Brand name:
Mexitil
Pronounced: MEX-ih-till
Generic name:
Mexiletine hydrochloride
Why is Mexitil prescribed?
Mexitil is used to treat severe irregular heartbeat (arrhythmia).
Irregular heart rhythms are generally divided into two main types:
heartbeats that are faster than normal (tachycardia) and heartbeats
that are slower than normal (bradycardia). Arrhythmias are often
caused by drugs or disease but can occur in otherwise healthy people
with no history of heart disease or other illness.
Most important fact about Mexitil
While you are taking Mexitil, your doctor should carefully
monitor your heartbeat to make sure the drug is working properly.
How should you take Mexitil?
Take Mexitil with food or an antacid. Take it exactly as
prescribed.
--If you miss a dose...
If you remember within 4 hours, take it immediately. If more than
4 hours have passed, skip the missed dose and return to your regular
schedule. Never take 2 doses at the same time.
--Storage instructions...
Store at room temperature.
Mexitil side effects
Side effects cannot be anticipated. If any develop or change in
intensity, inform your doctor as soon as possible. Only your doctor
can determine if it is safe for you to continue taking Mexitil.
- Side effects may include:
Blurred vision,
changes in sleep habits,
chest pain,
constipation,
depression,
diarrhea,
difficult or labored breathing,
dizziness,
headache,
heartburn,
light-headedness,
nausea,
nervousness,
numbness,
poor coordination,
rash,
swelling due to fluid retention,
throbbing heartbeat,
tingling or pins and needles,
tremors,
upset stomach,
vision changes,
vomiting
Why should Mexitil not be prescribed?
This drug should not be used if you have heart failure, a
heartbeat irregularity called heart block that has not been
corrected by a pacemaker, structural heart disease, or if you have
recently had a heart attack.
Special warnings about Mexitil
If you have heart block and a pacemaker Mexitil may be
prescribed, but you should be continuously monitored while taking
it.
Mexitil can aggravate low blood pressure and severe congestive
heart failure, so it will be prescribed cautiously for people with
these conditions.
You should be monitored carefully if you have liver disease or
abnormal liver function as a result of congestive heart failure.
Diets that change the pH (acid/alkaline content) of your urine
can alter the excretion of Mexitil from your body. Talk to your
doctor or pharmacist about proper diet.
Blood disorders have occurred with Mexitil use. Make sure your
doctor performs periodic blood tests while you are using this
medication.
If you have a seizure disorder, use Mexitil with caution.
Possible food and drug interactions when taking Mexitil
If Mexitil is taken with certain other drugs, the effects of
either may be increased, decreased, or altered. It is especially
important that you consult with your doctor before taking any of the
following:
Antacids such as Maalox
Caffeine products such as No-Doz
Cimetidine (Tagamet)
Other antiarrhythmic drugs such as Norpace and Quinidex
Phenobarbital
Phenytoin (Dilantin)
Rifampin (Rifadin)
Theophylline products such as Theo-Dur
Special information if you are pregnant or breastfeeding
The effects of Mexitil during pregnancy have not been adequately
studied. If you are pregnant or plan to become pregnant, inform your
doctor immediately. Mexitil appears in breast milk and could affect
a nursing infant. If Mexitil is essential to your health,
your doctor may advise you to discontinue breastfeeding until your
treatment is finished.
Recommended dosage for Mexitil
Treatment is usually begun in the hospital.
ADULTS
Overdosage
Any medication taken in excess can have serious consequences.
There have been deaths from Mexitil overdose. If you suspect an
overdose, seek medical attention immediately.
- The symptoms of Mexitil overdose may include:
Coma,
low blood pressure,
nausea,
seizures,
slow heartbeat or other heart problems,
tingling or pins and needles
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