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Procanbid (Procainamide Hydrochloride) - Summary

 


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WARNINGS:

Positive ANA Titer: The prolonged administration of procainamide often leads to the development of a positive antinuclear antibody (ANA) test, with or without symptoms of a lupus erythematosus-like syndrome. If a positive ANA titer develops, the benefits versus risks of continued procainamide therapy should be assessed.

 

PROCANBID SUMMARY

Procanbid®
(Procainamide Hydrochloride Extended-Release Tablets*)

Procanbid® (Procainamide Hydrochloride Extended-Release Tablets), a Group 1A cardiac antiarrhythmic drug, is p-amino-N-[2-(diethylamino) ethyl] benzamide monohydrochloride, molecular weight 271.

Procanbid® tablets are indicated for the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, that in the judgment of the physician are life-threatening. Because of the proarrhythmic effects of procainamide, its use with lesser arrhythmias is generally not recommended. Treatment of patients with asymptomatic ventricular premature depolarizations should be avoided.

Initiation of procainamide treatment, as with other antiarrhythmic agents used to treat life-threatening arrhythmias, should be carried out in the hospital.

Antiarrhythmic drugs have not been shown to enhance survival in patients with ventricular arrhythmias.

Because procainamide has the potential to produce serious hematologic disorders (0.5%), particularly leukopenia or agranulocytosis (sometimes fatal), its use should be reserved for patients in whom, in the opinion of the physician, the benefits of treatment clearly outweigh the risks. (See WARNINGS and Boxed Warning.)


See all Procanbid indications & dosage >>

PROCANBID NEWS HIGHLIGHTS

Published Studies Related to Procanbid (Procainamide)

Levofloxacin and ciprofloxacin decrease procainamide and N-acetylprocainamide renal clearances. [2005.04]

Transesophageal pacemaker therapy in atrial flutter after procainamide pretreatment. [1999.09]

Comparison of propafenone versus procainamide for the acute treatment of atrial fibrillation after cardiac surgery. [1999.08.01]

Propafenone versus procainamide for conversion of atrial fibrillation to sinus rhythm. [1998.10]

Conversion efficacy and safety of intravenous ibutilide compared with intravenous procainamide in patients with atrial flutter or fibrillation. [1998.05]

more >>

Clinical Trials Related to Procanbid (Procainamide)

Iv Amiodarone Versus Iv Procainamide to Treat Haemodynamically Well Tolerated Ventricular Tachycardia [Recruiting]

Ajmaline Utilization in the Diagnosis and Treatment of Cardiac Arrhythmias [Not yet recruiting]

Cardiac Arrest in Seattle: Conventional Versus Amiodarone Drug Evaluation (CASCADE) [Completed]

Electrophysiologic Study Versus Electrocardiographic Monitoring (ESVEM) [Completed]

Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) [Completed]

more >>

Page last updated: 2007-05-02

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