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What the FDA labels say about taking them together

Clomipramine and propafenone

Clomipramine's FDA label of November 26, 2024 names propafenone in its drug interactions section; propafenone's label does not name clomipramine itself but warns about its class (Tricyclic antidepressants).

Check it at the source: the clomipramine FDA label on DailyMed (effective November 26, 2024); the propafenone FDA label on DailyMed (effective September 1, 2025, Strides Pharma Science Limited).

What does the clomipramine label say about propafenone?

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 propafenone label say about clomipramine?

Propafenone's label does not name clomipramine itself; it warns about its class (Tricyclic antidepressants):

Propafenone label, warnings and precautions

Such drugs may include many antiarrhythmics, some phenothiazines, tricyclic antidepressants, and oral macrolides.

Source: FDA drug label (PROPAFENONE HYDROCHLORIDE), Strides Pharma Science Limited, effective September 1, 2025 (SPL set c65253ab-937f-4982-b841-69c2b9f9ccdb), 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
14Propafenone generic labelers
ClomipraminePropafenone
Labeled forn/aAtrial fibrillation
Boxed warningYesYes
Pharmacy cost (NADAC)$0.189 per capsule 25 mg capsule$0.115 per tablet 150 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)

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