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Doctor insights on: Procainamide Hydrochloride

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Dr. Raymond Yung
64 doctors shared insights

Procainamide (Definition)

Procainamide hydrochloride is a rhythm control agent which is a ...Read more


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Why would a person need a procainamide measurement?

Why would a person  need a procainamide measurement?

Certain medications: Effect can be indirectly measured by the Procainamide measurements. Other things may be to measure for procainamide's levels in the body, especially if ther is concern that there is too much. ...Read more

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Besides procainamide what substitutions are available?

Besides procainamide what substitutions are available?

Not simple: Procainamide is an arrhythmic medication with very specific indications. Other medications in this class are not simple substitutions for each other. This is why cardiologists get paid the big bucks. ...Read more

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What are alternative medications to procainamide?

Not simple: Procainamide is an arrhythmic medication with very specific indications. Other medications in this class are not simple substitutions for each other. This is why cardiologists get paid the big bucks. ...Read more

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What is a procainamide challenge testing for?

What is a procainamide challenge testing for?

Reveals Arrhythmia : Procainamide is a local anesthetic that acts on sodium channels. In the heart muscle sodium channels play a central role in the excitability of myocardial cells. So if you are given a bolus of this drug, it has the ability to increase the detection rate of an arrhythmia without losing predictive value. Meaning if it can produce an arrhythmia you may have a condition that needs to be treated. ...Read more

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How does a procainamide challenge?

How does  a procainamide challenge?

Reveals Arrhythmia : Procainamide is a local anesthetic that acts on sodium channels. In the heart muscle sodium channels play a central role in the excitability of myocardial cells. So if you are given a bolus of this drug, it has the ability to increase the detection rate of an arrhythmia without losing predictive value. Meaning if it can produce an arrhythmia you may have a condition that needs to be treated. ...Read more

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Procainamide has been the only med to keep her heart in rythmn, what substitution would be available if procainamide is not?

Procainamide has been the only med to keep her heart in rythmn, what substitution would be available if procainamide is not?

Not sure: Without knowing more details of the type of heart arrhythmia we are talking about, but most likely, amiodarone, sotalol or Propafenone are the substitution choices that would likely be suitable for the any of the arrhythmias that you are likely taking procainamde for. Quinidine used to be a reasonable substitute, but it has too many side effects and has fallen out of favor. ...Read more

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What are the risks of a "Procainamide challenge" to diagnose Brugada Syndrome? My EP recommended this test to rule out Brugada.

What are the risks of a "Procainamide challenge" to diagnose Brugada Syndrome? My EP recommended this test to rule out Brugada.

This syndrome: is so rare that there is insufficient data to answer your question. If the test you mention is done in a modern , hospital based electrophysiology unit..the risks are MINIMAL..and a lot less than the risks of UNTREATED BRUGADA syndrome!!!! My opinion only Hope it helps! DR Z ...Read more

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What class of anti-arrhythmic is the drug procainamide?

What class of anti-arrhythmic is the drug procainamide?

Class 1A: Procainamide is a Class 1A Antiarrythmic. It is used in patients with certain arrhythmia problems and is part of the ACLS/PALS protocols. ...Read more

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Procainamide challenge for diagnoses of BRUGADA syndrome. What are possible side effects? I've head that procainamide can lead to death?

Procainamide challenge for diagnoses of BRUGADA syndrome. What are possible side effects? I've head that procainamide can lead to death?

Generally: few to no side effects...and YOU WILL BE MONITORED BY A CARDIOLOGIST during the ENTIRE test... thus fatal events are VERY VERY RARE! (Chance close to ZERO) ALSO it is NECESSARY to HAVE this syndrome DISCOVERED IN ADVANCE!! Good luck and BE WELL! ...Read more

Dr. Sandra Lora Cremers
1 doctor shared a insight

Procanbid (Definition)

Procanbid is a rhythm control agent which is a ...Read more


Procan Sr (Definition)

Procan SR is a rhythm control agent which is a ...Read more