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The Global Insight

What class of drug is mexiletine

Author

William Harris

Updated on April 21, 2026

Mexiletine belongs to the group of medicines known as antiarrhythmics. It is used to correct irregular heartbeats to a normal rhythm.

Is mexiletine a beta blocker?

Although β-blocker therapy is standard for most patients, concomitant therapy with sodium channel blockers, like mexiletine, is often utilized for patients with sodium channel–mediated type 3 long QT syndrome (LQT3).

Is mexiletine a lidocaine?

Local anesthetics such as lidocaine and mexiletine prevent or relieve pain by interrupting nerve conduction. Mexiletine is an oral analog of intravenous lidocaine (both class IB antiarrhythmia drugs) that shares the ability to block the sodium channel.

What is the mechanism of action of mexiletine?

As a member of the class Ib antiarrhythmic drugs mexiletine’s primary mechanism of action is blocking fast sodium channels, reducing the phase 0 maximal upstroke velocity of the action potential. It increases the ratio of effective refractory period to action potential duration, but has little effect on conductivity.

What is the generic name for mexiletine?

What Is Mexitil? Mexitil (mexiletine) Capsules (mexiletine hydrochloride) is an antiarrhythmic drug prescribed for the treatment of certain types of ventricular arrhythmias.

Is mexiletine a sodium channel blocker?

Mexiletine is a sodium channel blocker and commonly used as a class 1 anti-arrhythmic agent or is used for painful diabetic neuropathy.

Is the drug gabapentin?

Gabapentin is used with other medications to prevent and control seizures. It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug.

How is mexiletine metabolized?

Mexiletine is extensive metabolized in humans via phase I and phase II reactions. Only a small fraction (about 10%) of the dose of mexiletine administered is recovered without modifications in urine.

What drug class is lidocaine?

Lidocaine is in a class of medications called local anesthetics. It works by stopping nerves from sending pain signals.

What type of drug is Midodrine?

Midodrine is in a class of medications called alpha-adrenergic agonists. It works by causing blood vessels to tighten, which increases blood pressure.

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What is mexiletine HCL?

This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as persistent ventricular tachycardia). It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Mexiletine is known as an anti-arrhythmic drug.

What is amiodarone used for?

Amiodarone is used to treat life-threatening heart rhythm problems called ventricular arrhythmias. This medicine is used in patients who have already been treated with other medicines that did not work well.

What is the generic name of Inderal?

Propranolol (Inderal) is a non-selective beta blocker. This means it works on many areas of the body to relax blood vessels. This allows it to help treat many problems including high blood pressure, chest pain, and migraines.

What is the side effect of spironolactone?

Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache may occur. To minimize lightheadedness, get up slowly when rising from a seated or lying position. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Who manufactures mexiletine?

PHILADELPHIA, July 23, 2020 /PRNewswire/ — Lannett Company, Inc. (NYSE: LCI) today announced that it has launched Mexiletine Hydrochloride Capsules 150 mg, 200 mg and 250 mg, a partnered product. Mexiletine Hydrochloride Capsules is the AB-rated generic equivalent to Mexitil® Capsules of Boehringer Ingelheim.

What is metoprolol succinate?

This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

Why is gabapentin bad?

Some of the severe side effects include trouble breathing and allergic reactions. People who start to use gabapentin should pay attention to shifts in mood or emotions. For example, a person who experiences increased anxiety, anger, or panic attacks should contact a doctor right away.

Is gabapentin like Xanax?

Similarities of Gabapentin and Xanax Gabapentin and Xanax both work for treating anxiety by affecting the chemical signal of GABA in brain cells. Both medications start working right away and are relatively safe when they are used correctly.

Why you should not take gabapentin?

Similar to other anticonvulsant medicines, gabapentin may increase the risk of depression and suicidal thoughts, particularly in young adults under the age of 24. Gabapentin has been associated with a discontinuation syndrome when abruptly stopped. Symptoms include anxiety, insomnia, nausea, pain, and sweating.

What class is procainamide?

Procainamide is a medication used to manage and treat ventricular arrhythmias, supraventricular arrhythmias, atrial flutter/fibrillation, and Wolf-Parkinson-White syndrome. It is in the antiarrhythmic Agent Class 1A class of medications.

Does mexiletine lower blood pressure?

Low blood pressure: Mexiletine may cause or worsen low blood pressure. Tell your doctor if you experience symptoms of severely decreased blood pressure, such as weakness or dizziness, particularly when rising suddenly from a sitting or lying position.

What is amiodarone mechanism of action?

After intravenous administration, amiodarone acts to relax smooth muscles that line vascular walls, decreases peripheral vascular resistance (afterload), and increases the cardiac index by a small amount. Administration by this route also decreases cardiac conduction, preventing and treating arrhythmias.

What kind of drug is adenosine?

Adenosine is a prescription drug used for conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PVST), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome).

What drug is a controlled substance?

Controlled substances include opioids, stimulants, depressants, hallucinogens, and anabolic steroids. Controlled substances with known medical use, such as morphine, Valium, and Ritalin, are available only by prescription from a licensed medical professional.

Is lidocaine similar to Coke?

Lidocaine, like cocaine, is a local anesthetic with potent effects as a sodium-channel blocker. Unlike cocaine, lidocaine is essentially devoid of activity at monoamine re-uptake transporters and has no rewarding or addictive properties.

What are the side effects of mexiletine?

  • nausea.
  • vomiting.
  • heartburn.
  • changes in appetite.
  • lightheadedness or dizziness.
  • shaking of a part of your body that you cannot control.
  • loss of coordination.
  • numbness or tingling sensation.

What type of drug is milrinone?

Milrinone is a vasodilator that is used as a short-term treatment for life-threatening heart failure.

What is the cost of mexiletine?

The average cost for 90 Capsule(s), 150mg each, is $74.99. You can buy mexiletine hcl at the discounted price of $36.45 by using the WebMDRx coupon, a savings of 51%. Even if this drug is covered by Medicare or your insurance, we recommend you compare prices.

Why is midodrine being taken off the market?

Backtracks and Returns Drug to Market. Two weeks ago, the Food and Drug Administration announced that it would remove the drug midodrine from the market because the drug’s maker never confirmed that the medicine — approved in 1996 under an abbreviated process — actually worked against dizziness and fainting.

Is midodrine a generic?

Midodrine is a vasopressor and antihypotensive drug used to treat low blood pressure. Midodrine is available under the following different brand names: ProAmatine, and Orvaten.

Is midodrine a vasoconstrictor?

Midodrine is an alpha agonist and acts as a peripheral vasoconstrictor; therefore it may reduce plasma renin activity and improve renal function. In this study the effects of these two agents were compared on cirrhotic patients to determine their ability to reduce plasma renin activity and increase GFR.