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Interações medicamentosas

Flecainide + Thioridazine

Gravidade: Contraindicada

Flecainide and Thioridazine: contraindicated interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

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Resumo

Thioridazine markedly prolongs the QT interval, and inhibits CYP2D6, which can raise flecainide levels. The combination carries a high risk of torsades de pointes and sudden cardiac death.

O que esta interação significa em palavras simples

Flecainide and Thioridazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Flecainide belongs to Cardiovascular; Thioridazine belongs to Central Nervous System.

Nível de evidência: Moderate

Por que acontece

Additive QT prolongation and conduction effects plus CYP2D6 inhibition by thioridazine reducing flecainide clearance.

O que fazer

Do not use together; choose a different antipsychotic with lower QT liability. If a patient is already on both, stop one under cardiac monitoring.

O que perguntar ao farmacêutico

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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Perguntas frequentes

Can I take Flecainide with Thioridazine?

MediHelp rates the interaction as contraindicated. Flecainide and Thioridazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Thioridazine markedly prolongs the QT interval, and inhibits CYP2D6, which can raise flecainide levels. The combination carries a high risk of torsades de pointes and sudden cardiac death.

How serious is the interaction between Flecainide and Thioridazine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose a different antipsychotic with lower QT liability. If a patient is already on both, stop one under cardiac monitoring.

What other medicines interact with Flecainide?

MediHelp also lists interactions of Flecainide with, for example, Nirmatrelvir, Nirmatrelvir / ritonavir, Pimozide. The full list is on the Flecainide page.

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