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Indications

BEERS REMS

Unlabeled Use:

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

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

Derm: rash.

EENT: blurred vision.

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

Hemat: AGRANULOCYTOSIS.

MS: joint pain.

Neuro: dizziness, shaking, weakness.

Interactions

Drug-Drug:

Drug-Food:

Availability

(Generic available)

Route/Dosage

US Brand Names

Rythmol SR

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antiarrhythmics (class IC)

Pharmacokinetics

Absorption: 3–11% absorbed following oral administration.

Distribution: Widely distributed to tissues.

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

Half-life: Extensive metabolizers: 2–10 hr; Slow metabolizers: 10–32 hr.

Canadian Brand Names

Rythmol

Time/Action Profile

(antiarrhythmic effects)

ROUTEONSETPEAKDURATION
POhr–days4–5 dayshr

†Chronic dosing.

Patient/Family Teaching

Pronunciation

pro-PAF-en-one

Code

NDC Code*