discomfort. If pain persists, consult your doctor.
Indigestion (Common (5-10%))
Avoid spicy and fatty foods. Consult your doctor if it continues.
Nausea (Common (5-10%))
Take with a light meal. If nausea is severe or persistent, contact your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or lasts more than a few days, seek medical advice.
Headache (Common (5-10%))
Rest and stay hydrated. Consult your doctor if headaches are frequent or severe.

🚨 Serious Side Effects

Rhabdomyolysis (Rare (<0.1%))
Seek immediate medical attention if you experience unexplained muscle pain, tenderness, weakness, or dark urine.
Liver injury (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Gallstones (Uncommon (0.1-1%))
Consult your doctor if you experience severe upper abdominal pain, especially after fatty meals.
Severe allergic reaction (Rare (<0.1%))
Seek emergency care if you develop rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Blood disorders (e.g., anemia, leukopenia)
Report unusual fatigue, bruising, or signs of infection to your doctor.
Pancreatitis
Seek immediate medical attention for severe abdominal pain that may radiate to the back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Atorvastatin Major
Simvastatin Major
Rosuvastatin Major
Repaglinide Major
Cholestyramine Moderate
Cyclosporine Moderate
Oral contraceptives Minor

🚨 Major Interactions

  • Statins (e.g., atorvastatin, simvastatin, rosuvastatin)
  • Warfarin
  • Repaglinide

⚡ Moderate Interactions

  • Bile acid sequestrants (e.g., cholestyramine)
  • Cyclosporine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver injury and may worsen muscle-related side effects. It can also increase triglyceride levels, counteracting the medicine's benefits.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe liver disease","Severe kidney impairment","Gallbladder disease","History of pancreatitis not related to high triglycerides","Hypersensitivity to gemfibrozil or any component of the formulation","Pregnancy and breastfeeding"]

⚠️ Warnings & Precautions

["This medicine can cause muscle toxicity, especially when used with statins. Report any muscle pain, tenderness, or weakness immediately.","Liver function should be monitored regularly. Discontinue if liver injury is suspected.","May increase the risk of gallstones. Report severe abdominal pain.","Use with caution in patients with diabetes, as it may affect blood sugar control.","Avoid alcohol consumption during treatment.","This medicine may interact with many other medicines. Inform your doctor about all medicines you take.","Do not use this medicine for weight loss."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother.

💊 Overdose Management

In case of overdose, seek immediate medical attention. Symptoms of overdose may include severe stomach pain, nausea, vomiting, diarrhea, and muscle pain. Treatment is supportive and symptomatic. There is no specific antidote. Contact a poison control center or emergency room immediately.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Take the tablet with food to reduce stomach upset. Swallow it whole with a glass of water; do not crush or chew. Avoid drinking alcohol while taking this medicine, as it can increase the risk of muscle problems and liver injury. Inform your doctor about all other medicines you are taking, especially blood thinners, statins, and diabetes medicines, because this medicine can interact with them. Your doctor may order regular blood tests to check your liver function, kidney function, and blood counts. Report any unexplained muscle pain, weakness, or dark urine immediately. If you are pregnant, planning to become pregnant, or breastfeeding, do not take this medicine without consulting your doctor. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially regarding muscle and liver toxicity. Dose selection should be cautious, and regular monitoring of liver and kidney function is advised. Falls and dizziness should be monitored.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy. If you are planning to become pregnant, consult your doctor to discuss alternative treatments. Effective contraception should be used while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be temporarily stopped, especially if you are at risk of bleeding or muscle problems. Follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. There are no specific precautions for dental procedures, but it is important for your dentist to know your complete medication history.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to help lower triglycerides.
🥗
Engage in regular physical activity, such as brisk walking for at least 30 minutes most days.
😴
Limit intake of sugary foods and refined carbohydrates.
💧
Choose healthy fats, such as those from fish, nuts, and olive oil.
🧘
Avoid alcohol and smoking.
🌞
Get adequate sleep and manage stress.

🏋️ Exercise Considerations

This medicine can rarely cause muscle problems. If you experience muscle pain, tenderness, or weakness during exercise, stop and consult your doctor. Otherwise, regular exercise is encouraged as part of a healthy lifestyle.

🥗 Diet Recommendations

Include omega-3 rich foods like salmon, mackerel, and flaxseeds.
Reduce intake of saturated and trans fats.
Limit sugary drinks and sweets.
Eat plenty of fiber-rich vegetables and whole grains.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it should not significantly impact your daily work life. Take it as prescribed and maintain regular follow-ups.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as muscle pain, liver problems, or allergic reactions, contact your doctor immediately. Your doctor may decide to stop the medicine or adjust the dose based on your condition and test results.

📅 Long-Term Use Effects

Long-term use of this medicine may be necessary for chronic management of high triglycerides. Regular monitoring of liver function, kidney function, and lipid levels is important. Some patients may experience gallstones or blood disorders with prolonged use. The benefits of reducing cardiovascular risk and pancreatitis risk generally outweigh the risks when used appropriately. Your doctor will periodically assess whether continued treatment is needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Diet and exercise

Lifestyle changes are the foundation of managing high triglycerides. Reducing sugar and refined carbs, losing weight, and exercising regularly can significantly lower triglycerides.

Evidence: Well-established
Omega-3 fatty acid supplements

Prescription omega-3 fatty acids can lower triglycerides and may be used alone or with fibrates.

Evidence: Well-established
Niacin

Niacin can lower triglycerides and raise HDL, but it has significant side effects and is less commonly used.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and avoid leaving it in a hot car. If crossing time zones, consult your doctor about adjusting the timing of doses. Ensure you have enough supply for your entire trip. Check local customs regulations regarding prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with a history of very high triglycerides and recurrent abdominal pain.
He was started on this medicine after diet and exercise failed to lower his triglyceride levels. Within a month, his triglyceride levels dropped significantly, and his abdominal pain episodes decreased. He was advised to avoid alcohol and take the medicine before meals. He experienced mild stomach upset initially, which resolved after taking it with a light snack.
💡 Lesson: Consistent use of this medicine along with dietary changes can effectively lower triglycerides and reduce the risk of pancreatitis. Taking it with food can minimize stomach upset.
👤 A 60-year-old woman with mixed dyslipidemia already on a statin.
Her doctor added this medicine to her statin therapy to further lower her triglycerides. She was monitored closely for muscle symptoms. After two weeks, she reported mild muscle aches, and her creatine kinase levels were checked. The levels were mildly elevated, so her doctor adjusted the doses. She was advised to report any worsening of muscle pain immediately.
💡 Lesson: Combining this medicine with statins requires careful monitoring for muscle toxicity. Patients should promptly report any muscle symptoms to their doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts lowering triglycerides within 2 to 4 weeks of regular use. However, the full effect may take longer. Your doctor will monitor your lipid levels to assess the response.

Q: Can I take this medicine with food?

A: Yes, you can take this medicine with food, but it is best taken 30 minutes before meals as prescribed. Taking it with food may reduce stomach upset.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is it safe to drink alcohol while taking this medicine?

A: No, you should avoid alcohol while taking this medicine. Alcohol can increase the risk of liver and muscle problems and can raise triglyceride levels, reducing the medicine's effectiveness.

Q: Can I stop taking this medicine if I feel better?

A: No, do not stop taking this medicine without consulting your doctor. High triglycerides often have no symptoms, and stopping the medicine can cause levels to rise again, increasing health risks.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Does it cause weight gain?
  • Can I take it with other cholesterol medicines?

🛑 Myths vs. Facts

  • Myth: Regulipid Tablet is a weight loss medicine.
    Fact: This medicine is not a weight loss drug. It is used to lower triglycerides and increase HDL cholesterol. Weight loss requires diet and exercise.
  • Myth: Regulipid Tablet can be taken without a prescription.
    Fact: This medicine is a prescription drug. It should only be taken under medical supervision.
  • Myth: Regulipid Tablet can replace a healthy diet.
    Fact: This medicine is an adjunct to diet and exercise. A healthy lifestyle is essential for managing cholesterol and triglyceride levels.

🔄 Alternative Options

Generic Alternatives

  • Gemfibrozil

Brand Alternatives

  • Regulipid Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Regulipid Tablet","class":"Fibrate","primary_use":"High triglycerides","dosing":"600 mg twice daily","common_side_effects":"Stomach upset, headache"},{"medicine":"Fenofibrate","class":"Fibrate","primary_use":"High triglycerides","dosing":"Once daily","common_side_effects":"Stomach upset, headache"},{"medicine":"Atorvastatin","class":"Statin","primary_use":"High LDL cholesterol","dosing":"Once daily","common_side_effects":"Muscle pain, headache"}]

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