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Generic Gemfibrozil Information
Introduction
Gemfibrozil is a lipid‑modifying agent classified under the cholesterol‑lowering drug group. It is prescribed primarily to reduce elevated triglyceride levels and to raise high‑density lipoprotein (HDL) cholesterol. In Hong Kong, the medication is used when lifestyle measures alone are insufficient to control dyslipidaemia, especially in patients at risk of pancreatitis or cardiovascular events linked to high triglycerides. The active compound is gemfibrozil, and generic preparations are widely available alongside brand formulations such as Lopid™.
What is Gemfibrozil?
Gemfibrozil is the generic version of the original brand‑name product Lopid®, containing the same active compound gemfibrozil. It belongs to the fibrate class of medicines, which are synthetic derivatives of the natural fatty acid fibric acid. The drug was first approved in the United States in the early 198s and has since been marketed worldwide, including the Asian market. In Hong Kong, both domestic distributors and international suppliers provide gemfibrozil tablets that meet the standards of the Hong Kong Pharmacy Council. Our online pharmacy provides this generic alternative as a cost‑effective treatment option for patients seeking reliable lipid control.
How Gemfibrozil Works
Gemfibrozil activates peroxisome proliferator‑activated receptor‑α (PPAR‑α), a nuclear transcription factor present in liver and muscle cells. Activation of PPAR‑α increases the expression of lipoprotein lipase, an enzyme that hydrolyses triglyceride‑rich lipoproteins (VLDL and chylomicrons). Consequently, plasma triglyceride concentrations fall. At the same time, PPAR‑α up‑regulates apolipoprotein A‑I and A‑II synthesis, leading to modest elevations in HDL cholesterol. The has little effect on low‑density lipoprotein (LDL) cholesterol, which is why it is often combined with statins when comprehensive lipid control is required. Onset of triglyceride reduction can be observed within a week, and steady‑state plasma levels are achieved after 7–10 days of consistent dosing. Gemfibrozil is eliminated primarily by renal excretion of unchanged drug; its half‑life is approximately 1.5–2 hours, but the pharmacodynamic effect persists longer due to sustained PPAR‑α activation.
Conditions Treated with Gemfibrozil
- Primary hypertriglyceridaemia – Elevated fasting triglycerides ≥ 200 mg/dL, especially when levels exceed 500 mg/dL, carry a risk of acute pancreatitis. Gemfibrozil reduces triglycerides by 30‑50 % and is recommended when diet and exercise have failed.
- Mixed dyslipidaemia – Patients with combined high triglycerides and low HDL cholesterol benefit from gemfibrozil’s dual action.
- Secondary hypertriglyceridaemia – Conditions such as type‑2 diabetes mellitus, metabolic syndrome, and alcohol‑induced hyperlipidaemia often produce elevated triglycerides; gemfibrozil is used as an adjunct to glycaemic control.
- Familial combined hyperlipidaemia – In certain genetic disorders, gemfibrozil can be part of a multi‑drug regimen to achieve target lipid levels.
In Hong Kong, population surveys indicate that 17 % of adults have triglyceride levels above 150 mg/dL, with a higher prevalence among those with diabetes and obesity. The availability of an inexpensive generic fibrate aids clinicians in meeting local guideline targets for triglyceride management.
Who is Gemfibrozil For?
- Adults (≥ 18 years) with documented fasting triglycerides ≥ 200 mg/dL who have not reached target levels through diet, weight reduction, and physical activity.
- Patients with a history of pancreatitis precipitated by severe hypertriglyceridaemia, where rapid triglyceride lowering is clinically indicated.
- Individuals with metabolic syndrome who display low HDL cholesterol (< 40 mg/dL in men, < 50 mg/dL in women) and moderately high triglycerides, provided they have no contraindications.
- Patients already on statin therapy who require additional triglyceride reduction; gemfibrozil can be co‑administered with caution (see interactions).
Gemfibrozil is not appropriate for:
- Patients with severe hepatic impairment (Child‑Pugh class C) or active liver disease.
- Individuals with renal insufficiency (creatinine clearance < 30 mL/min) unless dose‑adjusted and closely monitored.
- Persons with known hypersensitivity to gemfibrozil or any fibrate component.
- Pregnant or breastfeeding women, as safety data are limited; alternative lipid‑lowering strategies are preferred.
Risks, Side Effects, and Interactions
Common
- Gastrointestinal discomfort – nausea, abdominal pain, and dyspepsia occur in up to 10 % of users.
- Headache – mild to moderate headache is frequently reported.
- Elevated enzymes – transient increases in ALT/AST may be observed; routine monitoring is advised.
Rare
- Myopathy – muscle pain or tenderness without significant CK elevation; incidence is lower than with statins but higher when combined with certain drugs.
- Gallstones – long‑term fibrate use can predispose to cholesterol gallstone formation.
Serious
- Rhabdomyolysis – rare but potentially life‑threatening muscle breakdown, especially when gemfibrozil is combined with statins, cyclosporine, or certain antivirals. Immediate medical attention is required if severe muscle pain, weakness, and dark urine appear.
- Severe hepatic injury – marked elevation of transaminases (> 3 × ULN) accompanied by jaundice warrants discontinuation.
- Hypersensitivity reactions – anaphylaxis, Stevens‑Johnson syndrome, or toxic epidermal necrolysis have been reported in isolated cases.
Drug–Drug Interactions
- Statins (especially simvastatin and lovastatin) – gemfibrozil inhibits statin glucuronidation, raising statin plasma concentrations and the risk of myopathy. If combination therapy is unavoidable, use the lowest possible statin dose (e.g., pravastatin) and monitor CK levels.
- Warfarin – gemfibrozil may potentiate anticoagulant effect; more frequent INR checks are recommended.
- Cyclosporine, amiodarone, and certain HIV protease inhibitors – increased risk of myopathy and renal toxicity; dose adjustments or alternative lipid agents should be considered.
- Oral contraceptives – gemfibrozil can raise plasma levels of estrogen components, potentially increasing thrombotic risk.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dose – 600 mg (one 600 mg tablet) taken orally twice daily, 30 minutes before the first main meal of the day and 2 hours after that meal. The exact dosing schedule may be individualized based on triglyceride response and tolerability.
- Renal impairment – for creatinine clearance 30–50 mL/min, the recommended dose is 300 mg twice daily; below 30 mL/min, gemfibrozil is generally avoided.
- Missed dose – take the missed tablet as soon as remembered, provided at least 4 hours have not elapsed since the next scheduled dose. Do not double‑dose to compensate.
- Overdose – symptoms may include nausea, vomiting, abdominal pain, and dizziness. Contact emergency services or a poison‑information centre immediately. Gastric lavage and supportive care are standard; there is no specific antidote.
- Food & Alcohol – gemfibrozil should be taken with food to improve absorption. Excessive alcohol consumption can exacerbate triglyceride elevation and increase the risk of hepatotoxicity; patients should limit alcohol intake.
- Concomitant conditions – patients with gallbladder disease should be monitored for biliary colic; those with hypothyroidism need thyroid function assessment before initiating therapy, as impaired thyroid status can augment dyslipidaemia.
Buying Gemfibrozil from Our Online Pharmacy
Gemfibrozil can be purchased from our online pharmacy in Hong Kong, which offers a streamlined, discreet service for patients seeking affordable generic medication.
- Affordable pricing – we source gemfibrozil directly from internationally accredited manufacturers, allowing us to price the product near the original production cost.
- Verified quality – each batch is verified by a certified third‑party laboratory for potency, purity, and compliance with Good Manufacturing Practice (GMP) standards.
- Guaranteed delivery – express shipping (typically 5–7 working days) and regular airmail (approximately 2–3 weeks) are available throughout Hong Kong, with discreet packaging to protect privacy.
- Online‑only access – our pharmacy broker service partners with licensed overseas pharmacies, enabling patients to obtain medications that may have limited local supply or are not covered by insurance.
By choosing our platform, patients benefit from a reliable supply chain, transparent pricing, and a service model that respects confidentiality while delivering clinically appropriate therapy.
FAQ
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Is Gemfibrozil available in both brand‑name and generic forms in Hong Kong?
Yes, gemfibrozil is sold under the original brand name Lopid® and as generic tablets produced by multiple manufacturers. The generic version contains the identical active compound and is generally less expensive. -
Does Gemfibrozil require refrigeration or special storage conditions?
No, gemfibrozil tablets should be stored at room temperature (15–30 °C), protected from excess moisture, direct sunlight, and heat. Refrigeration is not necessary. -
What does the tablet look like, and are there any distinguishing markings?
Generic gemfibrozil tablets are typically white, round, film‑coated, and scored for easy splitting. Imprint details vary by manufacturer; some common markings include “600 MG” and the logo of the producing company. -
Can Gemfibrozil be imported for personal use without a prescription in Hong Kong?
Personal import of a 30‑day supply of gemfibrozil is permitted under Hong Kong’s “Personal Use Import” policy, provided the medication is for a legitimate personal medical need and the importer retains a copy of the prescribing clinician’s letter. -
Are there specific warnings for Asian populations regarding Gemfibrozil?
Clinical data do not show ethnic‑specific contraindications, but some studies suggest a slightly higher incidence of liver enzyme elevation among East Asian patients. Regular monitoring of hepatic function is therefore advisable. -
How does Gemfibrozil differ from older fibrates such as clofibrate?
Gemfibrozil has a more favorable safety profile, especially regarding renal clearance and reduced risk of gallstone formation compared with clofibrate. It also demonstrates stronger triglyceride‑lowering efficacy in head‑to‑head trials. -
Will taking Gemfibrozil affect routine blood tests for cholesterol?
Yes, gemfibrozil will lower measured triglycerides and modestly raise HDL cholesterol. LDL cholesterol may appear unchanged or slightly increased due to the redistribution of lipoproteins, so clinicians interpret the full lipid panel rather than isolated values. -
Is it safe to travel internationally with Gemfibrozil tablets?
Yes, but keep the medication in its original packaging with a copy of the prescription or a doctor’s letter. Some countries require declaration of lipid‑lowering agents at customs; a small supply for personal use (e.g., up to 90 days) is generally acceptable. -
What inactive ingredients are commonly found in generic Gemfibrozil tablets?
Inactive components may include microcrystalline cellulose, lactose monohydrate, magnesium stearate, and hydroxypropyl methylcellulose as a film‑coating polymer. Patients with specific allergies should verify the exact excipient list from the supplier. -
Does Gemfibrozil interfere with common drug‑testing panels, such as for employment screening?
Gemfibrozil is not a controlled substance and does not appear on standard occupational drug‑testing panels. However, because it can modestly elevate liver enzymes, clinicians may note this effect when interpreting unrelated health screenings.
Glossary
- Fibrate
- A class of drugs that lower blood triglycerides and modestly raise HDL cholesterol by activating the nuclear receptor PPAR‑α.
- Peroxisome proliferator‑activated receptor‑α (PPAR‑α)
- A transcription factor that regulates genes involved in lipid metabolism, especially those controlling fatty‑acid oxidation and lipoprotein lipase activity.
- Triglyceride‑rich lipoproteins
- Particles such as very‑low‑density lipoprotein (VLDL) and chylomicrons that transport triglycerides from the liver and intestine to peripheral tissues.
- Rhabdomyolysis
- A severe condition where damaged skeletal muscle releases myoglobin into the bloodstream, potentially causing kidney failure; it is a rare but serious adverse effect of certain drug combinations.
⚠️ Disclaimer
The information provided about Gemfibrozil is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Gemfibrozil for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Gemfibrozil in online pharmacy asia
Please note that this medicine is a generic version of Gemfibrozil.One can buy Generic Gemfibrozil online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to gemfibrozil and fully familiar with medication Gemfibrozil;
- No paper instructions about side effect warnings or usage directions are sent with Generic Gemfibrozil medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.