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Overview
| Generic Names: | Disopiramida [INN-Spanish]; Disopyramide Free Base; Disopyramide Phosphate; Disopyramidum [INN-Latin] |
|---|---|
| Trade Names: | Dicorantil; Isorythm; Lispine; Norpace; Norpace CR; Ritmodan; Rythmodan; Rythmodan P; Rythmodan-La; Searle 703; Xi-Disopyramide |
| PharmGKB Accession Id: | PA449373 |
Description
A class I anti-arrhythmic agent (one that interferes directly with the depolarization of the cardiac membrane and thus serves as a membrane-stabilizing agent) with a depressant action on the heart similar to that of guanidine. It also possesses some anticholinergic and local anesthetic properties. PubChem (source: Drug Bank)
Indication
For the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, ventricular pre-excitation and cardiac dysrhythmias. (source: Drug Bank)
ATC Therapeutic Category
- C01BA:Antiarrhythmics, class Ia
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Disopyramide is a Type 1 antiarrhythmic drug (ie, similar to procainamide and quinidine). It inhibits the fast sodium channels. In animal studies Disopyramide decreases the rate of diastolic depolarization (phase 4) in cells with augmented automaticity, decreases the upstroke velocity (phase 0) and increases the action potential duration of normal cardiac cells, decreases the disparity in refractoriness between infarcted and adjacent normally perfused myocardium, and has no effect on alpha- or beta-adrenergic receptors. (source: Drug Bank)
Pharmacology
Disopyramide is an antiarrhythmic drug indicated for the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia that are life-threatening. In man, Disopyramide at therapeutic plasma levels shortens the sinus node recovery time, lengthens the effective refractory period of the atrium, and has a minimal effect on the effective refractory period of the AV node. Little effect has been shown on AV-nodal and His-Purkinje conduction times or QRS duration. However, prolongation of conduction in accessory pathways occurs. (source: Drug Bank)
Food Interactions
Avoid alcohol.
Take without regard to meals.
(source:
Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic (source: Drug Bank)
Protein Binding
50%-65% (source: Drug Bank)
Absorption
Nearly complete (source: Drug Bank)
Toxicity
LD<sub>50</sub>=580 mg/kg in rats (source: Drug Bank)
Isomeric SMILES Code:
CC(C)N(CC[C@](C1=CC=CC=C1)(C2=CC=CC=N2)C(=O)N)C(C)C (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
|
|
HRH1 |
|
Publications |
|
|
KCNH2 |
|
Publications |
|
|
ORM1 |
|
Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ORM1 |
|
(source: Drug Bank) |
| SCN5A |
|
(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| acebutolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| atenolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| azithromycin |
|
The macrolide increases the effect of disopyramide (source: Drug Bank) |
| betaxolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| bisoprolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| carvedilol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| cisapride |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| clarithromycin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| donepezil |
|
Possible antagonism of action (source: Drug Bank) |
| erythromycin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| esmolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| galantamine |
|
Possible antagonism of action (source: Drug Bank) |
| gatifloxacin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| grepafloxacin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| levofloxacin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| mephenytoin |
|
The hydantoin decreases the effect of disopyramide (source: Drug Bank) |
| mesoridazine |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| metoprolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| moxifloxacin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| nadolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| oxprenolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| phenobarbital |
|
Phenobarbital decreases levels of disopyramide (source: Drug Bank) |
| phenytoin |
|
The hydantoin decreases the effect of disopyramide (source: Drug Bank) |
| pindolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| propranolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| rifampin |
|
Rifampin decreases the effect of disopyramide (source: Drug Bank) |
| rivastigmine |
|
Possible antagonism of action (source: Drug Bank) |
| sotalol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| sparfloxacin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| telithromycin |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| terfenadine |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| thioridazine |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
| timolol |
|
The beta-blocker increases toxicity of disopyramide (source: Drug Bank) |
| ziprasidone |
|
Increased risk of cardiotoxicity and arrhythmias (source: Drug Bank) |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
Curated Phenotype Datasets
These datasets are sorted alphabetically by title.
- Drug-Induced Long QT Intervals




- PD
Submitted by Dan Roden, MD involving ADRB1, ADRB2, KCNE1, KCNE2, KCNH2, KCNQ1, SCN5A, almokalant, amiodarone, amitriptyline, bretylium, bupivacaine, cisapride, disopyramide, dofetilide, encainide, fluconazole, haloperidol, hydroquinidine, isoflurane, itraconazole, ketoconazole, lithium, loratadine, metoclopramide, nortriptyline, procainamide, quinidine, sematilide, sotalol, sulfamethoxazole, thioridazine, trimethoprim, , Long QT Syndrome, Proarrhythmia and Torsades de Pointes
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
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LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
