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Atrial Fibrillation 2023 Update

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99 Elimination Half-Life Mechanism of Action Major Adverse Effects Important Pharmacokinetic Drug Interactions 9 h Inhibits I Na Atrial flutter Bradycardia AV block Dizziness Dyspnea Exacerbation of HFrEF Nausea Taste disturbances VT Visual disturbances Propafenone is a substrate for CYP 2D6 e following drugs may increase plasma propafenone concentrations: Fluoxetine Paroxetine Propafenone may increase plasma digoxin concentrations Propafenone may increase plasma warfarin concentrations 12 h Inhibits I Kr Betablocker d-Sotalol augments late I Na AV block Bradycardia Bronchospasm Diarrhea Exacerbation of HFrEF Fatigue Nausea and vomiting QT prolongation TdP None

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