Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Clofibrate
Introduction
Overview
Overview
Clofibrate (tradename Atromid-S) is an organic compound. It is marketed as a fibrate. It is a lipid-lowering agent used for controlling the high cholesterol and triacylglyceride level in the blood. It increases lipoprotein lipase activity to promote the conversion of VLDL to LDL, and hence reduce the level of VLDL. It can increase the level of HDL as well.
Complications and controversies
Complications and controversies
It can induce SIADH, syndrome of inappropriate secretion of antidiuretic hormone ADH (vasopressin).
The World Health Organization Cooperative Trial on Primary Prevention of Ischaemic Heart Disease using clofibrate to lower serum cholesterol observed excess mortality in the clofibrate-treated group despite successful cholesterol lowering (47% more deaths during treatment with clofibrate and 5% after treatment with clofibrate) than the non-treated high cholesterol group. These deaths were due to a wide variety of causes other than heart disease, and remain “unexplained”.[1]
Clofibrate was discontinued in 2002 due to adverse affects.
References
References
- ↑ “WHO cooperative trial on primary prevention of ischaemic heart disease with clofibrate to lower serum cholesterol: final mortality follow-up. Report of the Committee of Principal Investigators”. Lancet. 2 (8403): 600–4. September 1984. PMID 6147641.
- ↑ http://drugsynthesis.blogspot.co.uk/2012/04/laboratory-synthesis-of-clofibrate.html
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]