Drug interactions
Galantamine + Procainamide
Severity: Minor
Galantamine and Procainamide: minor interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Procainamide has weak anticholinergic-like activity and can theoretically oppose the effect of cholinesterase inhibitors. Both drugs can also affect cardiac conduction, since galantamine may cause bradycardia.
What this interaction means in plain words
Galantamine and Procainamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Pharmacodynamic antagonism of cholinergic effects, with possible additive effects on cardiac conduction.
What to do
Monitor heart rate and ECG in patients with conduction disease, and reassess galantamine response.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Galantamine and Procainamide, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Galantamine
- Galantamine + Memantine-donepezil Major
- Galantamine + Physostigmine Major
- Galantamine + Ponesimod Major
- Galantamine + Rivastigmine Major
- Amifampridine + Galantamine Moderate
- Amiodarone + Galantamine Moderate
Frequently asked questions
Can I take Galantamine with Procainamide?
MediHelp rates the interaction as minor. Galantamine and Procainamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Procainamide has weak anticholinergic-like activity and can theoretically oppose the effect of cholinesterase inhibitors. Both drugs can also affect cardiac conduction, since galantamine may cause bradycardia.
How serious is the interaction between Galantamine and Procainamide?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate and ECG in patients with conduction disease, and reassess galantamine response.
What other medicines interact with Galantamine?
MediHelp also lists interactions of Galantamine with, for example, Memantine-donepezil, Physostigmine, Ponesimod. The full list is on the Galantamine page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
