Article
Relevance of CYP2D6 in the Efficacy and Toxicity of Flecainide in Patients With Atrial Fibrillation: A Cohort Study.
Journal of cardiovascular pharmacology - 1 Oct 2025
Trincado Ave Mauro, Brión María, Blanco-Verea Alejandro, Gil Almudena, Tilves Carlos, Seoane Blanco Ana, Moure González María, García-Rodeja Federico, de la Fuente Pablo, González-Juanatey José Ramón, Rodríguez Mañero Moisés
Abstract excerpt
A 25% flecainide dose reduction has been recommended for intermediate metabolizers (IMs); however, studies have yielded contradictory results, likely because of the lack of standardization in CYP2D6 pharmacogenetic classifications. We aimed to address this gap. This cohort study included atrial fibrillation patients prescribed flecainide between 2017 and 2021. CYP2D6 was analyzed, and patient phenotypes were...
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