Product image of Lipanor (Ciprofibrate) supplied by GNH India

Lipanor

Active Ingredient:
Ciprofibrate
Origin:
EU

Lipanor (Ciprofibrate)

Ciprofibrate, the active ingredient in Lipanor, is a fibrate presented as an oral tablet for oral use. It activates peroxisome proliferator‑activated receptor alpha (PPARα) to reduce hepatic triglyceride synthesis and increase clearance of triglyceride‑rich lipoproteins, thereby lowering elevated triglyceride levels and improving overall lipid profiles in adults with hypertriglyceridaemia or mixed dyslipidaemia.

GNH India supplies Lipanor as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sanofi Winthrop Industrie

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Indications & Clinical Uses

Ciprofibrate (Lipanor) is used to manage disorders of lipid metabolism, particularly elevated triglyceride levels.

  • Hypertriglyceridaemia: reduces serum triglyceride concentrations.
  • Mixed dyslipidaemia: lowers triglycerides and modestly raises HDL‑cholesterol.
  • Cardiovascular risk associated with high triglycerides: contributes to overall lipid control.

How It Works

  • Ciprofibrate binds to and activates the nuclear receptor peroxisome proliferator‑activated receptor alpha (PPARα). Activation of PPARα up‑regulates expression of lipoprotein lipase and genes involved in fatty‑acid oxidation while down‑regulating enzymes responsible for triglyceride synthesis. The net effect is enhanced catabolism of triglyceride‑rich lipoproteins and reduced hepatic production of triglycerides, leading to lower plasma triglyceride levels and modest improvements in HDL‑cholesterol.

Side Effects

Ciprofibrate may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Gastrointestinal discomfort: nausea, abdominal pain, or dyspepsia.
  • Elevated liver enzymes: transient increases in ALT or AST.
  • Muscle pain: mild myalgia without weakness.
  • Headache: occasional tension‑type headache.
  • Skin reactions: rash or pruritus.

Serious or Rare Side Effects

  • Rhabdomyolysis: severe muscle breakdown with dark urine.
  • Hepatotoxicity: significant elevation of liver enzymes or jaundice.
  • Severe allergic reactions: anaphylaxis or angioedema.
  • Gallstone formation: increased risk of biliary sludge or stones.
  • Blood dyscrasias: leukopenia or thrombocytopenia.

Precautions & Warnings

When prescribing Ciprofibrate, clinicians should consider several precautionary measures to ensure safe use.

  • Liver function monitoring: assess baseline and periodic ALT/AST levels.
  • Renal function assessment: adjust use in patients with impaired clearance.
  • Muscle toxicity vigilance: discontinue if unexplained muscle pain or weakness occurs.
  • Drug‑induced gallstone risk: monitor for biliary colic symptoms.
  • Pregnancy and lactation: avoid use unless benefits outweigh potential risks.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in original packaging.

Avoid Interactions

Ciprofibrate can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Statins (especially high‑dose simvastatin): increased risk of rhabdomyolysis.
  • Gemfibrozil: additive risk of severe muscle toxicity.
  • Anticoagulants (warfarin): potentiation of anticoagulant effect, monitor INR.
  • Cyclosporine: heightened risk of hepatotoxicity.

Moderate Interactions (Monitor Closely)

  • Oral hypoglycemics (e.g., sulfonylureas): may enhance hypoglycaemia.
  • Thyroid hormones: possible alteration of thyroid hormone levels.
  • Bile acid sequestrants: may reduce absorption of Ciprofibrate.
  • NSAIDs: increased potential for renal impairment.

Frequently Asked Questions

Lipanor contains ciprofibrate, a fibrate class medication indicated for the treatment of hypertriglyceridaemia and mixed dyslipidaemia. It is prescribed to adults who have elevated triglyceride levels or an abnormal lipid profile that includes high triglycerides and low HDL‑cholesterol, helping to reduce cardiovascular risk associated with these lipid abnormalities.

Ciprofibrate activates the nuclear receptor peroxisome proliferator‑activated receptor alpha (PPARα). This activation increases the expression of enzymes such as lipoprotein lipase that clear triglyceride‑rich lipoproteins from the bloodstream and enhances fatty‑acid oxidation, while simultaneously decreasing hepatic triglyceride synthesis. The combined effect lowers plasma triglycerides and modestly raises HDL‑cholesterol.

The dosage of Lipanor is individualized by the prescribing healthcare professional based on the patient’s clinical condition, laboratory results, and tolerability. Physicians determine the appropriate strength and frequency, and patients should follow the prescribed regimen without making any changes unless directed by their clinician.

The safety of ciprofibrate in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternative lipid‑lowering strategies with their healthcare provider.

To request Lipanor, visit the product page on gnhindia.com, enter the desired quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any required temperature control), and assistance with import documentation.

Compared with statins, ciprofibrate primarily targets triglyceride reduction rather than LDL‑cholesterol lowering. It is especially useful when triglycerides are markedly elevated or when statin therapy alone does not achieve target levels. Unlike niacin, ciprofibrate has a lower incidence of flushing but shares a similar risk of muscle‑related adverse effects when combined with certain statins.

Lipanor should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the tablets in their original container, protect them from moisture, heat, and direct sunlight. Do not store in bathrooms or near kitchen appliances, and keep out of reach of children.

Lipanor is taken orally, usually once daily with a meal to enhance absorption and reduce gastrointestinal discomfort. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed by a healthcare professional.

The most serious adverse reactions include rhabdomyolysis (severe muscle breakdown), significant hepatotoxicity (marked liver enzyme elevations or jaundice), and rare hypersensitivity reactions such as anaphylaxis. Patients should promptly report unexplained muscle pain, weakness, dark urine, or signs of liver dysfunction such as yellowing of the skin or eyes.

Lipanor is contraindicated in individuals with known hypersensitivity to ciprofibrate or any fibrate component, active liver disease, severe renal impairment, and in patients with a history of gallstones who are at high risk for biliary complications. It should also be avoided in patients currently taking contraindicated medications such as gemfibrozil or high‑dose simvastatin.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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