Doctor insights on:
Yes: Tikosyn (dofetilide) is available only in restricted use for the treatment of atrial fibrillation or atrial flutter. It must be given in a hospital setting where the patient's electrocardiogram and kidney function are monitored for three days. Physicians must take a special course before using it. It is rarely used. ...Read more
Tikosyn (dofetilide): A single dose with no other amount of the drug in an adult likely wouldn't do much. An extra dose in a patient with a load of tikosyn (dofetilide) could be a problem. ...Read more
Tikosyn (dofetilide): Is medicine used for irregular heart beats. No hallucinations are reported in the literature. Can not rule out possibility if you are taking other medications along with tikosyn (dofetilide) that could interacts adversely. Talk to your md to explore. ...Read more
Tikosyn (dofetilide) side effects: Headache is a potential side effect. I have not seen hallucinations as a reported side effect or in my patients. Contact your doctor and see if a trial off the medication is a potential option and if it resolves your symptoms. If restarting the medication the symptoms reappear then it is definitely the tikosyn (dofetilide). You will need to be monitored for arrhythmias. Do not stop tikosyn (dofetilide) on your own. ...Read more
Tikosyn (dofetilide): Tikosyn (dofetilide) is an antiarrhythmic drug. It does not necessarily eradicate all of the arrhythmia that it is treating. If the arrhythmia is predominantly controlled on tikosyn, (dofetilide) then minor incidence of the arrhythmia may not necessarily be of concern. ...Read more
Can I miss any doses of tikosyn (dofetilide)? On an extra day of vacation and will be one day short.
What would happen if a person with normal heartbeat accidently took a tikosyn (dofetilide) pill by accident?
Likely nothing but: How does that happen?Get a more detailed answer ›
Dofetilide: Tikosyn (dofetilide) is one of the medications we use for rhythm control in atrial fibrillation. All these medicines have statistical risk associated with their use. They are approved for use in humans which means used properly the risk is low. Used in the wrong person the risk could be significant. Discuss with the doctor prescribing for information specific to an individual. ...Read more
Depends on the prob: Treatment of heart rhythm problems can be very complicated. Flecainide is contraindicated in patients with hx of heart attack (increased mortality) and chronic atrial fibrillation (excessive rhythm problems). ...Read more
I am taking 250 mcg Tikosyn (dofetilide) twice a day for A-fib. Latest GFR was 39. Should dosage be reduced?
Call cardiologist: Your cardiologist should be able to advise you as to how much Tikosyn (dofetilide) to take based on your renal function (GFR) to reduce your risk of serious arrhythmia. This communication between you and your Cardiologist is very important when you are taking a drug that requires close monitoring and supervision. ...Read more
Tikosyn (dofetilide): Hallucination is a possible side effect of tikosyn (dofetilide). Let your doc know if you are experiencing it. ...Read more
I was on dofetilide and it worked for almost 5 yes w/o incident. Would drinking a beer affect the potency of this med and cause it not to work...
Consult pharmacy: Bonine is helpful for motion sickness as is dramamine, (dimenhydrinate) klonopin, and scopolamine patches. Pharmacists have data bases that can see if medications are compatible so I would consult with one. I listed these other options should bonine be contraindicated. ...Read more
I stopped amiodarone 4/30 & I feel 100% better. My heart rate increased. My EP wants to start dofetilide in June. Is that another option for rhythm?
My grandmother has a-fib. She's on tikosyn (dofetilide). It keeps her heart normal. She took it today but she is in a-fib & has been for 5 hours. Longest yet. Er?
If she is otherwise: Feeling ok have her notify her cardiologist tomorrow if she's still in it. ...Read more
Diagnosed with afib in October 2013. Prescribed Tikosyn and eliquis. Sympton free until May 2015, cardioverted. Another similar episode in August 2015. Recommended ablation. I have lost 25 pounds and walking 4 miles a day. I prefer to not have ablat?
Depends on symptoms:
Decision regarding ablation is really dependent on how symptomatic a patient is and how many episodes of atrial fibrillation are occurring (both symptomatic and asymptomatic).
Having had two symptomatic episodes this year may suggest a progression but waiting for a few more months may be reasonable. If recurrent episodes do occur then an ablation should be considered. ...Read more
I have had cryo-ablation three cardioversions and still Afib, Now want to do an ablation with heat and start tikosyn. Would a pacemaker be better?
I recently started taking tikosyn (dofetilide) for afib. Can I use an antibiotic cream for an infected toe, or will it interact with the tikosyn (dofetilide)?
Probably not: You are right to ask about interactions between medicines. Tikosyn (dofetilide) is an antiarrhythmic medication with a number of drug-drug interactions. Generally topical antibiotics (applied to the skin surface) do not interact with internal medications however it would be best to know the specific antibiotic to check for a specific interaction. ...Read more
My husband began taking adderall for adhd. He is now on Tikosyn, (dofetilide) furosemide, metoprolol and spironolactone. Can he continue adderall?
Amphetamine effects: Can include elevated BP. Heart attack (MI) or stroke (CVA)- I would advise against it. ...Read more
My husband has perm a-fib. Has had maze, conversions, hcm, mitral repair, pacemaker/defib, tikosyn (dofetilide) (stopped). Left atrium 6.4 cm. Will the afib lead to heart failure?
89 yr male, stroke and heart attack Why would the Hospital Doc need to add. A anticoagulant to asprin and clopidogrel instead of Dofetilide for Afib?
Anticoagulation prev: Anticoagulation prevents strokes in patients with atrial fibrillation but dofitilide which is antiarrhythmic does not prevent strokes. Patient who have history of atrial fibrillation who are at high risk for strokes should be kept on blood thinners for the rest of their lives to prevent more strokes ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more