Lidocaine and epinephrine and Propafenone interaction

Lidocaine and epinephrine and Propafenone: the Propafenone prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Propafenone (propafenone hydrochloride) label · effective 2026-01-29

Moderate

• Concomitant use of lidocaine may increase central nervous system side effects.

Drug interactionsnames Lidocaine and epinephrineView label on DailyMed
Moderate

However, concomitant use of propafenone and lidocaine has been reported to increase the risks of central nervous system side effects of lidocaine.

Drug interactionsnames Lidocaine and epinephrineView label on DailyMed
No interaction

Lidocaine No significant effects on the pharmacokinetics of propafenone or lidocaine have been seen following their concomitant use in patients.

Drug interactionsnames Lidocaine and epinephrineView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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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.