What is the recommended dose for a combined fenofibrate (Fibric acid derivative) and montelukast (Leukotriene receptor antagonist) tablet in adults?

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Last updated: June 2, 2025View editorial policy

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From the Guidelines

There is no FDA-approved combined tablet containing both fenofibrate and montelukast, so no standard recommended dose exists for such a combination. These medications are prescribed separately for different conditions - fenofibrate for managing high triglycerides and cholesterol (typically dosed at 48-145 mg daily depending on the formulation) and montelukast for asthma and allergies (standard adult dose of 10 mg once daily) 1. Combining these medications would require taking them as separate tablets according to their individual dosing schedules. If both medications are needed, a healthcare provider should determine the appropriate doses based on the patient's specific conditions, as they have different therapeutic targets - fenofibrate affects lipid metabolism while montelukast blocks leukotriene receptors to reduce inflammation in airways. Some key points to consider when prescribing fenofibrate include:

  • The dose of fenofibrate should be adjusted based on the patient's renal function, with a reduced dose recommended for patients with moderate to severe renal impairment 1.
  • Fenofibrate can increase the risk of myopathy and rhabdomyolysis, especially when combined with statins, so patients should be monitored closely for signs of muscle toxicity 1.
  • The benefits and risks of combining fenofibrate with other lipid-lowering therapies, such as statins, should be carefully weighed, as the evidence for the efficacy and safety of these combinations is limited 1. Patients should not attempt to create their own combination regimen without medical supervision due to potential drug interactions and side effects. It is essential to consult with a healthcare provider to determine the best course of treatment for each individual patient, taking into account their specific medical conditions, medications, and health status. In general, the use of fenofibrate and montelukast should be guided by the principles of evidence-based medicine, with a focus on minimizing harm and maximizing benefit for the patient 1.

From the Research

Dose for Combined Fenofibrate and Montelukast Tablet in Adults

There are no research papers to assist in answering this question regarding the specific dose for a combined fenofibrate (Fibric acid derivative) and montelukast (Leukotriene receptor antagonist) tablet in adults.

Available Information on Fenofibrate

  • The available studies 2, 3, 4, 5, 6 discuss the use of fenofibrate in combination with statins for the treatment of mixed dyslipidemia, but do not provide information on its combination with montelukast.
  • Fenofibrate is used to treat high cholesterol and triglyceride levels, and its dosage is typically 135-160 mg per day when used in combination with statins 2, 3, 5.
  • Montelukast is a leukotriene receptor antagonist used to treat asthma and allergies, and its dosage is typically 10 mg per day for adults.

Lack of Information on Combined Therapy

  • There is no information available in the provided studies on the use of a combined fenofibrate and montelukast tablet in adults.
  • The studies focus on the efficacy and safety of fenofibrate in combination with statins, and do not discuss its combination with montelukast.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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