Quốc gia: Hoa Kỳ
Ngôn ngữ: Tiếng Anh
Nguồn: NLM (National Library of Medicine)
FLECAINIDE ACETATE (UNII: M8U465Q1WQ) (FLECAINIDE - UNII:K94FTS1806)
AvKARE, Inc.
FLECAINIDE ACETATE
FLECAINIDE ACETATE 50 mg
ORAL
PRESCRIPTION DRUG
In patients without structural heart disease, flecainide is indicated for the prevention of - paroxysmal supraventricular tachycardias (PSVT), including atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia and other supraventricular tachycardias of unspecified mechanism associated with disabling symptoms - paroxysmal atrial fibrillation/flutter (PAF) associated with disabling symptoms Flecainide is also indicated for the prevention of - documented ventricular arrhythmias, such as sustained ventricular tachycardia (sustained VT), that in the judgment of the physician, are lifethreatening. Use of flecainide for the treatment of sustained VT, like other antiarrhythmics, should be initiated in the hospital. The use of flecainide is not recommended in patients with less severe ventricular arrhythmias even if the patients are symptomatic. Because of the proarrhythmic effects of flecainide, its use should be reserved for patients in whom, in the opinion
Flecainide acetate tablets are available as follows: 50 mg White, round tablets debossed with “AN” above “641” on one side and plain on other side. Bottles of 100 NDC 42291-293-01 100 mg White, round tablets debossed with “AN” above “642” with a single-line bisect separating them on one side and plain on other side. Bottles of 100 NDC 42291-294-01 150 mg White, oval tablets debossed with “AN” above “643” with a single-line bisect separating them on one side and plain on other side. Bottles of 100 NDC 42291-295-01 Store at 20° to 25°C (68° to 77°F)(see USP controlled room temperature).
Abbreviated New Drug Application
FLECAINIDE ACETATE- FLECAINIDE ACETATE TABLET AVKARE, INC. ---------- FLECAINIDE ACETATE TABLETS, USP RX ONLY DESCRIPTION Flecainide acetate is an antiarrhythmic drug available in tablets of 50, 100, or 150 mg for oral administration. Flecainide acetate is benzamide, N-(2-piperidinylmethyl)-2,5-bis(2,2,2-trifluoroethoxy)-, monoacetate. The structural formula is given below. Molecular formula: C H F N O •C H O Molecular weight: 474.40 Flecainide acetate is a white crystalline substance with a pK of 9.3. It has an aqueous solubility of 48.4 mg/mL at 37°C. Flecainide acetate tablets also contain the following inactive ingredients: croscarmellose sodium, microcrystalline cellulose and magnesium stearate. CLINICAL PHARMACOLOGY Flecainide has local anesthetic activity and belongs to the membrane stabilizing (Class 1) group of antiarrhythmic agents; it has electrophysiologic effects characteristic of the IC class of antiarrhythmics. ELECTROPHYS IOLOGY In man, flecainide produces a dose-related decrease in intracardiac conduction in all parts of the heart with the greatest effect on the His-Purkinje system (H-V conduction). Effects upon atrioventricular (AV) nodal conduction time and intra-atrial conduction times, although present, are less pronounced than those on ventricular conduction velocity. Significant effects on refractory periods were observed only in the ventricle. Sinus node recovery times (corrected) following pacing and spontaneous cycle lengths are somewhat increased. This latter effect may become significant in patients with sinus node dysfunction. (See WARNINGS.) Flecainide causes a dose-related and plasma-level related decrease in single and multiple PVCs and can suppress recurrence of ventricular tachycardia. In limited studies of patients with a history of ventricular tachycardia, flecainide has been successful 30-40% of the time in fully suppressing the inducibility of arrhythmias by programmed electrical 17 20 6 2 3 2 4 2 a stimulation. Based on PVC suppression, it appears that plasma levels of 0. Đọc toàn bộ tài liệu