Flecainide Coupons & Discount Card – Guaranteed Prices from $8.29
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100MG, Flecainide (30 Tablets)
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CVS
$20.70
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Walmart
$8.29
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Rite Aid
$9.09
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Walgreens
$19.30
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$8.29
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Flecainide dosage forms
| Dosage | Quantity | Price from | Per unit |
|---|---|---|---|
| 100MG | 30 Tablets | $8.29 | $0.28 |
| 150MG | 30 Tablets | $12.27 | $0.41 |
| 50MG | 30 Tablets | $6.12 | $0.2 |
Flecainide Warnings
Flecainide is a medication used to treat certain types of irregular heartbeats. However, it comes with specific safety considerations and warnings that must be understood to ensure its safe use. Below are important points regarding its use, potential risks, and precautions:
Potential Risks: While beneficial for irregular heartbeats, flecainide can sometimes cause new, serious arrhythmias. It is particularly risky after a recent heart attack, as shown in the Cardiac Arrhythmia Suppression Trial (CAST), which highlighted increased mortality risks in such cases.
Monitoring Requirements: Due to the potential for proarrhythmic effects (new abnormal heart rhythms), flecainide should be initiated in a hospital setting where close monitoring is possible. This is especially important for individuals with sustained ventricular arrhythmia. Regular lab tests and EKGs are crucial to prevent severe complications.
Heart Failure Caution: Those with heart failure must use flecainide under the stringent supervision of a heart specialist. The medication can exacerbate heart failure symptoms, necessitating careful adjustment of other heart medications.
Delayed Heart Rhythms: Flecainide can sometimes lead to slowed heart rhythms. Patients should be vigilant for symptoms such as a slow pulse, chest pain, or faintness. Immediate medical attention is required if these occur.
Drug Interactions: Flecainide can interact with numerous medications, including digoxin, which may alter the effects of either drug. To prevent harmful interactions, it's vital to inform healthcare providers of all medications being taken.
Special Population Guidance: Those with persistent atrial fibrillation/flutter should not use flecainide unless advised by a healthcare professional. Patients with heart block or sick sinus syndrome should also be cautious.
In cases of overdose or severe side effects, seek emergency medical help immediately. Always consult with your healthcare provider to discuss the benefits and risks of flecainide for your specific condition and ensure safe usage.
Flecainide Side Effects
Common side effects:
- Dizziness
- Vision changes
- Headaches
- Nausea
- Tiredness
- Feelings of weakness
Less common but important to monitor:
- Shortness of breath
- Palpitations
- Chest pain
- Tremors
- Constipation
- Abdominal pain
- Fluid retention causing swelling
- Lack of energy
- Vomiting
- Diarrhea
- Poor appetite
- Rashes
- Double vision
- Tingling or numbness
- Flushed skin
- Sweating
- Sleepiness
- Ringing in the ears
- Anxiety
- Insomnia
- Depression
Serious side effects:
- Significant changes in heart rhythm
- Symptoms indicating worsening heart failure
- Severe allergic reaction
Flecainide Interactions
Interactions with high risk of serious adverse effects and should be avoided:
- Bepridil
- Cisapride
- Dronedarone
- Levomethadyl
- Mesoridazine
- Pimozide
- Piperaquine
- Ritonavir
- Saquinavir
- Sparfloxacin
- Terfenadine
- Thioridazine
- Tipranavir
- Vernakalant
- Ziprasidone
Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:
- Amiodarone
- Dofetilide
- Procainamide
- Quinidine
- Sotalol
- Erythromycin
- [Cimetidine](https://savehealth.com/cimetidine)
- Fluconazole
- Phenytoin
- Phenobarbital
- Cimetidine
- Digoxin
- Paroxetine
- Propranolol
- Verapamil
Why is flecainide high risk?
Flecainide is considered high risk primarily due to its potential to cause serious side effects, including proarrhythmic effects, which means it can sometimes worsen or cause new arrhythmias. It can also affect heart function, particularly in individuals with structural heart disease or a history of heart failure. Additionally, it requires careful monitoring of blood levels and heart rhythm to ensure safe use. These factors contribute to its classification as a high-risk medication.
Why does flecainide have a black box warning?
Flecainide has a black box warning because it has been associated with an increased risk of mortality in patients with non-life-threatening ventricular arrhythmias. The warning highlights that flecainide should be used with caution and is generally reserved for patients with life-threatening arrhythmias, as the risks may outweigh the benefits in less severe cases. Additionally, it can exacerbate existing arrhythmias or cause new ones, particularly in patients with structural heart disease.
Is it necessary to take metoprolol with flecainide?
It is not always necessary to take metoprolol with flecainide, but they are often prescribed together. Flecainide can increase the risk of certain types of arrhythmias, and metoprolol, a beta-blocker, can help mitigate this risk by controlling heart rate and rhythm. However, the necessity of taking both medications should be determined by a healthcare provider based on the individual's specific medical condition and history. It is important to follow the prescribing doctor's recommendations.
Which adverse effect is most common in a patient who is taking flecainide?
The most common adverse effect in a patient taking flecainide is dizziness. Other frequent side effects can include visual disturbances and headache. It is important for patients to report any side effects to their healthcare provider.
What are the pros and cons of flecainide?
Flecainide is an antiarrhythmic medication used to treat certain types of irregular heartbeats. Here are some pros and cons associated with its use:Pros:- Effective in treating and preventing certain types of arrhythmias, such as atrial fibrillation and supraventricular tachycardia.- Can help restore normal heart rhythm and improve symptoms related to arrhythmias.- Oral administration allows for convenient dosing.Cons:- May cause side effects such as dizziness, visual disturbances, and shortness of breath.- Not suitable for patients with certain heart conditions, such as structural heart disease or a history of heart attack, due to increased risk of serious complications.- Requires careful monitoring by a healthcare provider, including regular ECGs, to ensure safe use.- Potential for drug interactions with other medications.It is important for patients to discuss the benefits and risks of flecainide with their healthcare provider to determine if it is the appropriate treatment for their condition.