Doctor insights on:
Yes?: It's a potent antiarrhythmic drug (Class III - Vaughan-Williams) used for both atrial and ventricular arrhythmias. Because of its potential side-effects, it's a last resort medicine. 200 mg is a maintenance dose. Because of it's long half-life, it takes a long time to begin to work and thus a loading dose is given to initiate treatment. It lasts a long time too. Major toxicity: liver, lung, thyroi ...Read more
Pacerone (amiodarone): Without knowing about your condition, the answer is no. ...Read more
Pacerone (amiodarone): Pacerone (amiodarone) lasts a long time in the body 1/2 out in ~2 weeks and the other 1/2 over the next several months as it is stored in your fat cells. When the drug is stopped the electrical effects continue for a period of time. Many md's decrease the dose over time to find the lowest dose that is effective for the abnormal heart rhythm to reduce potential side effects. ...Read more
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
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
Depends: On what it is prescribed for. There is no definite length of time. Speak with your doctor. ...Read more
Weaning: Dopamine is an acute hemodynamic IV drug which usually is removed by titrating the dose rate down by 50% monitoring for a few hours and then cutting down another 50% until minimal dose rate is present and the dose is stopped. Amiodarone has such a long half time that we don't wean it. We stop the amiodarone and its long half time takes care of the amio weaning, in general. ...Read more
Adverse effects: Significant QT prolongation. Symptoms need immediate evaluation may indicate torsade de pointes, eletrolyte abnormalities. Combination of multiple drugs that prolong QT interval is not advisable. Needto check magnessium and potassuim levels. ...Read more
I taken flecainide. Before CABG, flecainide changed to amiodarone for a week. After CABG, may directly converted amiodron to other antiarrhythmic drug?
Which drug has less proarythmic effect, less negative inotropic effect, more effective for paroxysmal Afib cordarone (amiodarone) or flecanide?
My father 72yr with hypertension paroxysmal Af with s.cr1.65 on metoprolol ER100and cordarone (amiodarone) 200 1*3 for wk is there drug better than cordarone (amiodarone) forhm?
Paroxysmal Af: First thing to know is treatment for PAF can be rhythm control or rate control. Depending on access to care and expertise in your area, cure can achieved from AF by ablation of the focus of arrhythmia and then hopefully need no medicine. Wean off. Alternately if on metoprolol and cordarone (amiodarone) (need to also watch thyroid on this medicine, lung toxicity), also should be on blood thinner to mitigate cva ...Read more
Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options
What is your opinion about drug (moxonidil0.2)for hypertensive 72male with paroxysmal Afib on betaloc amlodipine and cordarone (amiodarone) the doc put him on it?
Hypertension: In my opinion there are better choices than minoxidil such as a diuretic like hydrochlorothiazide, or an ace inhibitor like lisinopril or an arb like cozaar (losartan) or avapro. Of course his physician or cardiologist, who knows his condition and laboratory values, is better qualified to recommend treatment. ...Read more
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
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
Differently: Amiodarone is a medication with many known side effects, many of which are rare. It can help treat life threatening arrhythmias and is an imprortant medication. Most people tolerate it just fine but there can be side effects affecting the thyroid, lungs, liver, and skin which at times can be irreversible. Treatment with this medication requires careful monitoring. ...Read more
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
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
Cardiologist: Check with your cardiologist who knows the reason you're taking amiodarone. I believe it can be abruptly discontinued in most cases where another appropriate or effective antiarrythmic medication can be given. Since it can cause lung damage I'm sure your cardiologist will want the amiodarone discontinued. ...Read more
Depends: It depends how much you were taking and how long you've been taking it. Assuming you're in steady state with a common dose like 200 mg a day, it will take 3-4 weeks for its clinical effect to wear off with levels detectable, if measured, for >6 months. ...Read more