From Wikipedia, the free encyclopedia
Mr. Ibrahem/Flecainide
Skeletal formula of flecainide
Ball-and-stick model of the flecainide molecule
Clinical data
Pronunciation /flɛˈknd/ flek-AY-nyde
Trade namesTambocor, others
AHFS/ Drugs.com Monograph
MedlinePlus a608040
Pregnancy
category
  • C
Drug class Ic antiarrhythmic [1]
Legal status
Legal status
Pharmacokinetic data
Bioavailability95%
Protein binding40%
Metabolism CYP2D6 (limited)
Elimination half-life20 hours (range 12–27 hours)
ExcretionKidney
Identifiers
  • (RS)-N-(piperidin-2-ylmethyl)-2,5-bis(2,2,2-trifluoroethoxy)benzamide
Chemical and physical data
FormulaC17H20F6N2O3
Molar mass414.348 g·mol−1
3D model ( JSmol)
Chirality Racemic mixture
  • FC(F)(F)COc2cc(C(=O)NCC1NCCCC1)c(OCC(F)(F)F)cc2
  • InChI=1S/C17H20F6N2O3/c18-16(19,20)9-27-12-4-5-14(28-10-17(21,22)23)13(7-12)15(26)25-8-11-3-1-2-6-24-11/h4-5,7,11,24H,1-3,6,8-10H2,(H,25,26) checkY
  • Key:DJBNUMBKLMJRSA-UHFFFAOYSA-N checkY
 ☒NcheckY  (what is this?)   (verify)

Flecainide is a medication used to prevent and treat abnormally fast heart rates. [1] This includes ventricular and supraventricular tachycardias. [1] Its use is only recommended in those with dangerous arrhythmias or when significant symptoms cannot be managed with other treatments. [1] Its use does not decrease a person's risk of death. [1] It is taken by mouth or injection into a vein. [1] [3]

Common side effects include dizziness, problems seeing, shortness of breath, chest pain, and tiredness. [1] Serious side effects may include cardiac arrest, arrhythmias, and heart failure. [1] It may be used in pregnancy, but has not been well studied in this population. [3] [4] Use is not recommended in those with structural heart disease or ischemic heart disease. [1] Flecainide is a class Ic antiarrhythmic agent. [1] It works by decreasing the entry of sodium in heart cells, causing prolongation of the cardiac action potential. [1]

Flecainide was approved for medical use in the United States in 1985. [1] It is available as a generic medication. [3] A month supply in the United Kingdom costs the NHS about £7.68 as of 2019. [3] In the United States the wholesale cost of this amount is about 18.60 USD. [5] In 2017, it was the 289th most commonly prescribed medication in the United States, with more than one million prescriptions. [6] [7]


References

  1. ^ a b c d e f g h i j k l "Flecainide Acetate Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Archived from the original on 28 August 2021. Retrieved 7 April 2019.
  2. ^ Cite error: The named reference WHO2020DDD was invoked but never defined (see the help page).
  3. ^ a b c d British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 103. ISBN  9780857113382.
  4. ^ "Flecainide (Tambocor) Use During Pregnancy". Drugs.com. Archived from the original on 28 August 2021. Retrieved 7 April 2019.
  5. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 2019-03-06. Retrieved 3 March 2019.
  6. ^ "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020.
  7. ^ "Flecainide Acetate - Drug Usage Statistics". ClinCalc. Archived from the original on 28 August 2021. Retrieved 11 April 2020.
From Wikipedia, the free encyclopedia
Mr. Ibrahem/Flecainide
Skeletal formula of flecainide
Ball-and-stick model of the flecainide molecule
Clinical data
Pronunciation /flɛˈknd/ flek-AY-nyde
Trade namesTambocor, others
AHFS/ Drugs.com Monograph
MedlinePlus a608040
Pregnancy
category
  • C
Drug class Ic antiarrhythmic [1]
Legal status
Legal status
Pharmacokinetic data
Bioavailability95%
Protein binding40%
Metabolism CYP2D6 (limited)
Elimination half-life20 hours (range 12–27 hours)
ExcretionKidney
Identifiers
  • (RS)-N-(piperidin-2-ylmethyl)-2,5-bis(2,2,2-trifluoroethoxy)benzamide
Chemical and physical data
FormulaC17H20F6N2O3
Molar mass414.348 g·mol−1
3D model ( JSmol)
Chirality Racemic mixture
  • FC(F)(F)COc2cc(C(=O)NCC1NCCCC1)c(OCC(F)(F)F)cc2
  • InChI=1S/C17H20F6N2O3/c18-16(19,20)9-27-12-4-5-14(28-10-17(21,22)23)13(7-12)15(26)25-8-11-3-1-2-6-24-11/h4-5,7,11,24H,1-3,6,8-10H2,(H,25,26) checkY
  • Key:DJBNUMBKLMJRSA-UHFFFAOYSA-N checkY
 ☒NcheckY  (what is this?)   (verify)

Flecainide is a medication used to prevent and treat abnormally fast heart rates. [1] This includes ventricular and supraventricular tachycardias. [1] Its use is only recommended in those with dangerous arrhythmias or when significant symptoms cannot be managed with other treatments. [1] Its use does not decrease a person's risk of death. [1] It is taken by mouth or injection into a vein. [1] [3]

Common side effects include dizziness, problems seeing, shortness of breath, chest pain, and tiredness. [1] Serious side effects may include cardiac arrest, arrhythmias, and heart failure. [1] It may be used in pregnancy, but has not been well studied in this population. [3] [4] Use is not recommended in those with structural heart disease or ischemic heart disease. [1] Flecainide is a class Ic antiarrhythmic agent. [1] It works by decreasing the entry of sodium in heart cells, causing prolongation of the cardiac action potential. [1]

Flecainide was approved for medical use in the United States in 1985. [1] It is available as a generic medication. [3] A month supply in the United Kingdom costs the NHS about £7.68 as of 2019. [3] In the United States the wholesale cost of this amount is about 18.60 USD. [5] In 2017, it was the 289th most commonly prescribed medication in the United States, with more than one million prescriptions. [6] [7]


References

  1. ^ a b c d e f g h i j k l "Flecainide Acetate Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Archived from the original on 28 August 2021. Retrieved 7 April 2019.
  2. ^ Cite error: The named reference WHO2020DDD was invoked but never defined (see the help page).
  3. ^ a b c d British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 103. ISBN  9780857113382.
  4. ^ "Flecainide (Tambocor) Use During Pregnancy". Drugs.com. Archived from the original on 28 August 2021. Retrieved 7 April 2019.
  5. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 2019-03-06. Retrieved 3 March 2019.
  6. ^ "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020.
  7. ^ "Flecainide Acetate - Drug Usage Statistics". ClinCalc. Archived from the original on 28 August 2021. Retrieved 11 April 2020.

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