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Generic Name: propafenone (proe PAH feh known)
Brand Names: Rifadin, Rimactane

Rythmol Tablets : Important Information

• In some cases, this medication has been associated with the development of new or worsening irregular heartbeats. Discuss the benefits and risks of this medication with your doctor.
• Contact your doctor immediately if you experience difficulty breathing, chest pain, chest discomfort, worsening irregular heartbeats, blurred or irregular vision, a fever, a sore throat, an infection, or unusual bruising or bleeding. These may be early signs of serious side effects.
• Do not skip doses, change your dosing schedule, or stop taking this medication without talking to your doctor. Changing your schedule could make your condition worse.
• Use caution when driving, operating machinery, or performing other hazardous activities. This medication may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.

What is Rythmol

• This medication is an antiarrhythmic. Propafenone affects heart beat rhythm.
• Used to treat irregular heartbeats.

What to Discuss before Using

• In some cases, this medication has been associated with the development of new or worsening irregular heartbeats. Discuss the benefits and risks of this medication with your doctor.
• Before taking this medication, tell your doctor if you have:
  • any other heart disease, heart problems, or a pacemaker
  • asthma, chronic obstructive pulmonary disease (COPD), or any other breathing disorder
  • liver disease
  • kidney disease
  • myasthenia gravis
• You may not be able to take this medication, or you may require a special dosage or monitoring during treatment, if you have any of the conditions listed above.
• Contact your healthcare provider during treatment with this medication if you experience excessive or prolonged diarrhea, vomiting, sweating, or loss of appetite or thirst. These conditions may cause dehydration and/ or a change in electrolyte balance in the body, and treatment with propafenone may need to be evaluated.
• This medication is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• This medication passes into breast milk and may affect a nursing baby. Do not take without first talking to your doctor if you are breast-feeding a baby.

Rythmol Dosage Method

• Take exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Can be taken with or without food.
• Do not crush, chew, or break the Rythmol SR capsules. They are specially formulated to release the medication slowly in the body.
• Do not skip doses, change your dosing schedule, or stop taking this medication without talking to your doctor. Changing your schedule could make your condition worse.
• Contact your healthcare provider during treatment if you experience excessive or prolonged diarrhea, vomiting, sweating, or loss of appetite or thirst. These conditions may cause dehydration and/ or a change in electrolyte balance in the body, and treatment with this medication may need to be evaluated.
• Store at room temperature away from moisture and heat.

Miss a dose: Problems?

It is important to not miss doses of this medication. If you do miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be dangerous.

Rythmol Overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an overdose include tiredness, dizziness, fainting, confusion, slow heart beats, seizures, and a worsening irregular heartbeat.

Avoid During Treatment

Use caution when driving, operating machinery, or performing other hazardous activities. This medication may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities.

Rythmol Side Effects

• Contact your doctor immediately if you experience difficulty breathing, chest pain, chest discomfort, worsening irregular heartbeats, blurred or irregular vision, a fever, a sore throat, an infection, or unusual bruising or bleeding. These may be early signs of serious side effects.
• If you experience any of the following serious side effects, stop taking this medication and seek emergency medical attention:
  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives)
  • new or worsening irregular heartbeats
  • chest pain or chest discomfort
  • shortness of breath
  • swelling of the legs or ankles
  • unusual bruising or bleeding
  • fever, sore throat, sore mouth, mouth ulcers, or an infection
• Other, less serious side effects may be more likely to occur. Continue to take this medication and talk to your doctor if you experience:
  • dizziness or tiredness
  • upset stomach, vomiting, decreased appetite, or constipation
  • headache or blurred vision
  • changes in taste
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs to avoid while undergoing treatment

• Before taking this medication, tell your doctor if you are taking any of the following medicines:
  • a beta-blocker such as acebutolol (Sectral), metoprolol (Lopressor, Toprol XL), propranolol (Inderal), atenolol (Tenormin), carvedilol (Coreg), betaxolol (Kerlone), carteolol (Cartrol), labetalol (Normodyne, Trandate), nadolol (Corgard), or pindolol (Visken)
  • a barbiturate such as phenobarbital (Solfoton, Luminal), mephobarbital (Mebaral), pentobarbital (Nembutal), or secobarbital (Seconal)
  • a tricyclic antidepressant such as amitriptyline (Elavil, Endep), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others
  • a local anesthetic (used to cause numbness before procedures such as surgery or dental work)
  • an HIV protease inhibitor such as ritonavir (Norvir), nelfinavir (Viracept), indinavir (Crixivan), and others;
  • digoxin (Lanoxin, Lanoxicaps)
  • cyclosporine (Sandimmune, Neoral)
  • rifampin (Rimactane, Rifadin)
  • cimetidine (Tagamet, Tagamet HB)
  • quinidine (Quinaglute, Quinidex)
  • warfarin (Coumadin)
  • theophylline (Theo-Dur, Theolair, Elixophyllin, Slo-Phyllin, others)
  • sparfloxacin (Zagam)
  • tolterodine (Detrol, Detrol LA)
• You may not be able to take this medication, or you may require a special dosage or monitoring during treatment if you are taking any of the medicines listed above.
• Drugs other than those listed here may also interact. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products

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Rythmol drug does have irregular side effects and is therefore prescribed only for serious problems, and should be accompanied by periodic check-ups prior to and during treatment. Rythmol medication taken in excess can have serious consequences. Keep Rythmol tablets tightly closed, away from direct light, at room temperature.