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Tocainide

Published: July 26, 2026Updated: August 25, 2026

Tocainide is an antiarrhythmic medication classified as a Class IB agent that works by blocking sodium channels in cardiac tissue. It was primarily used to treat ventricular arrhythmias, including ventricular premature contractions and tachycardia.

Quick summary

Tocainide is a Class IB antiarrhythmic used to manage certain ventricular heart rhythm disorders.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
C01BB03
RxNorm
42359
Generic
Tocainide
Class
atc-c01
Brands
—
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Used for the treatment of symptomatic ventricular arrhythmias, including ventricular premature contractions and ventricular tachycardia. It was one of the few oral antiarrhythmics available for long-term management of these conditions.

Tocainide works by blocking voltage-gated sodium channels in cardiac myocytes, which stabilizes cell membranes and reduces the rate of depolarization. This decreases the automaticity of cardiac tissue and helps restore normal rhythm.

Like other Class I antiarrhythmics, tocainide may proarrhythmic effects in some patients. It requires careful patient selection and monitoring. This medication is no longer widely available in many countries due to concerns about side effects and the availability of safer alternatives.

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy