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What the FDA labels say about taking them together

Flecainide and terbinafine

Terbinafine's FDA label of October 17, 2025 names flecainide in its drug interactions section; the flecainide label PlainMeds reads does not name terbinafine. The terbinafine label: “Drugs predominantly metabolized by the CYP450 2D6 isozyme include the following drug classes: tricyclic antidepressants, selective serotonin reuptake inhibitors, beta-blockers, antiarrhythmics class 1C and monoamine …”

Check it at the source: the flecainide FDA label on DailyMed (effective June 11, 2026, Amneal Pharmaceuticals of New York LLC); the terbinafine FDA label on DailyMed (effective October 17, 2025, PD-Rx Pharmaceuticals, Inc.).

What does the flecainide label say about terbinafine?

Flecainide's label (effective June 11, 2026) does not name terbinafine 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

What does the terbinafine label say about flecainide?

Terbinafine label, drug interactions

Drugs predominantly metabolized by the CYP450 2D6 isozyme include the following drug classes: tricyclic antidepressants, selective serotonin reuptake inhibitors, beta-blockers, antiarrhythmics class 1C (e.g., flecainide and propafenone) and monoamine oxidase inhibitors Type B. Coadministration of Terbinafine tablets should be done with careful monitoring and may require a reduction in dose of the 2D6-metabolized drug.

Source: FDA drug label (Terbinafine Hydrochloride), PD-Rx Pharmaceuticals, Inc., effective October 17, 2025 (SPL set 2df111dc-ecac-4161-9e22-38436eb37c1f), 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

15Flecainide generic labelers
39Terbinafine generic labelers
FlecainideTerbinafine
Labeled forn/aFungal infections
Boxed warningNoNo
Pharmacy cost (NADAC)$0.171 per tablet 100 mg tablet$0.143 per tablet 250 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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