Rythmodan

The dose of Rythmodan (Disopyramide) is individualized for each person, depending on the person's weight and response to the medication. The usual dose of Rythmodan (Disopyramide) capsules is 100 mg to 200 mg every 6 hours. In certain circumstances, the doctor may start with a higher dose for the first dose only. People with reduced kidney or liver function may need lower daily doses.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take Rythmodan (Disopyramide) exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Rythmodan (Disopyramide) at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause blurred vision and dryness of the mouth; it may cause headaches; it may cause constipation - to prevent this, drink plenty of water or juice, and eat more dietary fibre; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving; it may make it difficult to begin urinating. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

100 mg
Each green-and-yellow, hard gelatin capsule, marked "RY RL", contains Rythmodan (Disopyramide) 100 mg. Nonmedicinal ingredients: cornstarch, magnesium stearate, pregelatinized starch, and talc; capsule body and head: FD&C Blue No. 2, gelatin, titanium dioxide, and yellow iron oxide.

Do not take this medication if you:

• are allergic to Rythmodan (Disopyramide) or any ingredients of the medication
• are in shock
• are taking other medications to treat abnormal heart rhythms or medications that may cause abnormal heart rhythms (e.g., Amiodarone, quinidine, Sotalol, Verapamil, Diltiazem, Pimozide)
• have cardiomyopathy (a disease of the heart muscle)
• have certain severe heart rhythm disorders (i.e., bundle-branch block associated with first-degree AV block, double block, or second- and third-degree AV block with no pacemaker)
• have extensive heart disease
• have Glaucoma
• have kidney failure
• have long QT interval
• have severe or uncontrolled Congestive Heart Failure
• have severe sinus node (the heart's natural pacemaker) dysfunction
• have urinary retention

There may be an interaction between Rythmodan (Disopyramide) and any of the following:

• Abiraterone acetate
• acetylsalicylic acid (Asa)
• aclidinium
• alcohol
• amantadine
• amiodarone
• androgens (e.g., methyltestosterone, nandrolone, testosterone)
• antihistamines (e.g,. cetirizine, doxylamine, Diphenhydramine, Hydroxyzine, Loratadine)
• antipsychotics (e.g., chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• Aprepitant
• atropine
• azelastine
• "azole" antifungal medications (e.g., fluconazole, ketoconazole, itraconazole, Voriconazole)
• belladonna
• Benztropine
• Bicalutamide
• beta-blockers (e.g., atenolol, metoprolol, propranolol)
• boceprevir
• Bosentan
• Bosutinib
• calcium channel blockers (e.g., Amlodipine, diltiazem, Nifedipine, verapamil)
• cannabis-like medications (e.g., cannabis, dronabinol, Nabilone)
• Capecitabine
• Carbamazepine
• chloral hydrate
• chloroquine
• conivaptan
• Crizotinib
• Cyclobenzaprine
• Dasatinib
• Deferasirox
• Dexamethasone
• diabetes medications (e.g., chlorpropamide, glipizide, Glyburide, insulin, Metformin, Nateglinide, Rosiglitazone)
• diuretics (e.g., Hydrochlorothiazide, Indapamide, Furosemide)
• Domperidone
• Donepezil
• Dronedarone
• Duloxetine
• Enzalutamide
• etravirine
• Famotidine
• Fingolimod
• Flavoxate
• Flecainide
• formoterol
• Galantamine
• Glucagon
• glycopyrrolate
• grapefruit juice
• HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delavirdine, efavirenz, etravirine, nevirapine)
• HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
• Indacaterol
• ketotifen
• Lanreotide
• lidocaine
• lithium
• Lomitapide
• macrolide antibiotics (e.g., clarithromycin, erythromycin)
• Methadone
• Metronidazole
• mifepristone
• Mitotane
• Modafinil
• monoamine oxidase inhibitors (M.O.S. e.g., Moclobemide, Phenelzine, Rasagiline, Selegiline, Tranylcypromine)
• narcotic pain relievers (e.g., Codeine, Fentanyl, Morphine, Oxycodone)
• nefazodone
• Octreotide
• orphenadrine
• Oxybutynin
• Pasireotide
• Pegvisomant
• pentamidine
• Phenobarbital
• Phenytoin
• phosphodiesterase-5 inhibitors (e.g., Sildenafil, Tadalafil, Vardenafil)
• pimozide
• primidone
• procainamide
• Propafenone
• potassium chloride
• propafenone
• Romidepsin
• quinidine
• quinine
• quinolone antibiotics (e.g., gatifloxacin, levofloxacin, moxifloxacin, Norfloxacin)
• rifabutin
• rifampin
• Rivastigmine
• St. John's wort
• salmeterol
• scopolamine
• secretin
• selective serotonin reuptake inhibitors (SSRIs; e.g., Citalopram, Fluoxetine, Paroxetine, Sertraline)
• serotonin antagonists (anti-emetic medications; e.g., Granisetron, Ondansetron)
• simeprevir
• Solifenacin
• somatostatin
• sotalol
• sulfonamide antibiotics ("sulfas"; e.g., sulfisoxazole, sulfamethoxazole)
• tacrolimus
• Tamoxifen
• Tetracycline
• tiotropium
• Tocilizumab
• Tolterodine
• Topiramate
• Trazodone
• tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Doxepin, Imipramine, Nortriptyline)
• Trimethoprim
• tyrosine kinase inhibitors (e.g., dasatinib, imatinib, Nilotinib)
• umeclidinium
• vardenafil
• Venlafaxine
• vilanterol

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Rythmodan (Disopyramide). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Rythmodan (Disopyramide).

Abnormal heart rhythms: Certain medications used to treat abnormal heart rhythms, including Rythmodan (Disopyramide), can also cause new abnormal heart rhythms, some of which can be life-threatening. Treatment with Rythmodan (Disopyramide) should be started in the hospital, where appropriate monitoring and treatment can be provided.

Certain medications (e.g., sotalol, quinidine, thioridazine, Chlorpromazine, droperidol, pimozide, moxifloxacin, Mefloquine, pentamidine, arsenic trioxide, , probucol, Tacrolimus) can increase the risk of a type of abnormal heart rhythm called QT prolongation, and should not be used in combination with Rythmodan (Disopyramide). If you are taking other medications, discuss with your doctor how Rythmodan (Disopyramide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Rythmodan (Disopyramide), and whether any special monitoring is needed.

Glaucoma: Rythmodan (Disopyramide) may cause an increase in the pressure inside the eye and should not be used by people with glaucoma. If you have a family history of glaucoma, your doctor will monitor you closely while taking this medication.

Heart failure: Rythmodan (Disopyramide) can cause or worsen heart failure because it can reduce the strength of the heart muscle’s contraction. It should not be used by people with severe or untreated heart failure. If you have heart failure and are taking Rythmodan (Disopyramide), your doctor will monitor you closely during treatment. If you notice shortness of breath; weight gain; or swelling in the hands, feet, or lower legs while taking Rythmodan (Disopyramide), contact your doctor immediately.

Kidney function: Decreased kidney function can cause Rythmodan (Disopyramide) to build up in the body, causing side effects. If you have reduced kidney function or Kidney Disease, discuss with your doctor how Rythmodan (Disopyramide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver function: Liver disease or reduced liver function may cause Rythmodan (Disopyramide) to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how Rythmodan (Disopyramide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Rythmodan (Disopyramide), and whether any special monitoring is needed. Your doctor may want to test your liver function regularly with blood tests while you are taking Rythmodan (Disopyramide).

Low Blood Pressure: Rythmodan (Disopyramide) may cause low blood pressure. If you experience dizziness, lightheadedness, or fainting while taking Rythmodan (Disopyramide), contact your doctor immediately.

Low blood sugar: Rythmodan (Disopyramide) can cause low blood sugar, especially for people with certain medical conditions (e.g., heart failure, treated Diabetes, chronic malnutrition, liver disease, kidney disease) or who are taking certain medications (e.g., Atenolol, Propranolol, Metoprolol). If you are at risk of experiencing low blood sugar while taking Rythmodan (Disopyramide), your doctor will monitor your blood sugar closely during treatment.

Myasthenia Gravis: Myasthenia gravis is a condition that causes specific muscle weakness. Rythmodan (Disopyramide) may make the symptoms of myasthenia gravis worse. If you have myasthenia gravis, discuss with your doctor how Rythmodan (Disopyramide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Reduced concentration: Rythmodan (Disopyramide) may reduce the ability to concentrate and react. Do not drive or operate machinery until you know how this medication affects you.

Urinary retention: Rythmodan (Disopyramide) may cause urinary retention. This is more likely to affect men with an enlarged prostate gland, however it can also affect women. If you experience any difficulties with urination while taking Rythmodan (Disopyramide), contact your doctor.

Pregnancy: Rythmodan (Disopyramide) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Rythmodan (Disopyramide), contact your doctor immediately.

Breast-feeding: Rythmodan (Disopyramide) passes into breast milk. If you are a breast-feeding mother and are taking Rythmodan (Disopyramide), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children.

Seniors: Seniors may experience memory problems and confusion when using Rythmodan (Disopyramide).

This medication is typically used 4 times a day. However, your pharmacist may have suggested a different schedule that is more appropriate for you. It must be used regularly and continuously to maintain its beneficial effects. Be sure to keep an adequate supply on hand. You should take this medication at approximately the same time each day. It is not advisable to stop using this product suddenly, particularly if you have been on it for several weeks. If you are considering stopping the medication, talk to your pharmacist first. This medication may be taken with or without food.