Digoxin and Flecainide interaction

Digoxin and Flecainide: the Flecainide prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Flecainide (Flecainide Acetate) label · effective 2026-02-06

Major

Concomitant negative chronotropic therapy such as digoxin or beta-blockers may lower the risk of this complication.

Boxed warningnames DigoxinView label on DailyMed
Moderate

During administration of multiple oral doses of flecainide acetate to healthy subjects stabilized on a maintenance dose of digoxin , a 13% to 19% increase in plasma digoxin levels occurred at six hours postdose.

Drug interactionsnames DigoxinView label on DailyMed
Minor

Drug Interactions Flecainide acetate has been administered to patients receiving digitalis preparations or beta-adrenergic blocking agents without adverse effects.

Drug interactionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.