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Doctor insights on: Amiodarone

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Dr. John Landi
107 Doctors shared insights

Amiodarone (Overview)

Amiodarone is an antiarrhythmic. It is a medication used to normalize the heart rhythm and prevent abnormal rhythms to occur.


Dr. John Landi
107 Doctors shared insights

Amiodarone (Overview)

Amiodarone is an antiarrhythmic. It is a medication used to normalize the heart rhythm and prevent abnormal rhythms to occur.


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Please describe the medication: amiodarone?

Please describe the medication: amiodarone?

Anti-arrthymic med: Amiodarone is a medication used to suppress extra heartbeats and maintain a normal regular heart rhythm. It is used most frequently in a low dose to prevent episodes of atrial fibrillation, a heart rhythm that can lead to strokes. It can also be used in higher doses to prevent ventricular extra beats. Amiodarone can have many potential side effects and must be used by an experienced cardiologist. ...Read more

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What are your experiences with amiodarone?

What are your experiences with amiodarone?

It is an: Effective drug in the right patient. It can be useful to treat atrial and ventricular arrythmias. It is no without side effects and patients need to be closely followed by the prescribing doctor. ...Read more

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What is more effective, lidocaine or amiodarone?

What is more effective, lidocaine or amiodarone?

Depends: I am assuming you are referring to the treatment of ventricular arrhythmias. Both can be effect in the treatment of acute ventricular arrhythmias, however Lidocaine is not used for prolonged therapy. ...Read more

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How does amiodarone work?

How does amiodarone work?

Multiple effects: Amiodarone is primarily a class iii anti-arrhythmic agent. It prolongs the depolarization phase of cardiac muscle--the muscle takes longer to reset after contraction, slowing down the heart rate. Amiodarone also acts on sodium & potassium channels to delay conduction of the action potential through the sa & av nodes. ...Read more

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Which are the safer alternatives to Amiodarone?

Which are the safer alternatives to Amiodarone?

All the same: All drugs in this group called class lll antiarhytmics including amiodarone have potentially serious side effects that can be life threatening. Amiodarone compared to others have in addition side effects that affect the thyroid, lungs, liver etc. It is best to discuss thoroughly the other drugs (sotalol, Ibutilide, etc) with cardiologist experienced in using these drugs ...Read more

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My father 70yr, diagnosed ventricular bigeminy. Is it dangerous? Can amiodarone help controlling it? Treatment options for ventricular tachycardia?

My father 70yr, diagnosed ventricular bigeminy. Is it dangerous? Can amiodarone help controlling it? Treatment options for ventricular tachycardia?

Depends: The underlying cause for the rythm needs to be worked up and treated. If all correctable conditions are fixed., then eps may be indicated and ablation if reasonable. A defibrillator if poor heart function. Otherwise amio is reasonable but has its issues. It can affect the lungs, liver and thyroid to mention a few. Close monitoring is reccomended. ...Read more

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Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options

Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options

Depends: In order to safely prescribe medication for a fib it is important to know more about your heart, specifically whether there are any abnormalities. There are drugs other than amiodarone and tikosyn (dofetilide) but the do not have the same efficacy (success rate). ...Read more

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What are the side effects of amiodarone?

What are the side effects of amiodarone?

Multiple: Amiodarobe is a very effective anti arrhythmic drug, but unfortunately has lots of side effects when used for long term (years). It can affect the lungs, thyroid, liver, eyes and skin. Usually twice a year blood tests and yearly chest x ray can detect these side effects before they become clinically manifest. Most importantly, almost all the side effects disappear once the medication is stopped. ...Read more

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If you take 200MG of Amiodarone for 3 months and 100MG for the next 3 months when will it be out of your system?

Weeks-months: Amiodarone is one of those antiarrhyhtmic drugs with a long 1/2 life (average of 50 days, range 30-100 days). So depending on whether you were front loaded or not, that you have been on it for 6 months, it is likely going to take a good 3 months for all drug to be out of your system. It is hard to predict reliably, because of its accumulation in fat tissue, etc.... ...Read more

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Should you stay on amiodarone for long periods of time?

Amiodarone: In general long term amiodarone can be problematic but some patients need it long term. Should discuss with the prescribing and following doctors. ...Read more

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I started amiodarone on March 28 and stopped April 30. What's the half life for that small amount of time?

I started amiodarone on March 28 and stopped April 30. What's the half life for that small amount of time?

Really really long: amiodarone stays in the system for a very long time. The last bit of it decreases by half approximately every TWO MONTHS
http://www. Ncbi. Nlm. Nih. Gov/pubmed/10872646
about 20% incidence of adverse events BUT, the more serious adverse events basically only occur with being on the drug for a much longer time. ...Read more

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How many days is amiodarone drip good for?

Amiodarone: We generally give an IV loading dose and then switch either to PO or a small IV maintainence dose as amiodarone is a long half time drug. You can use it IV for a long time if necessary because of pt. Status but that isn't usually the case. ...Read more

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How does amiodarone work?

Multiple effects: Amiodarone is primarily a class iii anti-arrhythmic agent. It prolongs the depolarization phase of cardiac muscle--the muscle takes longer to reset after contraction, slowing down the heart rate. Amiodarone also acts on sodium & potassium channels to delay conduction of the action potential through the sa & av nodes. ...Read more

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How does amiodarone first work?

How does amiodarone first work?

Beta blocker: The first effect of amiodarone, seen in the first hours or days is the betablocking properties, slowing the heart rate. ...Read more

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How should I go off of amiodarone?

Quickly.: If you have been recommended to stop amiodarone, there is no need for a "wean" or for a taper. You can stop the drug suddenly. It has a very long half-life, so will be in your system even months after you stop taking the pills. ...Read more

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What are some alternatives to amiodarone?

Slow Down There: Antiarrhythmics are, as a rule, complicated drugs with a lot of side effects and a ton of potential contraindications. They are not easily interchangeable. At the very least a cardiologist and better still an electrophysiologist should help you decide which are eligible for you specifically. That said, dofetilide, sotalol, flecainide, propafenone, verapamil and dronedarone are some freq. Choices. ...Read more

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How many days is amiodarone drip good for?

Amiodarone: We generally give an IV loading dose and then switch either to PO or a small IV maintainence dose as amiodarone is a long half time drug. You can use it IV for a long time if necessary because of pt. Status but that isn't usually the case. ...Read more

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Please describe the medication: amiodarone?

Anti-arrthymic med: Amiodarone is a medication used to suppress extra heartbeats and maintain a normal regular heart rhythm. It is used most frequently in a low dose to prevent episodes of atrial fibrillation, a heart rhythm that can lead to strokes. It can also be used in higher doses to prevent ventricular extra beats. Amiodarone can have many potential side effects and must be used by an experienced cardiologist. ...Read more

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What are your experiences with amiodarone?

It is an: Effective drug in the right patient. It can be useful to treat atrial and ventricular arrythmias. It is no without side effects and patients need to be closely followed by the prescribing doctor. ...Read more

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Which are the safer alternatives to Amiodarone?

All the same: All drugs in this group called class lll antiarhytmics including amiodarone have potentially serious side effects that can be life threatening. Amiodarone compared to others have in addition side effects that affect the thyroid, lungs, liver etc. It is best to discuss thoroughly the other drugs (sotalol, Ibutilide, etc) with cardiologist experienced in using these drugs ...Read more

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What is the definition or description of: amiodarone?

What is the definition or description of: amiodarone?

Antiarrhythmic: Amiodarone is an antiarrhythmic. It is a medication used to normalize the heart rhythm and prevent abnormal rhythms to occur. ...Read more

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I need to know if there is an alternative drug to amiodarone?

Amiodarone: Depending on what amiodarone is being used for, there may be alternatives for this drug. In certain circumstances, there may not be a good alternative though or amiodarone may be the best option. ...Read more

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What are possible complications from the medication amiodarone?

What are possible complications from the medication amiodarone?

Many...: These generally break down into two categories. There are rare, but very severe issues including pulmonary fibrosis, liver dysfunction, and thyroid dysfunction. There are also GI side effects (nausea) skin changes (over decades, the skin turns a bluish grey) and more mild thyroid issues which may require thyroid supplementation or other such treatment. ...Read more

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What length of time should a person take the medication amiodarone?

What length of time should a person take the medication amiodarone?

Depends: On what it is prescribed for. There is no definite length of time. Speak with your doctor. ...Read more

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How long does amiodarone stay in the body if you use it for just one week?

Amiodarone: Halftime around a month. Usually 5 halftimes to eliminate 90% of a drug. Effects of drug usually disappear when level of drug is low enough ...Read more

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I took IV amiodarone for 2 days and it stopped AF. Can I go back to the gym now?

I took IV amiodarone for 2 days and it stopped AF. Can I go back to the gym now?

Not yet!: This can be a serious issue and this may recur. AF is sometimes difficult you need to ask your cardiologist if you need long term meds and when you can begin to exercise. This is a very important subject as AF can lead to stroke.
See the doc ...Read more

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Is it best to take amiodarone in the morning or evening? Which is more effective? Thanks

Either: Does not truly matter so long as it is about same time each day. ...Read more