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Fenofibrate + fatty acid is a combination therapy involving fenofibrate, a fibrate class lipid-lowering agent, and a fatty acid (typically referring to omega-3 fatty acids or similar agents). Fenofibrate acts primarily as an agonist of the peroxisome proliferator-activated receptor alpha (PPARα), leading to increased lipolysis and elimination of triglyceride-rich particles from plasma by activating lipoprotein lipase and reducing apoprotein C-III production. This results in reduced total cholesterol, LDL cholesterol, VLDL cholesterol, and triglycerides while increasing HDL cholesterol. Fatty acids such as prescription omega-3s are also effective at lowering triglyceride levels through mechanisms including inhibition of hepatic very-low-density lipoprotein (VLDL) synthesis. The combination is used for patients with mixed dyslipidemia or severe hypertriglyceridemia who require additional reduction in triglycerides beyond what can be achieved with monotherapy[2][1].
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