Fenofibrate 200 mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe muscle pain, tenderness, or weakness, especially with dark urine.
- Yellowing of skin or eyes (jaundice).
- Severe abdominal pain radiating to the back (possible pancreatitis).
- Signs of allergic reaction: rash, itching, swelling of face, lips, or throat, difficulty breathing.
- Unusual bleeding or bruising.
- Decreased urine output or swelling in legs.
- Persistent nausea, vomiting, or loss of appetite.
If experiencing severe symptoms, call emergency services immediately.
What is trichek 200mg capsule used for?
Fenofibrate 200 mg is a prescription medicine used to lower high triglyceride levels and increase good cholesterol. It works by activating PPAR-alpha, which helps break down triglycerides in the blood. It is taken once daily with food.
- Generic Name: Fenofibrate (200mg)
- Manufacturer: Zydus Cadila
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 trichek 200mg capsule 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 फाइब्रेट वर्ग की दवा है जो पेरोक्सिसोम प्रोलिफरेटर-एक्टिवेटेड रिसेप्टर अल्फा (PPAR-alpha) को सक्रिय करती है, जिससे ट्राइग्लिसराइड टूटता है और अच्छा कोलेस्ट्रॉल (HDL) बढ़ता है। यह उन वयस्कों के लिए निर्धारित की जाती है जिनका ट्राइग्लिसराइड स्तर बहुत अधिक है और आहार व व्यायाम से नियंत्रित नहीं हो पाता। यह दवा डॉक्टर की सलाह के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, जी मिचलाना, पेट दर्द और लिवर एंजाइम में मामूली वृद्धि शामिल हैं। कुछ रोगियों को मांसपेशियों में दर्द या कमजोरी महसूस हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें मांसपेशियों का गंभीर नुकसान, लिवर की सूजन और पित्ताशय की पथरी शामिल हो सकती है। अगर आपको असामान्य मांसपेशी दर्द, पीलिया, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में एक बार भोजन के साथ। इसे चबाएं या तोड़ें नहीं। शराब का सेवन न करें क्योंकि इससे लिवर और मांसपेशियों की समस्याओं का खतरा बढ़ सकता है। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं, खासकर रक्त पतला करने वाली दवाएं और स्टैटिन। नियमित रूप से लिवर, किडनी और लिपिड की जांच कराएं। बिना डॉक्टर की सलाह के दवा बंद न करें।
💊 trichek 200mg capsule Uses & Benefits
[{"condition":"Severe hypertriglyceridemia","description":"This medicine is used to lower very high triglyceride levels in the blood when diet and exercise alone are not enough.","evidence":"Well-established"},{"condition":"Mixed dyslipidemia","description":"It may be used in combination with a statin to improve triglyceride and HDL cholesterol levels in patients with mixed lipid disorders.","evidence":"Well-established"},{"condition":"Primary hypercholesterolemia","description":"Sometimes used as an adjunct to diet in patients with high LDL cholesterol, though statins are preferred.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Non-alcoholic fatty liver disease (NAFLD)","description":"Fenofibrate has been studied for its potential to improve liver enzymes and lipid profiles in NAFLD, but it is not a standard treatment.","evidence":"Limited"},{"condition":"Diabetic retinopathy","description":"Some research suggests fenofibrate may slow the progression of diabetic retinopathy, but this is not an approved indication.","evidence":"Limited"}]
Primary treatment for: Hypertriglyceridemia
Also treats: Mixed dyslipidemia, Hypercholesterolemia, Diabetic dyslipidemia
📋 Drug Information
| Generic Name(s) | Fenofibrate (200mg) |
| Brand Name | trichek 200mg capsule |
| Manufacturer | Zydus Cadila |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | PPAR alpha agonists (Fibrate) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a dry place, away from direct sunlight and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by activating peroxisome proliferator-activated receptor alpha (PPAR-alpha), a nuclear receptor that regulates the expression of genes involved in lipid metabolism. Activation of PPAR-alpha increases the activity of lipoprotein lipase, which breaks down triglycerides in the blood. It also enhances fatty acid oxidation in the liver and increases the production of apolipoprotein A-I and A-II, leading to higher HDL cholesterol levels. Additionally, fenofibrate reduces the secretion of very-low-density lipoprotein (VLDL) from the liver. These combined actions result in a significant reduction in serum triglycerides and a modest increase in HDL cholesterol.
Mechanism Steps
💡 How to Take trichek 200mg capsule
Strength: Fenofibrate 200 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 200 mg taken once daily with a meal. However, the dose may be adjusted by your doctor based on your triglyceride levels, kidney function, and response to treatment. For patients with kidney impairment, a lower starting dose may be recommended. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly 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 Impairment | In patients with mild to moderate renal impairment, the dose may need to be reduced. In severe renal impairment, fenofibrate should be used with caution and may be contraindicated. Consult your doctor for dose adjustment. |
| Hepatic Impairment | Fenofibrate is contraindicated in patients with severe hepatic impairment or unexplained persistent liver enzyme elevations. In mild to moderate hepatic impairment, use with caution and monitor liver function closely. |
| Maximum Daily Dose | The maximum recommended daily dose is 200 mg. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of trichek 200mg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Atorvastatin | Major | |
| Simvastatin | Major | |
| Cholestyramine | Moderate | |
| Cyclosporine | Moderate | |
| Metformin | Moderate | |
| Colchicine | Minor |
🚨 Major Interactions
- Warfarin
- Statins (e.g., atorvastatin, simvastatin)
- Bile acid sequestrants (e.g., cholestyramine)
⚡ Moderate Interactions
- Cyclosporine
- Oral hypoglycemics (e.g., metformin, sulfonylureas)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase the risk of liver problems and may worsen triglyceride levels. Alcohol can also increase the risk of muscle side effects.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe liver disease or unexplained persistent liver enzyme elevations","Gallbladder disease","Known hypersensitivity to fenofibrate or any component of the formulation","Breastfeeding","Severe kidney impairment (dose adjustment may be needed, but severe impairment may contraindicate use)"]
⚠️ Warnings & Precautions
["May cause muscle toxicity, especially when combined with statins. Report unexplained muscle pain, tenderness, or weakness.","Can increase liver enzymes. Regular monitoring is required.","May increase risk of gallstones. Report severe abdominal pain.","May increase risk of pancreatitis, especially in patients with very high triglycerides.","Use with caution in patients with kidney impairment; dose adjustment may be necessary.","Avoid alcohol consumption as it may increase liver and muscle toxicity.","Not recommended during pregnancy unless clearly needed.","May enhance the effects of warfarin; monitor INR closely."]
🤱 Lactation Safety
It is not known whether fenofibrate is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or discontinue the medicine, taking into account the importance of the medicine to the mother.
💊 Overdose Management
There is no specific antidote for fenofibrate overdose. Treatment should be symptomatic and supportive. In case of suspected overdose, contact a poison control center or emergency room immediately. Gastric lavage may be considered if the overdose is recent and the patient is seen within a short time. Monitor liver and kidney function, and observe for signs of muscle toxicity.
⏰ 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
Take this medicine exactly as prescribed by your doctor, usually once daily with meals to improve absorption and reduce stomach upset. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Avoid alcohol consumption while taking this medicine, as it can increase the risk of liver problems and muscle side effects. Inform your doctor about all other medicines you are taking, especially blood thinners, statins, and diabetes drugs. Do not start or stop this medicine without consulting your doctor. Keep all follow-up appointments for blood tests to check liver function, kidney function, and lipid levels. If you experience unexplained muscle pain, tenderness, or weakness, contact your doctor immediately. This medicine is not recommended during pregnancy or breastfeeding unless clearly needed and advised by a doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects such as muscle toxicity and kidney impairment. Dose adjustment may be necessary based on kidney function. Regular monitoring is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed. Your doctor may switch you to a safer alternative.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery due to potential interactions with other medications and effects on liver and kidney function.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may increase bleeding risk if you are also on blood thinners. Your dentist may take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause muscle pain or weakness in some individuals. If you experience muscle symptoms, avoid strenuous exercise and consult your doctor. Otherwise, regular moderate exercise is encouraged as part of a healthy lifestyle.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to work or drive. However, if you experience dizziness or muscle weakness, avoid driving or operating heavy machinery until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as severe muscle pain, jaundice, or allergic reactions, seek immediate medical attention and your doctor may advise stopping the medicine.
📅 Long-Term Use Effects
Long-term use of this medicine may require regular monitoring of liver and kidney function. It can increase the risk of gallstones and, rarely, pancreatitis. Muscle toxicity is a concern, especially when combined with statins. However, when used appropriately, it effectively manages high triglycerides and reduces the risk of pancreatitis. Regular follow-up with your doctor is essential.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Lifestyle modifications are the first line for managing high triglycerides.
Evidence: Well-establishedMay help lower triglycerides, but less potent than fibrates.
Evidence: ModeratePrimarily lower LDL cholesterol but also have modest triglyceride-lowering effects.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. Continue with your regular vaccination schedule as advised by your doctor.
📦 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. Store at room temperature and protect from extreme heat or cold. If crossing time zones, continue taking your dose at the same time each day as close as possible. Check customs regulations for carrying prescription medicines. Carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering triglycerides within 2-4 weeks, but the full effect may take up to 3 months. Regular blood tests will monitor your progress.
A: Yes, but only under medical supervision. Combining with a statin increases the risk of muscle toxicity, so your doctor will monitor you closely.
A: If you remember within 12 hours, take the missed dose. If more than 12 hours have passed, skip it and continue with your regular schedule. Do not double dose.
A: No, alcohol should be avoided as it can increase the risk of liver problems and muscle side effects.
🤔 Common Patient Concerns
🔄 Substitutes for trichek 200mg capsule
View AllAlternative brands with exact same active ingredient:
-
lotgl 200mg tabletStrides shasun Ltd ₹52.36 30.2% CHEAPER
-
finoxim 200mg capsuleZim Laboratories Limited ₹56.25 25% CHEAPER
-
trifeno 200mg capsuleMitoch Pharma Pvt Ltd ₹72.19 3.8% CHEAPER
-
fibrate 200mg tabletAvinash Health Products Pvt Ltd ₹79.69 6.2% COSTLIER
-
finate 200mg tabletFranco-Indian Pharmaceuticals Pvt Ltd ₹103.13 37.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Fenofibrate is a weight loss pill.
Fact: Fenofibrate is not a weight loss medicine. It is used to lower triglycerides and improve cholesterol levels. - Myth: Fenofibrate can replace a healthy diet and exercise.
Fact: Fenofibrate is an adjunct to diet and exercise, not a replacement. Lifestyle changes are essential for managing high triglycerides. - Myth: Fenofibrate is safe for everyone.
Fact: Fenofibrate is not safe for people with severe liver or kidney disease, gallbladder disease, or those who are pregnant or breastfeeding.
🔄 Alternative Options
Generic Alternatives
- Fenofibrate 200 mg tablet (various manufacturers)
Brand Alternatives
- Fibrate 200 mg tablet