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. 2018 Aug;7(3):199–209. doi: 10.15420/aer.2018.29.2

Table 3: Drugs that Induce Brugada ECG Pattern (Type 1 ST-Segment Elevation) and that Should be Avoided in Patients with Brugada Syndrome.

Drug Class Clinical use References
Antidepressants
Tricyclic Antidepressant Amitriptyline IIA Depression 85, 87
Desipramine IIA Depression 70, 86
Nortriptyline IIA Depression 72, 88
Clomipramine IIA Depression/
obsessive
compulsive
disorder
Imipramine IIA Depression/
anxiety
Tetracyclic Antidepressant Maprotiline IIA Depression/
anxiety
87
Others Lithium IIB Depression 82
Bupropion
Cyamemazine
Dosulepin
Doxepin
Fluoxetin
Fluvoxamine
Maprotiline
Paroxetine
Lamotrigine
IIB Depression
Depression
Depression
Depression
Depression
Depression
Depression
Depression
Depression
Epilepsy, bipolar disorder
143
Antipsychotics Trifluoperazine
IIA
IIA Anxiety,
psychotic
disorders
85
Loxapine IIA Psychotic
conditions
including
hallucinations,
delusions, and
confusion
144
Clotiapine
Cyamemazine
Thioridazine
IIB Psychotic disorders
Antiepileptic Propofol IIA Sedative,
hypnotic and
antiepileptic
83, 84

Recommendation class: Class I: There is evidence and/or general agreement that a given drug is potentially arrhythmic in BrS patients. Class IIA: There is conflicting evidence and/or divergence of opinion about the drug, but the weight of evidence/opinion is in favour of a potentially arrhythmic effect in BrS patients. Class IIB: There is conflicting evidence and/or divergence of opinion about the drug, and the potential arrhythmic effect in BrS patients is less well established by evidence/opinion. BrS = Brugada syndrome. Source: Modified from www.brugadadrugs.org.