Patient/Family Teaching

• Instruct patient to take medication around the clock, exactly as directed, even if feeling well. If a dose is missed, take as soon as remembered if within 4 hr; do not take if remembered later. Do not double doses. Consult health care professional before discontinuing medication; gradual reduction in dosage may be needed to prevent worsening of condition

• Instruct patient or family member on how to take pulse. Advise patient to report changes in pulse rate or rhythm

• May cause dizziness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known

• Advise patient to inform health care professional of medication regimen before treatment or surgery

• Advise patient to carry identification describing disease process and medication regimen at all times

• Instruct patient to notify health care professional if trembling, shaking, fever, chills, sore throat, ulcers in the mouth, unusual bleeding or bruising, dyspnea, cough, wheezing, or palpitations occur. The occurrence of tremor may be used as an indication that maximum dose has been reached. Health care professional should also be notified if nausea, vomiting, or diarrhea becomes severe. Tocainide may be discontinued if pulmonary fibrosis, bone marrow depression, or severe skin reaction occurs

• Emphasize the importance of routine follow-up exams to monitor progress

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