Drug General Information (ID: DDIAKQWXYL)
  Drug Name Procainamide Drug Info Ofloxacin Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiarrhythmic Agents Antibiotics
  Structure

 Mechanism of Procainamide-Ofloxacin Interaction (Severity Level: Major)
     Competitive inhibition of renal tubular secretion Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Procainamide Ofloxacin
      Mechanism 1 Procainamide Competitive inhibition of renal tubular secretion of procainamide
      Key Mechanism Factor 1
Factor Name Renal tubular secretion
Factor Description Renal tubular secretion allows selective transfer of substances from the blood around the capillaries into the renal tubules via filtrate. Drug excretion may be reduced when two drugs compete for renal tubular secretion.
      Mechanism Description
  • Decreased elimination of Procainamide caused by Ofloxacin mediated competitive inhibition of renal tubular secretion
     Increased risk of prolong QT interval Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Procainamide Ofloxacin
      Mechanism 2 Prolong QT interval Prolong QT interval
      Key Mechanism Factor 2
Factor Name QT interval
Factor Description Long QT syndrome is a heart signaling disorder that can cause a fast, chaotic heartbeat (arrhythmia). Many people may not exhibit symptoms, and usually the condition is detected during routine medical tests. In others, the most common symptoms include: sudden fainting, palpitations, dizziness, seizures, sudden death.
      Mechanism Description
  • Increased risk of prolong QT interval by the combination of Procainamide and Ofloxacin 

Recommended Action
      Management The use of ofloxacin in combination with class IA antiarrhythmic agents including procainamide should generally be avoided.

References
1 Martin DE, Shen J, Griener J, Raasch R, Patterson JH, Cascio W "Effects of ofloxacin on the pharmacokinetics and pharmacodynamics of procainamide." J Clin Pharmacol 36 (1996): 85-91. [PMID: 8932548]
2 Product Information. Floxin (ofloxacin). Ortho Pharmaceutical Corporation, Raritan, NJ.