Flecainide for irregular heartbeats
Revisado por pares por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 2 Jun 2024
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Flecainide is used to treat irregular heartbeats.
The treatment will usually be started for you in hospital by a heart specialist.
It may make you feel dizzy at first. Other side-effects include blurred vision and a lack of energy.
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Flecainide is a medicine used to treat irregular heart rhythms.
It works by helping to correct irregular heartbeats to a normal rhythm and slowing an overactive heart.
Take flecainide tablets twice a day, around the same times, before or after food.
Tell your doctor if you have other heart problems, or kidney or liver issues.
Do not drive or use machines if you experience blurred vision or dizziness.
Contact your doctor if you have breathing difficulties, chest pain, feel hot, or feel faint.
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About flecainide
Tipo de medicamento | An anti-arrhythmic medicine |
Usado para | Irregular heartbeats |
Disponible como | Tabletas y inyección |
Flecainide is used to treat arritmias. An arrhythmia is an irregularity in your heartbeat, which causes your heart to skip a beat, beat unevenly or beat very fast or very slowly.
Flecainide works by correcting irregular heartbeats to a normal rhythm and by slowing an overactive heart. It will be prescribed for you by a heart specialist doctor. There are two strengths of tablet available (50 mg and 100 mg).
Before taking flecainide
Volver al contenidoSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking flecainide it is important that your doctor knows:
If you have a pacemaker fitted or if you have any heart problems other than your abnormal heart rhythm. In particular, let your doctor know if you have heart failure, or if you have had a heart attack.
Si tienes algún problema con el funcionamiento de tu hígado, o algún problema con el funcionamiento de tus riñones.
Si estás embarazada o amamantando.
Si está tomando o usando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.
Si alguna vez has tenido una reacción alérgica a un medicamento.
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How to take flecainide
Volver al contenidoBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about flecainide and will provide you with a full list of the side-effects which you may experience from taking it.
Your doctor will tell you what the right dose of flecainide is for you. The dose may need to be adjusted as your symptoms become controlled, so make sure you take flecainide exactly as your doctor tells you to. Flecainide tablets are usually taken twice each day. Your dose will be printed on the label of the pack to remind you about what the doctor said to you.
Try to take your doses around the same times of day, as this will help you to remember to take them regularly.
You can take flecainide tablets either before or after food.
Si olvida tomar una dosis, omita la dosis olvidada pero asegúrese de recordar tomar su próxima dosis cuando corresponda. No tome dos dosis juntas para compensar una dosis olvidada.
Obteniendo el máximo de tu tratamiento
Volver al contenidoTry to keep your regular appointments with your doctor. This is so your doctor can check your heart rhythm and monitor your progress.
Treatment with flecainide is usually long-term unless you experience an adverse effect. You should continue to take it unless you are advised otherwise by your doctor.
If you are having an operation or any medical/dental treatment, remember to tell the person carrying out the treatment that you are taking flecainide. This is because it can interfere with some local anaesthetics and increase the risk of side-effects.
If you buy any medicines 'over the counter', always check with a pharmacist that they are suitable for you to take alongside your other medicines. A medicine called cimetidine (which is taken to reduce stomach acid) can interfere with flecainide.
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Can flecainide cause problems?
Volver al contenidoAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with flecainide. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common flecainide side-effects (these affect more than 1 in 10 people) | ¿Qué puedo hacer si experimento esto? |
Blurred or double vision, feeling dizzy | No conduzca y no utilice herramientas o máquinas |
Common flecainide side-effects (estos afectan a menos de 1 de cada 10 personas) | ¿Qué puedo hacer si experimento esto? |
Feeling weak or tired, lack of energy, fluid retention (causing swollen hands or feet) | Si es problemático, hable con su médico |
Importante: there have been reports of flecainide causing unwanted heartbeat changes in some people. This has caused symptoms such as difficulties with breathing, chest pain, feeling hot and feeling faint. If you experience any of these symptoms, you should contact your doctor for advice straightaway.
If you experience any other symptoms which you think may be due to flecainide, speak with your doctor or pharmacist for further advice.
How to store flecainide
Volver al contenidoMantenga todos los medicamentos fuera del alcance y la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Volver al contenidoInformación importante sobre todos los medicamentos
Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.
Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.
No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.
Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.
Informar efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede reportarlos en línea a través de Sitio web de Yellow Card.

¿Inseguro sobre mezclar medicamentos?
Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.
Preguntas frecuentes
What kind of heart conditions does flecainide treat?
Flecainide is specifically prescribed for arrhythmias, which are irregularities in your heartbeat. This includes situations where your heart might skip a beat, beat unevenly, too fast, or too slowly, and it works by helping to restore a normal heart rhythm or slow down an overactive heart.
Why is it important for my doctor to know about my other health conditions before I start flecainide?
It's important for your doctor to know about other health conditions because some medicines aren't suitable for certain conditions, or might need extra care. For flecainide, in particular, your doctor needs to know if you have a pacemaker, other heart problems (like heart failure or a past heart attack), or issues with your liver or kidneys. This helps ensure the medicine is safe and appropriate for you.
Can I take flecainide with other medicines?
You should tell your doctor about all other medicines you are taking, including those bought without a prescription, and herbal or complementary medicines. For example, a medicine called cimetidine, used for stomach acid, can interfere with flecainide. Always check with a pharmacist if buying over-the-counter medicines to ensure they are suitable to take with flecainide.
How often will I need to see my doctor while taking flecainide?
You should try to keep your regular appointments with your doctor while taking flecainide. These appointments are important so your doctor can regularly check your heart rhythm and monitor how you are progressing with the treatment.
What should I do if I forget to take a dose of flecainide?
If you forget a dose of flecainide, you should leave out the missed dose completely. Then, just make sure to take your next dose when it is due. Do not take two doses together to try and make up for the one you missed.
Are there any activities I should avoid if I experience side-effects like blurred vision or dizziness?
If you experience side-effects such as blurred or double vision, or if you feel dizzy, it's important not to drive a car or operate any tools or machinery. These common side-effects can affect your ability to perform these activities safely.
How should I store flecainide tablets at home?
You should keep all flecainide tablets out of the reach and sight of children. Store them in a cool, dry place, away from any direct heat and light, to ensure they remain effective.
Lecturas adicionales y referencias
- Manufacturer's PIL, Flecainide acetate 50 mg and 100 mg tablets; Tillomed Laboratories ltd, The electronic Medicines Compendium. Dated March 2023.
- Medicamentos Completos BNF 89ª Edición; Asociación Médica Británica y Sociedad Real de Farmacia de Gran Bretaña, Londres.
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Sobre el autorVer biografía completa

Michael Stewart, MRPharmS
Gerente de Revisión de Folletos de Medicamentos – Contratista, Farmacéutico
BPharm (Hons), MRPharmS
Michael es un farmacéutico comunitario que ejerce en Midlands y South Yorkshire con más de 20 años de experiencia asesorando sobre medicamentos y condiciones médicas. Tiene una sólida formación en capacitación en atención médica, habiendo producido e impartido cursos de formación para equipos de farmacia y personal de entornos de atención residencial, incluidas enfermeras. También ha contribuido a juntas asesoras de farmacia para la gestión de condiciones de baja gravedad en la comunidad.
Acerca del revisor

Sid Dajani
Sultan Dajani se graduó en la Escuela de Farmacia de Londres en 1994 y se convirtió en el miembro más joven elegido para el consejo de la Sociedad Real de Farmacia desde su fundación en 1842.
Historial del artículo
La información en esta página está escrita y revisada por pares por clínicos calificados.
Próxima revisión: 17 de mayo de 2027
2 Jun 2024 | Última versión

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