Please note: a valid prescription is required for all prescription medication.
Mexitil® Capsules for Ventricular Arrhythmia
Buy More, Save More: Get 20% off when you buy 3 or more of any one product using code LESS20 at checkout.
Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
$199.99
Secure Encrypted Payments
Mexiletine is an oral antiarrhythmic for documented, life‑threatening ventricular rhythm problems. Through our service, you get US shipping from Canada while reviewing mexiletine price without insurance. This page explains uses, safety, and how to get it filled.
What Mexitil® Is and How It Works
This class IB antiarrhythmic helps stabilize cardiac electrical activity by blocking fast sodium channels in the ventricular myocardium. The treatment can reduce abnormal ventricular firing and support rhythm control when close monitoring is in place. It is taken by mouth and is often used when sustained ventricular arrhythmias pose serious risk.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine is not a first choice for minor rhythm issues. It is intended for serious cases where potential benefits may outweigh known risks. Your prescriber will consider your cardiac history, other therapies, and monitoring needs before initiating this therapy.
Who It’s For
This therapy is indicated for adults with documented, life‑threatening ventricular arrhythmias, such as sustained ventricular tachycardia, when alternative approaches are inadequate. It is not for benign premature beats or asymptomatic ectopy. Treatment selection should be made by a cardiology‑trained prescriber with ECG access and clinical follow‑up for Ventricular Arrhythmia.
People who should avoid it include those with cardiogenic shock, and those with second‑ or third‑degree AV block unless a functioning pacemaker is present. Use caution if you have liver impairment, seizure disorders, or significant conduction disease. Safety in pregnancy or while nursing requires individualized assessment. Pediatric use is not well established.
Dosage and Usage
Follow your prescriber’s instructions and the official patient information. Swallow each mexiletine capsule whole with a glass of water. Many clinicians suggest taking doses with food or an antacid to help limit stomach upset. Typical schedules divide the total daily amount into two or three doses spread over the day. Do not make dose changes on your own; your prescriber may adjust based on ECG findings, symptoms, and tolerability.
If you also take other cardiac medicines, try to take this treatment at the same times each day to support steady levels. Avoid alcohol close to dosing if it worsens dizziness. If you have trouble swallowing, ask your prescriber about options rather than opening capsules.
Because arrhythmia control needs careful oversight, regular ECG checks and periodic liver assessments are often recommended. Always rely on the official label if any details here differ.
Strengths and Forms
This therapy is typically supplied as oral capsules. Commonly available strengths include 100 mg and 200 mg capsules. Some markets list additional presentations. Availability can vary by manufacturer and region.
Pack sizes and capsule counts differ by source. Your dispensing pharmacy will label the strength, dosing schedule, and quantity clearly on your bottle.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next scheduled dose. If it is almost time for the next dose, skip the missed one and resume the regular schedule. Do not double doses. If you miss more than one, contact your prescriber for guidance. Keeping a daily reminder or using a medication organizer can reduce missed doses.
Storage and Travel Basics
Store capsules at room temperature in a dry place, away from excess heat and moisture. Keep the bottle tightly closed and out of reach of children and pets. Do not store in a bathroom. When traveling, keep your labeled container in your carry‑on, along with a copy of your prescription and your prescriber’s contact information.
For mail‑order support and mexiletine US shipping updates, check your account messages and email notifications. If travel spans multiple time zones, keep dosing intervals consistent relative to your usual schedule. Use a small pill case for daily use and leave the rest sealed to limit humidity exposure.
Benefits
This medicine offers oral, non‑hospital administration for select serious ventricular rhythm issues. It may help reduce ventricular ectopy and improve symptom burden when used under specialist supervision. Capsule dosing can be easier than inpatient infusions for long‑term management. As part of a tailored plan, it may complement device therapy or other antiarrhythmics when clinically appropriate.
Side Effects and Safety
- Digestive upset: nausea, heartburn, stomach discomfort
- Neurologic effects: dizziness, tremor, coordination problems, tingling
- Sleep or mood changes: insomnia, nervousness
- Vision changes: blurred vision
- General: fatigue or weakness
Mexiletine can also cause more serious effects. These can include worsening arrhythmias, liver injury, significant low blood pressure, or allergic reactions. Seek urgent care for fainting, chest pain, severe dizziness, yellowing of the skin or eyes, dark urine, or swelling of the face or throat. Risk of low blood sugar can rise if used with insulin or sulfonylureas in sensitive individuals. Review the Medication Guide for the full list of risks.
Drug Interactions and Cautions
Important interactions may occur with CYP2D6 or CYP1A2 inhibitors or inducers. Examples include certain antidepressants, antipsychotics, quinolone antibiotics, and smoking (induces 1A2). Drugs that affect cardiac conduction or repolarization can change risk. Antiseizure medicines may alter levels. Monitor closely with warfarin or theophylline, as effects can shift. Limit caffeine if tremor or palpitations worsen. Always provide a complete medication list, including supplements and OTC products, to your clinician.
Older adults or those with liver impairment often need closer monitoring. Driving or operating machinery may be unsafe if dizziness or vision changes occur. Alcohol can increase CNS side effects in some people.
If you use antiplatelet therapy, learn how these agents differ from rhythm drugs; see Is Brilinta A Blood Thinner for background.
What to Expect Over Time
Early on, your prescriber may focus on stabilizing symptoms and confirming rhythm response on ECG. It can take several adjustments to find a tolerable schedule. Many people notice digestive or neurologic effects during initiation; these may lessen as your body adapts. If side effects persist or your symptoms change, contact your prescriber promptly rather than stopping abruptly.
Over the long term, periodic check‑ins help confirm that benefits continue to outweigh risks. Bring a list of current medicines to each visit and note any new symptoms. Using reminders, pairing doses with meals, and keeping a small travel kit can support consistent adherence.
Compare With Alternatives
Other prescription options may be considered based on your rhythm pattern and comorbidities. Two commonly discussed alternatives are:
Amiodarone: A broad‑spectrum antiarrhythmic often used for refractory ventricular arrhythmias. It requires thyroid, liver, and lung monitoring and has many interactions.
Sotalol: A beta‑blocking antiarrhythmic that needs QT monitoring and careful initiation. Suitability depends on kidney function and prior rhythm history.
Your prescriber will choose a therapy based on safety profile, monitoring needs, and your specific arrhythmia.
Pricing and Access
We highlight Canadian options with clear cash‑pay details so you can compare effectively. To review mexiletine price and expected savings, check the product page and add your prescription. This therapy ships from Canada to US with transparent tracking. For current offers, see Promotions. Checkout is secure with encrypted checkout.
If you have insurance, ask your plan about coverage. Many patients also compare pharmacy cash‑pay quotes to find a good fit for their budget.
Availability and Substitutions
Supply can vary by manufacturer and region. If the item is temporarily unavailable, a prescriber may recommend an alternative from the same class or another appropriate antiarrhythmic. Do not switch therapies without medical guidance. If you are looking for a mexiletine coupon, check for current site offers or speak with our support team about documentation your prescriber may need.
Some lots are sourced from Canada. The exact manufacturer on your bottle can differ based on batch and partner pharmacy inventory.
Patient Suitability and Cost-Saving Tips
Good candidates are adults with life‑threatening ventricular arrhythmias who can maintain follow‑up, ECG monitoring, and adherence. Those with severe conduction disease or significant hepatic impairment may need alternative plans. If pregnancy or nursing is possible, discuss risks and benefits with your prescriber.
To manage mexiletine cost, consider longer fills if your prescriber agrees, since fewer refills can reduce per‑fill fees. Set phone reminders for renewal and ask your prescriber to align appointments with refill timelines. Compare pricing across pharmacies to see where cash‑pay is most favorable. Keep your preferred pharmacy on file to reduce delays. For broader therapy options, explore our Cardiovascular selection.
Questions to Ask Your Clinician
- Primary goal: what rhythm outcomes are realistic for my condition?
- Monitoring plan: how often will ECG and labs be checked?
- Risks: which warning signs should prompt urgent care?
- Interactions: which medicines or supplements should I avoid?
- Daily routine: how should I time doses with meals and other drugs?
- Travel: what documents and labeling should I carry?
- Alternatives: if I cannot tolerate this medicine, what is next?
Authoritative Sources
FDA DailyMed: Mexiletine HCl Capsules
Health Canada Drug Product Database
Ready to proceed? You can add this medicine to your cart for prompt, express shipping. Educational content only; talk with your healthcare professional for personalized advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Mexiletine used for?
Mexiletine is an antiarrhythmic medication used to treat or prevent serious ventricular arrhythmias, such as ventricular tachycardia. It works by stabilizing electrical activity in the heart muscle to maintain a regular heartbeat.
How should Mexiletine be taken?
Take Mexiletine with food to improve absorption and decrease stomach upset, usually two or three times daily as directed. Consistency with timing is important to maintain steady blood levels and therapeutic effect.
What common side effects might occur?
Frequent side effects include nausea, dizziness, tremor, and heartburn. Serious side effects like difficulty breathing, fainting, or new irregular heartbeats should be reported to your doctor immediately.
Can Mexiletine interact with other medications?
Yes, Mexiletine may interact with other antiarrhythmics or antidepressants and certain antifungals. Always inform your healthcare provider of all medications and supplements to avoid dangerous interactions.
Is monitoring needed with Mexiletine?
Yes, regular ECGs and blood level checks may be necessary to ensure the drug is working properly and to adjust dosing. Monitoring helps detect potential side effects like QT prolongation and dose-related toxicity.
How is mexiletine different from lidocaine?
Both belong to class IB antiarrhythmics that block fast sodium channels. Lidocaine is typically given intravenously for acute settings, while mexiletine is an oral option for longer‑term management of serious ventricular arrhythmias. Your clinician may use lidocaine during hospitalization and transition to oral therapy later if appropriate. The choice depends on the arrhythmia, comorbidities, and monitoring access. Always follow the plan set by your prescriber.
Can I take mexiletine with food or antacids?
Yes, many clinicians suggest taking doses with food or an antacid to reduce stomach upset. Swallow capsules whole with water. Avoid alcohol close to dosing if it worsens dizziness. If reflux or nausea persists, discuss options with your prescriber rather than stopping on your own. Follow the Medication Guide for detailed administration notes and storage instructions.
What monitoring do I need while on this therapy?
Your prescriber may schedule periodic ECGs to assess rhythm response and conduction intervals. They may also order liver function tests and review neurologic symptoms such as tremor or dizziness. Frequency depends on your medical history and any interacting medicines. Bring a current medication list to every visit. Do not change doses between visits unless instructed.
What should I avoid while taking mexiletine?
Limit or avoid alcohol if it worsens dizziness or stomach upset. Provide a full medication list to screen for interactions, especially with antidepressants, certain antibiotics, seizure medicines, and other cardiac drugs. Excess caffeine can aggravate tremor or palpitations. Do not start new supplements without discussing them with your prescriber. Follow label guidance and monitoring plans.
What if I vomit after a dose?
If you vomit soon after taking a capsule, do not repeat the dose unless your prescriber advises it. Resume your usual schedule with the next dose. If vomiting persists or you miss multiple doses, contact your clinician for instructions. Hydration and taking doses with food may help reduce stomach upset for some people. Avoid doubling up doses to compensate.
Is long‑term use common for ventricular arrhythmias?
Some patients remain on therapy long term when benefits outweigh risks and monitoring is stable. Others may transition to different agents, adjust doses, or rely on device‑based treatments. Your plan depends on arrhythmia type, other conditions, and tolerability. Regular follow‑up helps confirm ongoing need and ensures timely adjustments.
How do I store the capsules while traveling?
Keep capsules in the original, labeled container in your carry‑on bag. Avoid heat and humidity. Carry your prescription or a summary letter for airport screening. Use a small daily organizer and leave the rest sealed. If crossing time zones, maintain consistent intervals relative to your home schedule. Keep medicines away from children and pets.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.


