Encainide

Administration

  • Type: Class IC antiarrhythmic (sodium channel blocker)
  • Dosage Forms: Capsules (25mg or 35mg)
  • Routes of Administration: PO
  • Common Trade Names: Enkaid

Adult Dosing

Sustained Ventricular Tachycardia

  • 25mg PO t.i.d
    • May be increased to 35mg PO t.i.d after 3-5 days

Pediatric Dosing

  • Safety and effectiveness in pediatrics not established

Special Populations

Pregnancy Rating

  • Category B

Lactation risk

  • Unknown risk to nursing infants

Renal Dosing

  • Adult: Reduce to single initial daily 25mg dose; increase to 25mg b.i.d after 7 days if needed.
  • Pediatric: N/A

Hepatic Dosing

  • Adult: No adjustments needed, but use caution when increasing dosage
  • Pediatric: N/A

Contraindications

  • Allergy to class/drug
  • Preexisting 2nd or 3rd-degree AV block
  • Preexisting right bundle branch block w/ left hemiblock
  • Presence of cardiogenic shock

Adverse Reactions

Serious

  • Provocation or aggravation of ventricular arrhythmias
  • 2nd or 3rd-degree AV block
  • Sinus bradycardia

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:

Mechanism of Action

Comments

See Also

References