Medication · other antiarrhythmic drugs

Supplements and Flecainide acetate.

Every documented pair, every citation. Below: 1 documented pair grouped by mechanism.

Flecainide acetate, sold under the brand names Tambocor, Tambocor XL, is classified under "antiarrhythmic drugs" in the BNF.

Flecainide acetate (UK brand names Tambocor, Tambocor XL) sits at NHSBSA prescribing rank 207 in the 2024/25 PCA statistics. The BNF classifies it under "antiarrhythmic drugs". This means it sits outside the high-volume therapeutic classes (statins, PPIs, ACE inhibitors, SSRIs) where supplement-interaction surfaces are densely studied, and the published evidence base for specific supplement pairs is correspondingly thinner. Where interactions are documented in the Distil database, they are listed below with their clinical-reference citation; where pairs have not been explicitly assessed, the missing-item form at the bottom of the page routes them into our next curation pass. Anyone combining Flecainide acetate with a regular supplement stack benefits from explicit GP or pharmacist awareness rather than assuming no interaction exists by default.

Below are the 1 documented pair we have explicitly assessed against Flecainide acetate in the Distil database: 1 amber. The pairs cluster around 1 mechanism: Haemodynamic interaction (narrow therapeutic window). Every call is cited to either a clinical reference (PMID) or the British National Formulary. Anything not on this list is either still to be assessed or beyond our database scope. The checker beneath surfaces assessments by supplement, and the missing-item form at the bottom of the page routes any uncatalogued supplement into our next curation pass.

Documented interactions

Haemodynamic interaction (narrow therapeutic window)

Amber Beetroot Extract

Flecainide is a Class Ic antiarrhythmic with a narrow therapeutic window and is sensitive to blood pressure and electrolyte changes. Beetroot lowers blood pressure through the nitric oxide pathway, which can stack with flecainide's haemodynamic profile. At standard supplement doses the combined effect tends to be mild, but the narrow safety margin of flecainide means you should let your cardiologist know if you start beetroot. Do not stack beetroot with hibiscus, garlic, L-citrulline and high-dose magnesium at the same time if you are on flecainide.

PMID 25421976 · PMID 35369064 · BNF: Flecainide

Reviewer-flagged: awaiting clinical-reviewer sign-off.

What this list does not say. Pairs not flagged here are not implicitly safe. They are either not yet in our database, or fall outside our inclusion scope (food-supplement interactions only; for drug-drug interactions, the BNF is authoritative). Use the checker below to surface any supplement, and submit a missing item if you take something we have not catalogued.

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For adults over 18. This tool gives evidence-graded information, not medical advice. Always discuss changes with your GP, especially if you take any medication, are pregnant, breastfeeding, or have a serious health condition.

Your supplements

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How we decide

How we grade severity, choose what's in scope, and what we exclude.

Every call on this page is reasoned. We publish the full rubric for severity tiers, the medication inclusion logic, the evidence grades we accept, and what we deliberately leave out. About three thousand words. Worth reading once if you use this tool more than occasionally.

Read the full methodology

Your whole stack

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This page checks the pairs you enter. The personalised Distil report goes further:

the same graded, cited interaction check across your whole stack, not just the pairs you thought to type in
where your current routine may be leaving you short of your goals
the evidence-backed compounds worth adding, and the ones worth dropping

It's a paid report: £79, or £49 for the first 25 customers. The interactions check is one section of it, and you can read a real one in full before you buy.

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Something missing?

If a supplement or medication you take isn't in our autocomplete, tell us. We go through what people flag every week and add what's missing.

Thanks, that's logged. We go through flagged items every week.

Distil's interactions database is reviewed and updated every quarter. We grade evidence transparently and publish our methodology, including every database change, at /about/methodology. This tool is information, not a substitute for clinical judgement. If you take medication and supplements together, your GP or pharmacist can review your full regimen against your medical history. If you want a full personalised stack reasoned against this same database, the Distil report is the next step up.