Pronestyl injection

Name: Pronestyl injection

How is Pronestyl (procainamide injection) given?

Procainamide is injected into a muscle or into a vein through an IV. You will receive procainamide injection in a hospital setting where your heart can be monitored in case the medication causes serious side effects.

Your heart rate will be constantly monitored using an electrocardiograph or ECG (sometimes called an EKG). This machine measures electrical activity of the heart. Your breathing, blood pressure and other vital signs will be watched closely while you are receiving procainamide.

Procainamide can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), loss of appetite, nausea and vomiting, mouth sores, or unusual weakness.

Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

What happens if I overdose?

Since this medication is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

Overdose symptoms may include drowsiness, tremors, weak or shallow breathing, and fainting.

What should I avoid while receiving Pronestyl (procainamide injection)?

Avoid being near people who have colds, the flu, or other contagious illnesses. Contact your doctor at once if you develop signs of infection.

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Precautions

Consult your pharmacist.

Interactions

Consult your pharmacist.

Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

For the Consumer

Applies to procainamide: intravenous solution

Along with its needed effects, procainamide (the active ingredient contained in Pronestyl) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking procainamide:

Less common
  • Fever and chills
  • joint pain or swelling
  • pains with breathing
  • skin rash or itching
Rare
  • Bleeding, blistering, burning, coldness, discoloration of skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, or warmth at the injection site
  • Confusion
  • fever or sore mouth, gums, or throat
  • hallucinations (seeing, hearing, or feeling things that are not there)
  • mental depression
  • unusual bleeding or bruising
  • unusual tiredness or weakness

Get emergency help immediately if any of the following symptoms of overdose occur while taking procainamide:

Symptoms of overdose
  • Decrease in urination
  • dizziness (severe) or fainting
  • drowsiness
  • fast or irregular heartbeat
  • nausea and vomiting

Some side effects of procainamide may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Diarrhea
  • hardening or thickening of the skin where the needle is placed
  • loss of appetite
Less common
  • Dizziness or lightheadedness

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