Flecainide and Carbamazepine Interaction

Drug interaction information between Flecainide and Carbamazepine.

Flecainide and Carbamazepine have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Flecainide and Carbamazepine. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Flecainide

Class IC Antiarrhythmic

Drug B

Carbamazepine

Anticonvulsant

How They Interact

Carbamazepine causes the body to break down and remove flecainide faster than normal.

FDA Label Information

Limited data in patients receiving known enzyme inducers ( phenytoin, phenobarbital, carbamazepine ) indicate only a 30% increase in the rate of flecainide elimination.

Frequently Asked Questions

What SPL severity band is on file for Flecainide + Carbamazepine?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Carbamazepine has 129 labeled pairs on file vs Flecainide's 22. In the minor band specifically: Flecainide has 19 (also Propranolol, Diltiazem, Nifedipine, Digoxin); Carbamazepine has 110 (also Omeprazole, Ibuprofen, Citalopram, Amitriptyline).

What mechanism field is on file for Flecainide and Carbamazepine?

Carbamazepine causes the body to break down and remove flecainide faster than normal.

Carbamazepine carries more major-labeled pairs than Flecainide

SPL source-record counts only. This page's band is minor · classes on file: Flecainide (Class IC Antiarrhythmic); Carbamazepine (Anticonvulsant).

Carbamazepine has 3 major-labeled pairs vs Flecainide's 1. This page itself is in the minor band, not the major band.

Flecainide

1 major · 2 moderate · 19 minor · 22 total

Carbamazepine

3 major · 16 moderate · 110 minor · 129 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.