Flecainide

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Flecainide is prescribed for treating serious irregular heartbeats, including sustained ventricular tachycardia and paroxysmal supraventricular tachycardia. Its main role is to help restore and maintain a normal heart rhythm while preventing the recurrence of certain arrhythmias, like atrial fibrillation. As an anti-arrhythmic medication, it works by blocking specific electrical signals in the heart that lead to irregular heartbeats. By managing these irregularities, Flecainide helps reduce the risk of blood clots, which consequently lowers the chances of heart attack or stroke. Older adults should consult their healthcare provider to weigh the benefits and risks of this medication, as well as explore other potentially safer treatment options.
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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

$9.12

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Walgreens

$19.30

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Flecainide savings card

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CVS

$20.70

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Flecainide dosage forms

The average cost for 30 Tablets of Flecainide () at 100MG is $8.29 with a free coupon. This is 10.12% off the average retail price of $81.9
DosageQuantityPrice fromPer unit
100MG30 Tablets$8.29$0.28
150MG30 Tablets$12.27$0.41
50MG30 Tablets$6.12$0.2

Warnings

While this medication is generally effective for individuals with irregular heartbeats, it can occasionally lead to a new, severe irregular heartbeat. At the beginning of your treatment, your physician might suggest hospitalization for appropriate observation. Flecainide is not suitable for addressing a specific irregular heartbeat condition known as persistent atrial fibrillation/flutter. Discuss with your healthcare provider the potential benefits and risks associated with taking this medication for your particular condition.

Safety Information and Warnings:

  • Potential Risks: Flecainide may cause a serious new irregular heartbeat in rare cases.
  • Precautions for Use: Initial treatment may require hospital monitoring to ensure safety.
  • Specific Populations: Not recommended for patients with persistent atrial fibrillation/flutter.
  • Interactions: Discuss any other medications you are taking with your doctor to avoid adverse interactions.
  • Emergency Actions: Seek immediate medical attention if you suspect an overdose or experience severe side effects.

Remember to always communicate with your healthcare provider regarding any concerns or questions related to your treatment.

Flecainide Side Effects

You may experience some mild side effects such as dizziness, vision issues like blurred vision or trouble focusing, headaches, nausea, shaking, tiredness, or weakness. These are generally not a cause for concern. However, if they persist or worsen, it's important to consult with a healthcare professional.

While serious side effects are uncommon, it's crucial to be aware of them. Contact your healthcare provider immediately if you experience new or worsening symptoms of heart failure, such as shortness of breath, swelling in the ankles or feet, unusual tiredness, or sudden weight gain.

Seek urgent medical attention if you encounter very serious side effects, including a faster or more irregular heartbeat, severe dizziness, or fainting. Although a severe allergic reaction to this medication is rare, it is serious. Get immediate help if you notice symptoms like a rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing.

Remember, this is not an exhaustive list of side effects. If you observe any other unusual effects, reach out to your healthcare provider for advice.

Interactions

Flecainide can interact with several medications that may impact heart rhythm, sometimes causing QT prolongation. These include drugs like Amiodarone, Dofetilide, Pimozide, procainamide, quinidine, Sotalol, and certain antibiotics such as Erythromycin. Additionally, some medications can influence how flecainide is eliminated from the body, potentially altering its effectiveness. This includes drugs such as asunaprevir, Cimetidine, Fluconazole, specific HIV protease inhibitors like tipranavir, Ritonavir, and anti-seizure medications like Phenytoin and Phenobarbital.
Flecainide FAQs
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.

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.

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.

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.

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.