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Mexiletine, Oral meks-IL-e-teen

What are other names for this medicine?

Type of medicine: antiarrhythmic (treats irregular heartbeat)

Generic and brand names: mexiletine, oral

What is this medicine used for?

This medicine is taken by mouth to correct an irregular heartbeat. It may be used for other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

  • an allergic reaction to any medicine
  • heart failure
  • heart disease or a pacemaker
  • imbalances of potassium or magnesium in the blood
  • severe low blood pressure
  • liver disease
  • seizures

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.

How do I take it?

Check the label on the medicine for directions about your specific dose. Take this medicine exactly as directed by your healthcare provider. Do not take more or less of it or take it longer than prescribed. Do not stop taking this medicine without your healthcare provider's approval.

Take this medicine with food.

What if I miss a dose?

This medicine works best when there is a constant amount in your body. Take the medicine at the same time every day in evenly spaced doses. If you miss a dose, take it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.

What if I overdose?

If you or anyone else has intentionally taken too much of this medicine, call 911 or go to the emergency room right away. If you pass out, have seizures, weakness or confusion, or have trouble breathing, call 911. If you think that you or anyone else may have taken too much of this medicine, call the poison control center. Do this even if there are no signs of discomfort or poisoning. The poison control center number is 800-222-1222.

Symptoms of an acute overdose may include: nausea, seizures, numbness, tingling, drowsiness, confusion, tiredness, dizziness, lightheadedness, fainting, slow or irregular heartbeat, coma.

What should I watch out for?

This medicine is used to treat only a serious irregular heartbeat because it can cause severe or life-threatening side effects, including a new irregular heartbeat. You will be monitored closely while taking this medicine.

Check your heart rate (pulse) and blood pressure regularly while you are taking this medicine. Contact your healthcare provider or get medical care right away if you notice a change in your heart rate.

Your healthcare provider may want to see you regularly to determine how well the medicine is working. Keep all appointments.

If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine.

This medicine may make you feel dizzy or lightheaded. Do not drive or operate machinery unless you are fully alert.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away). If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; chest pain or tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Chest pain, increased swelling in legs and feet, worsening of irregular heartbeat, pounding in the chest, severe fatigue, trouble breathing, unusual bruising or bleeding, chills, cough, fever, sore throat, mouth sores or ulcers, yellowing of the skin or eyes; severe or continued vomiting or diarrhea; seizures.

Other: Blurred vision, confusion, nervousness, headache, constipation, diarrhea, heartburn, dizziness, drowsiness, lightheadedness, loss of appetite, nausea, numbness or tingling in hands or feet, ringing in ears, dizziness, stomach pain, tremor, trouble sleeping, unusual taste sensation, vomiting, dry mouth.

What products might interact with this medicine?

When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:

  • anesthetics such as lidocaine (Xylocaine)
  • alosetron (Lotronex)
  • antacids containing aluminum or magnesium such as Maalox or Gaviscon
  • antibiotics such as ciprofloxacin (Cipro), norfloxacin (Noroxin), ofloxacin (Floxin), and rifampin (Rifadin)
  • antidepressants such as citalopram (Celexa), clomipramine, duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox CR), mirtazapine (Remeron), paroxetine (Paxil), and sertraline (Zoloft)
  • antifungal medicines such as ketoconazole (Nizoral), miconazole (Oravig), and terbinafine (Lamisil)
  • antipsychotic medicines such as asenapine (Saphris), chlorpromazine, clozapine (Clozaril), haloperidol (Haldol), olanzapine (Zyprexa), pimozide (Orap), thioridazine, thiothixene (Navane), and trifluoperazine
  • antiseizure medicines such as carbamazepine (Tegretol), fosphenytoin (Cerebyx), phenobarbital, phenytoin (Dilantin), and primidone (Mysoline)
  • atropine-containing medicines such as Lomotil or Motofen
  • beta blockers such as betaxolol (Kerlone) and propranolol (Inderal LA)
  • bupropion (Wellbutrin, Zyban)
  • caffeine
  • anti-HIV medicines such as darunavir (Prezista), delavirdine (Rescriptor), etravirine (Intelence), ritonavir (Norvir), lopinavir/ritonavir (Kaletra), saquinavir (Invirase), and tipranavir (Aptivus)
  • cimetidine (Tagamet)
  • cinacalcet (Sensipar)
  • medicines to treat cancer such as bendamustine (Treanda), dacarbazine, and flutamide
  • medicines to treat Parkinson's disease such as rasagiline (Azilect) and ropinirole (Requip)
  • methoxsalen (8-MOP, Oxsoralen-Ultra)
  • metoclopramide (Reglan)
  • muscle relaxants such as cyclobenzaprine (Flexeril) and tizanidine (Zanaflex)
  • narcotic pain medicines such as codeine, hydrocodone/acetaminophen (Vicodin), morphine (Kadian, MS Contin), oxycodone (OxyContin, Roxicodone), and oxycodone/acetaminophen (Percocet)
  • primaquine
  • propafenone (Rythmol)
  • ramelteon (Rozerem)
  • nicardipine (Cardene, Cardene SR)
  • other antiarrhythmics (medicines to treat irregular heartbeat) such as amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), dronedarone (Multaq), lidocaine, procainamide, and quinidine
  • theophylline
  • sodium bicarbonate
  • vitamin C

Many more medicines may interact with this medicine. Be sure that you tell your healthcare provider about all other medicines you are taking, especially those prescribed by other healthcare providers.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.


This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.


Developed by RelayHealth.
Medication Advisor 2012.1 published by RelayHealth.
Last modified: 2011-05-17
Last reviewed: 2011-03-24
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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