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What the FDA labels say about taking them together

Propafenone and trimipramine

Trimipramine's FDA label of March 17, 2026 names propafenone in its drug interactions section; propafenone's label does not name trimipramine itself but warns about its class (Tricyclic antidepressants).

Check it at the source: the propafenone FDA label on DailyMed (effective September 1, 2025, Strides Pharma Science Limited); the trimipramine FDA label on DailyMed (effective March 17, 2026, Breckenridge Pharmaceutical, Inc.).

What does the propafenone label say about trimipramine?

Propafenone's label does not name trimipramine 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

What does the trimipramine label say about propafenone?

Trimipramine 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 (Trimipramine), Breckenridge Pharmaceutical, Inc., effective March 17, 2026 (SPL set 4f31df66-7dc2-1f04-e054-00144ff88e88), 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

14Propafenone generic labelers
3Trimipramine generic labelers
PropafenoneTrimipramine
Labeled forAtrial fibrillationDepression
Boxed warningYesYes
Pharmacy cost (NADAC)$0.115 per tablet 150 mg tabletn/a
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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