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Doctor insights on: Amiodarone

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Dr. Katharine Cox
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. Ehab Kasasbeh Dr. Kasasbeh
Internal Medicine - Cardiology
16 years in practice
Faculty of Medicine, Jordan University of Science and Technology
1
Dr. Katharine Cox
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. Bradley Radwaner Dr. Radwaner
Internal Medicine - Cardiology
37 years in practice
Weill Cornell Medical College of Cornell University
2

2
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.

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Dr. John Szawaluk Dr. Szawaluk
Internal Medicine - Cardiology
27 years in practice
Georgetown University School of Medicine
3

3
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.

Dr. Benjamin Nguyen Dr. Nguyen
Anesthesiology
9 years in practice
New York Medical College
4

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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.

Dr. Michael Taylor Dr. Taylor
Critical Care
18 years in practice
University of Louisville School of Medicine
5

5
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.

Dr. Jesus Yap Dr. Yap
Internal Medicine - Cardiology
49 years in practice
University of the City of Manila College of Medicine
6

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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

Dr. Mark Rasak Dr. Rasak
Internal Medicine - Cardiology
29 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
7

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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.

Dr. Rick Koch Dr. Koch
Internal Medicine - Cardiology
18 years in practice
University of Chicago Pritzker School of Medicine
8
Dr. Jay Dinerman Dr. Dinerman
Cardiology - Cardiac Electrophysiology
30 years in practice
Florida International University College of Medicine
9

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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).

Dr. Liviu Klein Dr. Klein
Internal Medicine - Cardiology
19 years in practice
University of Medicine and Pharmacy 'Carol Davila'
10

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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.

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Dr. Anita Prakash Dr. Prakash
Internal Medicine - Cardiology
25 years in practice
State University of New York at Stony Brook School of Medicine
11

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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....

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
12

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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.

Dr. Matt Wachsman Dr. Wachsman
Internal Medicine
32 years in practice
13

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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.

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
14

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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.

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Dr. Michael Taylor Dr. Taylor
Critical Care
18 years in practice
University of Louisville School of Medicine
15

15
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.

Dr. Rodolfo Farhy Dr. Farhy
Internal Medicine - Cardiology
32 years in practice
National University of Cordoba Faculty of Medicine
16

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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.

Dr. Jason Rubenstein Dr. Rubenstein
Internal Medicine - Cardiology
16 years in practice
University of Illinois College of Medicine
17

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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.

Dr. John Garner Dr. Garner
Internal Medicine - Cardiology
12 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
18

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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.

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
19

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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.

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Dr. Bradley Radwaner Dr. Radwaner
Internal Medicine - Cardiology
37 years in practice
Weill Cornell Medical College of Cornell University
20

20
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.

See 2 more doctor answers