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Multaq vs. Flecainide

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Multaq

(dronedarone)

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Flecainide

 

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Summary for Multaq

Prescription only

Multaq (dronedarone) is an antiarrhythmic medication. It's used to lower the risk of hospitalization in adults with atrial fibrillation (AFib). Multaq (dronedarone) comes as a tablet that's taken by mouth twice per day, preferably with food. Common side effects of this medication include diarrhea, nausea, and stomach pain. Multaq (dronedarone) is brand-name only and not available as a generic.

Indications for Multaq

Pros and Cons for Multaq

Pros

  • Lowers the risk of hospitalization from AFib
  • Prescribed in one standard dose; no dose adjustments needed
  • Taken by mouth

Cons

  • Not safe for use in heart failure, permanent AFib, or during pregnancy
  • Taken twice daily
  • Interacts with many medications and supplements

Common Side Effects for Multaq

  • Rise in creatinine levels (51%)
  • Abnormal heart rhythm (QTc prolongation) (28%)
  • Diarrhea (9%)
  • Weakness (7%)
  • Nausea (5%)
  • Skin reactions, including rash and itching (5%)

Warnings for Multaq

  • Not safe for people with severe heart failure or permanent atrial fibrillation
  • New or worsening heart failure
  • Liver damage
  • Lung damage
  • Low potassium and magnesium levels
  • Life-threatening abnormal heart rhythm
  • Kidney damage or failure
  • Harm to unborn babies

Summary for Flecainide

Prescription only

Flecainide is a prescription antiarrhythmic medication used to prevent abnormal heart rhythms, including paroxysmal atrial fibrillation/flutter (PAF), paroxysmal supraventricular tachycardia (PSVT) and ventricular arrhythmias in adults and certain children. It comes as tablets that you take by mouth, typically two times a day, but your exact dose depends on your heart condition. Because it affects your heart rhythm, it requires regular heart monitoring. Common side effects include dizziness, vision changes, and shortness of breath.

Indications for Flecainide

Pros and Cons for Flecainide

Pros

  • Helps control and prevent abnormal heart rhythms
  • Is a tablet taken by mouth
  • Used in both adults and children

Cons

  • Requires careful heart rhythm monitoring
  • Generally for people with severe heart problems
  • Not safe in people who had a recent heart attack

Common Side Effects for Flecainide

  • Dizziness (19%)
  • Vision changes (16%)
  • Shortness of breath (10%)
  • Headache (10%)
  • Nausea (9%)
  • Tiredness (8%)
  • Heart pounding (6%)
  • Chest pain (5%)
  • Weakness (5%)
  • Tremor (5%)
  • Constipation (4%)
  • Swelling in the arms and legs (4%)
  • Stomach pain (3%)

Warnings for Flecainide

  • Greater risk of death after recent heart attack
  • New or worsening heart rhythm problems
  • Heart failure
  • Slowed electrical signals through the heart
  • Fixing electrolyte levels

Prices with our coupons for Multaq vs. Flecainide

Price Card Drug Icon
Multaq60 tablets / 400mg
$797.90$1,032.88
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Flecainide60 tablets / 50mg
$14.47$36.89
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