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MEXITIL vs RYTHMOL

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

Possible drug interaction. MEXITIL and RYTHMOL are different prescription medicines. Combining or switching between them can cause interactions — talk to a pharmacist or prescriber before making changes. This page is not medical advice.

Rating

72/100
70/100

Pharmacy pays

~$8.44 /30
~$10.51 /30

Type

RX
RX

Active ingredient

MEXILETINE HYDROCHLORIDE
PROPAFENONE HYDROCHLORIDE

Dosage forms

Capsule
Tablet

Drug class

Antiarrhythmic
Antiarrhythmic

Boxed warning

None
None

Half-life

about 2 to 10 hours (immediate-release) in the ~90% of adults who are extensive CYP2D6 metabolizers

Treats

Diabetic Neuropathies, Ventricular Fibrillation, Ventricular Premature Complexes
Atrial Fibrillation, Supraventricular Tachycardia

Frequently asked questions

Which is better-rated, Mexitil or Rythmol?

By our independent rating, Mexitil scores higher — 3.6 vs 3.5 out of 5 for Rythmol. Ratings are based on FDA regulatory (recall-safety) data.

Which is cheaper, Mexitil or Rythmol?

Mexitil costs pharmacies less to acquire — about $8.44 vs $10.51 for a 30-count supply, per the CMS NADAC survey. That gap is in the pharmacy's cost of goods, not necessarily in what you pay: your price is set afterwards by your insurer and the pharmacy.

What is the difference between Mexitil and Rythmol?

Mexitil contains Mexiletine Hydrochloride, while Rythmol contains Propafenone Hydrochloride — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.