Puis-je prendre Flecainide et Mirabegron ensemble ?

Pourquoi cela se produit

Mirabegron can slow down the action of a specific enzyme in the liver (called CYP2D6) that is responsible for breaking down flecainide. Because the flecainide is broken down more slowly, it can build up to higher levels in your body.

You should speak to your doctor before taking these medicines together. Your doctor may need to adjust your dose of flecainide or monitor your heart rhythm more closely using an ECG (electrocardiogram). If you experience any new palpitations, fainting, or shortness of breath, seek medical advice immediately.

Heart failure or previous heart attack

Flecainide must not be used if you have heart failure or have previously suffered a heart attack, as it can increase the risk of life-threatening heart rhythm problems.

Permanent atrial fibrillation

This medicine should not be used if you have long-standing (permanent) atrial fibrillation that has not been corrected, as it can paradoxically cause the heart rate to become dangerously fast.

Hypertension artérielle sévère et incontrôlable

Do not take mirabegron if your blood pressure is very high (180/110 mmHg or higher). It can cause a dangerous further increase in blood pressure and requires regular monitoring during treatment.

Alcool

It is best to avoid or strictly limit alcohol while taking flecainide. Alcohol can interfere with your heart rhythm and may increase the risk of side effects such as dizziness or blurred vision. Combining alcohol with heart medication can also put extra strain on your heart and liver.

Il est préférable d'éviter ou de limiter strictement la consommation d'alcool pendant la prise de mirabegron. L'alcool peut irriter la vessie et augmenter la production d'urine, ce qui peut contrecarrer les bénéfices de votre traitement. De plus, l'alcool et le mirabegron peuvent tous deux affecter votre tension artérielle ; leur association peut augmenter le risque de vertiges ou de sensation de tête légère.

Caféine (café, thé, boissons énergisantes, cola)

Caffeine is a stimulant that can increase your heart rate or cause irregular heart rhythms. Since flecainide is used to treat heart rhythm problems (arrhythmias), consuming high amounts of caffeine may counteract the effects of your medicine or make your condition worse. It is best to limit your intake of caffeine.

Le mirabégron est utilisé pour traiter une vessie hyperactive. La caféine est un diurétique naturel et un irritant de la vessie qui peut aggraver les symptômes pour lesquels vous prenez ce médicament (tels que l'urgence et la fréquence). Vous devriez limiter votre consommation de boissons caféinées pour aider le médicament à agir efficacement.

Dairy products (Milk)

In some cases, particularly in children or patients on a milk-based diet, high intake of milk can affect how flecainide is absorbed. However, for most adults, normal amounts of dairy are fine. If you are making a significant change to your dairy intake, discuss this with your doctor.

Low-salt (low-sodium) diets

A sudden change to a very low-salt diet or using salt substitutes can increase the levels of flecainide in your blood, which may lead to toxicity. Do not make major changes to your salt intake without consulting your doctor.

Taking multiple medicines? Our Vérificateur d'Interactions Médicamenteuses helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Avertissement

Ces informations sont fournies à des fins éducatives générales uniquement et ne doivent pas être considérées comme un substitut aux conseils médicaux professionnels. Consultez toujours votre médecin généraliste, votre pharmacien ou un autre professionnel de santé qualifié avant de prendre des décisions concernant vos médicaments. Les circonstances individuelles peuvent varier, et seul un professionnel de santé connaissant votre historique médical peut fournir des conseils personnalisés.