Reported Reactions

Drugs › Antiarrhythmic

Generic name

Flecainide acetate: adverse event reports filed with FDA

1,447 reports list it as a suspect or interacting product, 2004–2026. Class: Antiarrhythmic. Also reported as Flecainide Acetate Tablet 50mg 100mg 150mg, Flecainide Acetate Tablets 50mg, Flecainide Acetate Tablets Usp 50mg.

1,447
reports as suspect product
0% of all reports · about 64 a year
78
reports, 12 months to June 2026
100 in the 12 months before
87.6%
marked serious by the reporter
73.5% across the class
13.6%
record death among outcomes, as reported
197 reports · not verified by FDA

Between January 2004 and June 2026, 1,447 adverse event reports received by FDA list flecainide acetate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,843) are left out of every figure here.

In the 12 months to June 2026, 78 reports listed it, down 22% from 100 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 64 reports a year and 0% of the 20,646,523 reports in the database, and 4.7% of the reports for the antiarrhythmic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are toxicity to various agents (11.7%), drug interaction (7.7%) and electrocardiogram QRS complex prolonged (7.6%). A report can list several reactions, so shares add to more than 100%; 404 different terms appear across these reports. Toxicity to various agents is recorded in 11.7% of these reports, a larger share than in the median antiarrhythmic drug (3.3%).

87.6% of the reports are marked serious by the reporter (73.5% across the class); 13.6% record death among the outcomes and 47.5% record hospitalisation, as reported. 36.8% of the reports came from other health professionals, and the largest patient age group is 75 and over (23%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01020Jul 2021: 11Aug 2021: 8Sep 2021: 8Oct 2021: 8Nov 2021: 7Dec 2021: 112022Jan 2022: 2Feb 2022: 3Mar 2022: 8Apr 2022: 14May 2022: 3Jun 2022: 6Jul 2022: 10Aug 2022: 5Sep 2022: 6Oct 2022: 2Nov 2022: 10Dec 2022: 92023Jan 2023: 8Feb 2023: 2Mar 2023: 7Apr 2023: 3May 2023: 4Jun 2023: 9Jul 2023: 14Aug 2023: 1Sep 2023: 8Oct 2023: 14Nov 2023: 18Dec 2023: 32024Jan 2024: 9Feb 2024: 10Mar 2024: 1Apr 2024: 12May 2024: 9Jun 2024: 4Jul 2024: 11Aug 2024: 6Sep 2024: 2Oct 2024: 9Nov 2024: 19Dec 2024: 62025Jan 2025: 6Feb 2025: 2Mar 2025: 7Apr 2025: 20May 2025: 7Jun 2025: 5Jul 2025: 7Aug 2025: 7Sep 2025: 5Oct 2025: 0Nov 2025: 3Dec 2025: 32026Jan 2026: 11Feb 2026: 3Mar 2026: 5Apr 2026: 8May 2026: 13Jun 2026: 13

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0501002004: 3420042005: 652006: 632007: 3020072008: 602009: 742010: 10020102011: 982012: 752013: 1620132014: 182015: 452016: 4820162017: 762018: 622019: 5020192020: 522021: 892022: 7820222023: 912024: 982025: 7220252026: 53

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Flecainide acetate reports recording the termmedian drug in antiarrhythmic

  1. Toxicity to various agentspoisoning or toxic effect of one or more substances11.7%170
  2. Drug interactionan interaction between medicines7.7%111
  3. Atrial fibrillationan irregular heart rhythm7.3%106
  4. Hypotensionlow blood pressure7.3%106
  5. Bradycardiaslow heart rate5.8%84
  6. Electrocardiogram QT prolongeda QT prolongation on the ECG5.5%80
  7. Ventricular tachycardiaa fast rhythm from the lower heart chambers5%73
  8. Drug ineffectivethe medicine did not work as expected5%72
  9. Cardiac arrestthe heart stopped4.7%68
  10. Dyspnoeashortness of breath4.6%67
  11. Tachycardiafast heart rate4.4%63
  12. Overdosea dose above the recommended amount4.2%61
  13. Completed suicidedeath by suicide3.3%48
  14. Dizzinesslight-headedness or unsteadiness3.2%47
  15. Nauseafeeling sick3.2%47
  16. Syncopefainting3.2%47
  17. Intentional overdosea deliberate overdose3%44
  18. Malaisegeneral feeling of being unwell3%44
  19. Loss of consciousnesspassing out2.6%38
  20. Cardiogenic shockshock from the heart failing to pump2.6%37
  21. Astheniaweakness or lack of energy2.3%33
  22. Hyponatraemialow blood sodium2.3%33
  23. Cardio-respiratory arrestthe heart and breathing stopped2.1%31
  24. Interstitial lung diseasescarring or inflammation of lung tissue2.1%31
  25. Vomitingbeing sick2.1%31
  26. Falla fall2.1%30

Top 30 of 404 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 11 drugs in the antiarrhythmic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death13.6%197
Life-threatening11.5%166
Hospitalisation (initial or prolonged)47.5%688
Disability1.9%27
Congenital anomaly0.7%10
Other serious48.5%702
Not serious12.4%180

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 30,807 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 22.9%42
2 to 111.4%20
12 to 172.1%30
18 to 4410.5%152
45 to 6420.1%291
65 to 7419.4%280
75 and over23%333
Age not given20.7%299

Patient sex

Female53.4%772
Male38.4%556
Not given8.2%119

Who reported

Physician25.2%364
Pharmacist6.9%100
Other health professional36.8%533
Lawyer0.1%2
Consumer or non-health professional17.5%253
Not given13.5%195

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 48.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Atrial fibrillation42929.6%
Arrhythmia1006.9%
Supraventricular tachycardia422.9%
Atrial flutter201.4%
Atrial tachycardia130.9%
Ventricular arrhythmia130.9%

The indication field is filled in by the reporter and is often blank; shares are of all 1,447 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Flecainide acetate reports
Metoprolol815.6%
Aspirin664.6%
Digoxin584%
Furosemide483.3%
Eliquis463.2%
Atenolol453.1%
Bisoprolol fumarate422.9%
Folic acid362.5%
Apixaban352.4%
Propranolol332.3%

Other products listed in reports where Flecainide acetate is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureFlecainide acetateAntiarrhythmicAll reports
Reports as suspect product1,44730,80720,646,523
Share of that pool—4.7%0%
Reports, latest 12 months78—1,332,454
Marked serious87.6%73.5%57.4%
Death recorded among outcomes, per 1,000 reports13610191
Hospitalisation recorded, per 1,000 reports475339213
Consumer-filed share17.5%36.5%45.8%
Top term, share of reportsToxicity to various agents 11.7%median 3.3%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the antiarrhythmic class

DrugName typeReportsLatest 12 monthsMarked serious
Tikosynbrand6,1933057.5%
Multaqbrand5,77328970.9%
Amiodarone hydrochloridegeneric5,28638292.7%
Sotalolbrand3,16812791.9%
Nuedextabrand2,51715526.1%
Dofetilidegeneric1,7283464.4%
Sotalol hydrochloridegeneric1,6415787.9%
Propafenonegeneric1,2665692.5%
Propafenone hydrochloridegeneric1,0711880.4%
Dronedaronegeneric7173392.6%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Flecainide acetate reports

How many adverse event reports has FDA received for Flecainide acetate?

1,447 reports list Flecainide acetate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 78 of them arrived in the latest 12 months. Another 3,843 list it only as a concomitant medication.

What reactions are recorded in Flecainide acetate reports?

toxicity to various agents (11.7%), drug interaction (7.7%), electrocardiogram QRS complex prolonged (7.6%), atrial fibrillation (7.3%) and hypotension (7.3%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Flecainide acetate was responsible.

How serious are the reports?

87.6% are marked serious by the reporter. Among the outcomes recorded, 13.6% of reports include death and 47.5% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (36.8%), physician (25.2%) and consumer or non-health professional (17.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Flecainide acetate rising?

78 reports in the 12 months to June 2026, down 22% from 100 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Flecainide acetate was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Flecainide acetate?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Flecainide acetate as a suspect or interacting product; reports listing it only as a concomitant medication (3,843) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.