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  • Title: Long-term oral antiarrhythmic therapy with mexiletine.
    Author: Campbell NP, Pantridge JF, Adgey AA.
    Journal: Br Heart J; 1978 Jul; 40(7):796-801. PubMed ID: 687477.
    Abstract:
    Forty-eight patients with ischaemic heart disease received oral mexiletine for the control or prevention of ventricular arrhythmias. The most frequently used doses were 200, 250, and 300 mg 8-hourly. The treatment period varied from 2 days to more than 1 year (median 3 months). No ventricular arrhythmias were detected in more than one-half of the patients. Severe side effects occurred in 15 (31%) of the 48 patients. Major ventricular arrhythmias were observed in 14 (29%) of the 48 patients at a time when the majority had plasma concentrations within the therapeutic range. The value of mexiletine in the management of patients at risk of sudden death is likely to be limited.
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