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What the FDA labels say about taking them together

Clomipramine and flecainide

Clomipramine's FDA label of November 26, 2024 names flecainide in its drug interactions section; the flecainide label PlainMeds reads does not name clomipramine.

Check it at the source: the clomipramine FDA label on DailyMed (effective November 26, 2024); the flecainide FDA label on DailyMed (effective June 11, 2026, Amneal Pharmaceuticals of New York LLC).

What does the clomipramine label say about flecainide?

Clomipramine label, drug interactions

The drugs that inhibit cytochrome P450 2D6 include some that are not metabolized by the enzyme (quinidine; cimetidine) and many that are substrates for P450 2D6 (many other antidepressants, phenothiazines, and the Type 1C antiarrhythmics propafenone and flecainide).

Source: FDA drug label (CLOMIPRAMINE HYDROCHLORIDE), SpecGx LLC, effective November 26, 2024 (SPL set d7cee3fa-d05c-4702-8f75-f446627bdb49), via openFDA; the full label on DailyMed

What does the flecainide label say about clomipramine?

Flecainide's label (effective June 11, 2026) does not name clomipramine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Flecainide Acetate), Amneal Pharmaceuticals of New York LLC, effective June 11, 2026 (SPL set ee9595d5-08a1-4529-9215-ddc3c7f929c4), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

16Clomipramine generic labelers
15Flecainide generic labelers
ClomipramineFlecainide
Labeled forn/an/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.189 per capsule 25 mg capsule$0.171 per tablet 100 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?