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At a glance

Propafenone Hydrochloride is a class 1C antiarrhythmic drug used for the treatment of paroxysmal atrial fibrillation/flutter, paroxysmal supraventricular tachycardia, and documented ventricular arrhythmias.

Indications
  • Paroxysmal atrial fibrillation/flutter (PAF)
  • Paroxysmal supraventricular tachycardia (PSVT)
  • Documented ventricular arrhythmias
Pharmacology

Propafenone slows sodium ion influx into cardiac muscle cells, decreasing cell excitability. It is more selective for cells with a high rate, but also blocks normal cells more than class Ia or Ib. It has additional beta-adrenergic blocking activity which can cause bradycardia and bronchospasm.

Dosage

Adult Dose (Oral):

  • Initial dose: 150 mg three times daily (450 mg/day)
  • May increase at 3-4 day intervals to 225 mg three times daily (675 mg/day); if needed, to 300 mg three times daily (900 mg/day)
  • Max dose: 900 mg/day
  • Patients <70 kg: Dose reduction recommended
  • Elderly and hepatic impairment: Dose reduction recommended
Side effects

Side Effects:

  • Change in taste
  • Constipation
  • Diarrhea
  • Dizziness
  • Drowsiness
  • Dry mouth
  • Headache
  • Nausea
  • Tiredness
  • Abdominal pain
  • Blurred vision
  • Palpitations
  • Shortness of breath
Use in pregnancy

Use in Pregnancy: May be unsafe during pregnancy; animal studies have shown harmful effects; use only if benefit outweighs risk.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • May affect driving ability; do not drive if tired, dizzy, or have blurred vision
  • Do not stop abruptly
  • Monitor liver function
  • Monitor potassium and sodium levels
Overdose effects

No overdose information available; consult your doctor if taken in excess.

Storage conditions

Store at 25°C; store in a cool and dry place, protected from light; keep out of reach of children.

Propafenone Hydrochloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.