What is propafenone prescribed for?

What is propafenone prescribed for?

Propafenone is used to prevent irregular heartbeats such as atrial fibrillation (AF) from occurring again in patients who do not have structural heart disease. Propafenone belongs to the group of medicines known as antiarrhythmics. It works directly on the heart tissue and will slow the nerve impulses in the heart.

Is propafenone contraindicated in heart failure?

Do not offer class 1c antiarrhythmic drugs such as flecainide or propafenone to people with known ischaemic or structural heart disease.

What class antiarrhythmic is propafenone?

Propafenone is a Class 1C antiarrhythmic drug with local anesthetic effects, and a direct stabilizing action on myocardial membranes. The electrophysiological effect of propafenone manifests itself in a reduction of upstroke velocity (Phase 0) of the monophasic action potential.

Does propafenone cause bradycardia?

Propafenone toxicity manifests itself in a variety of clinical manifestations, both cardiac and extracardiac. Propafenone toxicity is commonly associated with sinus bradycardia, rapid ventricular rates, nausea, and dizziness, according to the literature.

Who should not take propafenone?

You should not use propafenone if you have heart failure, Brugada syndrome, sick sinus syndrome, AV block (without a pacemaker), severe low blood pressure, very slow heartbeats, a severe electrolyte imbalance, shortness of breath, or if you recently had a heart attack.

Can you take propafenone with metoprolol?

Using metoprolol and propafenone together can lower your blood pressure and slow your heart rate. This can cause a slow heartbeat, headaches, arrhythmias, mental status changes, dizziness, or feeling like you might pass out. If you take both medications together, tell your doctor if you have any of these symptoms.

Is propafenone a beta blocker?

Is propafenone (Rythmol) a beta-blocker? Propafenone (Rythmol) doesn’t belong to the class of medications called beta-blockers. It does have some beta-blocking effects, though, so you’ll need to be careful taking it with beta-blockers (medications that end in -olol such as metoprolol (Lopressor) or carvedilol (Coreg)).

Can I take propafenone with metoprolol?

Does propafenone affect heart rate?

Irregular heart rate warning Propafenone can cause new or worsened irregular heart rate problems. These are called proarrhythmic effects. They can be fatal. Your doctor will do an electrocardiogram test to check how well your heart is working before and during treatment with propafenone.

What is an alternative to propafenone?

The shortage of propafenone may have led to the shortfall of flecainide. For instance, medSask, a Saskatchewan drug information program, was recommending flecainide as an alternative to propafenone when that drug ran out, says Carmen Bell, a pharmacist with the service.

Does propafenone raise blood pressure?

Use the medicine exactly as directed. You may take propafenone with or without food. You may have very low blood pressure while taking this medication.

Can you take propafenone as needed?

Adults—At first, 225 milligrams (mg) every 12 hours. Your doctor may adjust your dose as needed. However, the dose is usually not more than 425 mg every 12 hours. Children—Use and dose must be determined by your doctor.