Procainamide Ethanol

Drugs that may affect procainamide include amiodarone, anticholinergics, antiarrhythmics, beta-blockers, ethanol, histamine H2antagonists, propranolol,... 

H2 antagonists compete with creatinine and certain drugs (eg, procainamide) for renal tubular secretion. All of these agents except famotidine inhibit gastric first-pass metabolism of ethanol, especially in women. Although the importance of this is debated, increased bioavailability of ethanol could lead to increased blood ethanol levels. 

Drugs corticosteroids (Sampson 1995 McAfee et al. 1984), ethanol (McAfee et al. 1984), cyclosporin, azathioprine, ranitidine, nifedipine, procainamide (Sampson 1995), others... 

Olsen H, Mjeirland J. Ethanol-induced increase in procainamide acetylation in man. BrJClin Pharmacol (1982) 13, 203-8. 

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