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Atorvastatin + Fenofibrate 10 mg + 160 mg: uses, price & cheaper substitutes

Prescription required (Schedule H)

Common uses: Mixed high cholesterol – high LDL (bad) cholesterol together with high triglycerides; Lowering the risk of heart attack and stroke in people with diabetes or heart disease whose triglycerides stay high on a statin alone.

Listed MRPs range from ₹1.88 to ₹40.10 per tablet across 7 listings. Use only on a doctor's prescription.

Price comparison

BrandManufacturerPackMRP₹ / tabletAs on
Atorvastatin 10mg and Fenofibrate 160mg Tablets IPJan AushadhiJan Aushadhi (PMBJP)15₹28.13₹1.8819 October 2026
Lipvas FCipla Ltd10₹175.82₹17.5819 October 2026
Stator-FAbbott15₹372.79₹24.8519 October 2026
Atormac TGMacleods Pharmaceuticals Pvt Ltd10₹275.34₹27.5319 October 2026
Atorec-FEmcure Pharmaceuticals Ltd10₹286.40₹28.6419 October 2026
Atorva TGZydus Cadila10₹345.68₹34.5719 October 2026
Tonact-TGLupin Ltd15₹601.45₹40.1019 October 2026

MRPs as printed/listed on the date shown; actual price may vary.

Uses

  • Mixed high cholesterol – high LDL (bad) cholesterol together with high triglycerides.
  • Lowering the risk of heart attack and stroke in people with diabetes or heart disease whose triglycerides stay high on a statin alone.
  • High triglycerides that have not come down with diet, exercise and atorvastatin on its own.

How to take it

Take one tablet once a day, preferably in the evening with your meal, because fenofibrate is absorbed better with food. Swallow it whole with water. Keep to a low-fat diet, exercise and limit alcohol; the tablet works alongside these, not instead of them. Your doctor will repeat a lipid profile and liver test after about 2 months and may stop the combination if triglycerides do not improve. Tell your doctor right away if you get unexplained muscle pain, weakness or dark urine.

Side effects

Common

  • Headache or dizziness.
  • Stomach upset, nausea, constipation or diarrhoea.
  • Muscle aches or joint pain.
  • Blocked nose or cold-like symptoms.
  • Sleep disturbance.

Serious

Stop and get medical help urgently if you notice any of these.

  • Muscle damage (myopathy or rhabdomyolysis) – severe muscle pain, weakness, fever, dark cola-coloured urine; the risk is higher with a statin and fibrate together.
  • Liver inflammation – yellow eyes or skin, dark urine, pain under the right ribs.
  • Pancreatitis – severe upper stomach pain spreading to the back with vomiting.
  • Blood clot in the leg (swelling, warmth) or lung (breathlessness, coughing blood) with fenofibrate.

Safety information

Alcohol

Limit alcohol. Heavy drinking raises the risk of liver damage and also pushes triglycerides up, undoing the benefit.

Pregnancy

Do not take in pregnancy or while breastfeeding. Stop atorvastatin about 3 months before trying for a baby and use reliable contraception while on the tablet.

Kidney problems

Fenofibrate builds up when the kidneys are weak. Tell your doctor about kidney disease; the dose may be lowered or the combination avoided.

Liver problems

Not suitable if you have active liver disease. Liver blood tests are checked before starting and during treatment.

Children

Not used in children.

Missed dose

Take it as soon as you remember with food, unless the next dose is due soon – then skip it. Do not double up.

Interactions

  • Other cholesterol medicines (rosuvastatin, gemfibrozil) – never add another statin or fibrate; muscle damage risk rises sharply.
  • Clarithromycin, erythromycin, ketoconazole, itraconazole – raise atorvastatin levels; your doctor may pause the statin during the course.
  • Warfarin or acitrom – fenofibrate increases bleeding risk; INR needs closer checks.
  • Cyclosporine, some HIV and hepatitis C medicines, diltiazem, verapamil – interact with atorvastatin.
  • Cholestyramine – take this tablet at least 1 hour before or 4 to 6 hours after it.
  • Grapefruit juice – keep it to a small glass; it raises atorvastatin levels.

Frequently asked questions

When should I take Tonact-TG – morning or night?

With your evening meal is best. Fenofibrate needs food to be absorbed, and atorvastatin works well at night when the body makes most cholesterol.

Can I take Tonact-TG with alcohol?

Keep alcohol to a minimum. Alcohol raises triglycerides, which is exactly what the tablet is treating, and increases the risk of liver side effects.

Atorva TG vs Atorva 10 – what is the difference?

Atorva 10 is plain atorvastatin for cholesterol. Atorva TG adds fenofibrate 160 mg to also bring down triglycerides. Your doctor picks the combination only when triglycerides stay high on a statin alone.

Why do my legs ache on Tonact-TG?

Mild muscle aches are a known effect of statins, and adding a fibrate makes muscle problems a little more likely. Severe pain, weakness or dark urine is an emergency – stop the tablet and see a doctor the same day.

Is Tonact-TG safe in pregnancy?

No. Both atorvastatin and fenofibrate are avoided in pregnancy and breastfeeding. Use contraception and tell your doctor if you are planning a baby.

Can I take Stator-F with Ecosprin or clopidogrel?

Yes, these are often prescribed together after a heart problem. The one to be careful with is warfarin or acitrom, where bleeding tests need closer monitoring.

Can I take Tonact-TG if I have kidney disease?

Tell your doctor your creatinine value first. Fenofibrate accumulates in kidney disease, so the dose may need lowering or a different medicine chosen.

How long will I have to take Tonact-TG?

Usually long term, because cholesterol and triglycerides rise again when you stop. Your doctor reviews the need every few months with a lipid profile and liver tests.

Do I still need to diet if I am on Atorva TG?

Yes. A low-fat, low-sugar diet, less alcohol and regular walking are what control triglycerides most; the tablet adds to that, not replaces it.

Sources

Medyzen Editorial Team · Last updated

This page is general information, not medical advice. Do not start, stop or change a medicine without asking a doctor or pharmacist. Terms