Orlistat and Propafenone interaction

Orlistat 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

Orlistat may reduce propafenone concentrations.

Drug interactionsnames OrlistatView label on DailyMed
Minor

Abrupt cessation of orlistat in patients stable on propafenone hydrochloride extended-release capsules has resulted in convulsions, atrioventricular block, and circulatory failure.

Drug interactionsnames OrlistatView label on DailyMed
Minor

Orlistat Orlistat may limit the fraction of propafenone available for absorption.

Drug interactionsnames OrlistatView label on DailyMed
Minor

In postmarketing reports, abrupt cessation of orlistat in patients stabilized on propafenone has resulted in severe adverse events including convulsions, atrioventricular block and acute circulatory failure.

Drug interactionsnames OrlistatView 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.