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Indications

REMS

Unlabeled Use:

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CNS: dizziness, shaking, weakness.

EENT: blurred vision.

CV: SUPRAVENTRICULAR ARRHYTHMIA, VENTRICULAR ARRHYTHMIAS, conduction disturbances, angina, bradycardia, hypotension.

GI: altered taste, constipation, nausea, vomiting, diarrhea, dry mouth.

Hemat: AGRANULOCYTOSIS.

Derm: rash.

MS: joint pain.

Interactions

Drug-Drug:

Drug-Food:

Availability

(Generic available)

Route/Dosage

US Brand Names

Rythmol, Rythmol SR

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antiarrhythmics (class IC)

Pharmacokinetics

Absorption: Although well absorbed following oral administration, undergoes rapid hepatic metabolism (bioavailability 3–11%).

Distribution: Widely distributed; crosses the placenta.

Metabolism/Excretion: Extensively metabolized by the liver (CYP1A2, CYP2D6, and CYP3A4 enzyme systems; the CYP2D6 enzyme system exhibits genetic polymorphism), some metabolites have antiarrhythmic activity. 7% of population may be poor metabolizers and may have significantly propafenone concentrations and an risk of adverse effects.

Half-life: 2–10 hr in extensive metabolizers, 10–32 hr in slow metabolizers.

Time/Action Profile

(antiarrhythmic effects)

ROUTEONSETPEAKDURATION
POhr–days4–5 dayshr

†Chronic dosing.

Patient/Family Teaching

Pronunciation

proe-PAFF-e-nown audio

Code

NDC Code*