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Propafenone Hydrochloride and Xylocaine

Determining the interaction of Propafenone Hydrochloride and Xylocaine and the possibility of their joint administration.

Check result:
Propafenone Hydrochloride <> Xylocaine
Relevance: 09.12.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Propafenone minimally inhibits the hepatic metabolism of lidocaine. Increased plasma concentrations of lidocaine may entail worse nervous system side effects of longer duration. Also, the negative effects these drugs may have on myocardial contractility may be additive. The patient should be monitored for nervous system side effects such as dysgeusia, paresthesias, and light-headedness. During coadministration, hemodynamic status should be monitored and lidocaine dosage should be reduced as necessary.

References
  • Ujhelyi MR, O'Rangers EA, Fan C, Kluger J, Pharand C, Chow MS "The pharmacokinetic and pharmacodynamic interaction between propafenone and lidocaine." Clin Pharmacol Ther 53 (1993): 38-48
  • Feld GK, Nademanee K, Singh BN, Kirsten E "Hemodynamic and electrophysiologic effects of combined infusion of lidocaine and propafenone in humans." J Clin Pharmacol 27 (1987): 52-9
Propafenone Hydrochloride

Generic Name: propafenone

Brand name: Rythmol, Rythmol SR

Synonyms: Propafenone

Xylocaine

Generic Name: lidocaine

Brand name: UAD Caine, Xylocaine HCl, Xylocaine-MPF, Lidoject 1, Xylocaine Dental Cartridges, Lidoject 2, Xylocaine Duo-Trach Kit, Xylocaine HCl For Spinal, L-Caine, Dilocaine, Nervocaine, Truxacaine, Anestacaine

Synonyms: Lidocaine injection, Lidocaine (Systemic)

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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