Fenofibrate-induced renal dysfunction, yes or no?

In the treatment process of hypertriglyceridemia and diabetic nephropathy in type 2 diabetes, fenofibrate (FEN) is a well-known medication. FEN is from fibrate class drugs that using orally; however, as a side effect, it is associated with serum creatinine level increasing. The aim of this review wa...

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Main Authors: Fatemeh Emami, Amirali Hariri, Mohammad Matinfar, Mehdi Nematbakhsh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2020;volume=25;issue=1;spage=39;epage=39;aulast=
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author Fatemeh Emami
Amirali Hariri
Mohammad Matinfar
Mehdi Nematbakhsh
author_facet Fatemeh Emami
Amirali Hariri
Mohammad Matinfar
Mehdi Nematbakhsh
author_sort Fatemeh Emami
collection DOAJ
description In the treatment process of hypertriglyceridemia and diabetic nephropathy in type 2 diabetes, fenofibrate (FEN) is a well-known medication. FEN is from fibrate class drugs that using orally; however, as a side effect, it is associated with serum creatinine level increasing. The aim of this review was to determine the real effect of FEN therapy on renal functions based on both experimental and clinical studies. For this review, using the keywords of “fenofibrate” and “renal” and “function,” a variety of sources of information banks, including PubMed, Google Scholar, and Scopus, were used, and the published articles were considered and interpreted. Followed by searching in databases, 45 articles were collected. After screening these articles, based on the study source, they were devided into two parts: 23 articles on animal experiments and 22 articles clinical experiments. Based on this information, it seems that the protective mechanism of FEN is related to vascular endothelial functions. The increased creatinine by FEN is related to different sensitivities to FEN effects caused by a polymorphism in different patients. In patients with normal renal function, follow-up of serum creatinine would be necessary after FEN, but the discontinuation of FEN is not recommended. In addition, in diabetic patients with hypertriglyceridemia, FEN treatment would be suggested for protecting the kidney from diabetes-induced renal injury.
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spelling doaj.art-c1dcc47284384c379b61bcbaacff13042022-12-21T19:32:11ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362020-01-01251393910.4103/jrms.JRMS_772_19Fenofibrate-induced renal dysfunction, yes or no?Fatemeh EmamiAmirali HaririMohammad MatinfarMehdi NematbakhshIn the treatment process of hypertriglyceridemia and diabetic nephropathy in type 2 diabetes, fenofibrate (FEN) is a well-known medication. FEN is from fibrate class drugs that using orally; however, as a side effect, it is associated with serum creatinine level increasing. The aim of this review was to determine the real effect of FEN therapy on renal functions based on both experimental and clinical studies. For this review, using the keywords of “fenofibrate” and “renal” and “function,” a variety of sources of information banks, including PubMed, Google Scholar, and Scopus, were used, and the published articles were considered and interpreted. Followed by searching in databases, 45 articles were collected. After screening these articles, based on the study source, they were devided into two parts: 23 articles on animal experiments and 22 articles clinical experiments. Based on this information, it seems that the protective mechanism of FEN is related to vascular endothelial functions. The increased creatinine by FEN is related to different sensitivities to FEN effects caused by a polymorphism in different patients. In patients with normal renal function, follow-up of serum creatinine would be necessary after FEN, but the discontinuation of FEN is not recommended. In addition, in diabetic patients with hypertriglyceridemia, FEN treatment would be suggested for protecting the kidney from diabetes-induced renal injury.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2020;volume=25;issue=1;spage=39;epage=39;aulast=creatininefenofibraterenal dysfunction
spellingShingle Fatemeh Emami
Amirali Hariri
Mohammad Matinfar
Mehdi Nematbakhsh
Fenofibrate-induced renal dysfunction, yes or no?
Journal of Research in Medical Sciences
creatinine
fenofibrate
renal dysfunction
title Fenofibrate-induced renal dysfunction, yes or no?
title_full Fenofibrate-induced renal dysfunction, yes or no?
title_fullStr Fenofibrate-induced renal dysfunction, yes or no?
title_full_unstemmed Fenofibrate-induced renal dysfunction, yes or no?
title_short Fenofibrate-induced renal dysfunction, yes or no?
title_sort fenofibrate induced renal dysfunction yes or no
topic creatinine
fenofibrate
renal dysfunction
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2020;volume=25;issue=1;spage=39;epage=39;aulast=
work_keys_str_mv AT fatemehemami fenofibrateinducedrenaldysfunctionyesorno
AT amiralihariri fenofibrateinducedrenaldysfunctionyesorno
AT mohammadmatinfar fenofibrateinducedrenaldysfunctionyesorno
AT mehdinematbakhsh fenofibrateinducedrenaldysfunctionyesorno