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Pilsicainide

SUNRYTHM

What it isClass IC sodium channel blocker; atrial fibrillation in Japan.

Why this onePure sodium channel blockade with a pill-in-the-pocket role.

What limits itThe CAST proarrhythmia concern applies. Renally cleared; not US-approved.

FDA-approved for

Off-label

NO BOXED WARNINGS

Principal riskThe CAST proarrhythmia concern applies

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Pilsicainide ballicule

Pilsicainide ballicule: receptor binding, kinetics and half-life diagram

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