- What drug can replace amiodarone?
- What are the symptoms of amiodarone toxicity?
- What does amiodarone do to your lungs?
- Is there withdrawal from amiodarone?
- Do you need to taper off amiodarone?
- What should be avoided when taking amiodarone?
- Does amiodarone cause balance problems?
- When should you not take amiodarone?
- Does amiodarone cause eye problems?
- Can amiodarone cause depression?
- Is there a better drug than amiodarone?
- Can you stop amiodarone abruptly?
- What are the long term side effects of amiodarone?
- How long should you stay on amiodarone?
- Is amiodarone hard on the kidneys?
- Can amiodarone cause memory loss?
- What is the safest antiarrhythmic drug?
- Is amiodarone a last resort?
What drug can replace amiodarone?
Dronedarone has been viewed as a potential therapeutic alternative for amiodarone because of a lower risk for pulmonary, thyroid, and dermatologic adverse effects.
Compared with amiodarone, dronedarone has poor bioavailability and a shorter terminal disposition half-life, which dictates a twice-daily dosing regimen..
What are the symptoms of amiodarone toxicity?
Chronic toxicity (eg, chronic interstitial pneumonitis, organising pneumonia) is more common and presents gradually with symptoms including non-productive cough, dyspnoea, fever, pleuritic chest pain, fatigue and/or weight loss. Mortality has been reported as up to 10% in some studies1.
What does amiodarone do to your lungs?
The most common form of amiodarone lung toxicity is a chronic, diffuse lung problem called interstitial pneumonitis (IP). 4 In this condition, the air sacs of the lungs gradually accumulate fluid and various inflammatory cells, impairing the exchange of gasses in the lungs.
Is there withdrawal from amiodarone?
Withdrawal or reduction of amiodarone therapy may lead to considerable improvement in neurological side-effects. Patients on amiodarone should have regular cardiac, hepatic, thyroid, pulmonary, dermatological, ophthalmological screening and assessment of neurological function, particularly in older people.
Do you need to taper off amiodarone?
Patients should not stop taking amiodarone, a heart medication, without doctor supervision due to the health risks of untreated arrythmias.
What should be avoided when taking amiodarone?
Grapefruit and grapefruit juice may increase the side effects of amiodarone by increasing the amount of this medicine in your body. You should not eat grapefruit or drink grapefruit juice while you are using this medicine. Do not take other medicines unless they have been discussed with your doctor.
Does amiodarone cause balance problems?
Summary. Beware of neurotoxicity, among other side effects, when treating patients with amiodarone. Patients will typically complain of tremor, but also “dizziness” as an umbrella term for an unsteady gait.
When should you not take amiodarone?
You should not use this medicine if you are allergic to amiodarone or iodine, or if you have: a serious heart condition called “AV block” (2nd or 3rd degree), unless you have a pacemaker; a history of slow heartbeats that have caused you to faint; or. if your heart cannot pump blood properly.
Does amiodarone cause eye problems?
Amiodarone use is associated with the development of ocular adverse effects including optic neuropathy (which occurs rarely) and corneal deposits (which occur in most patients). All patients experiencing new or worsening visual symptoms whilst taking amiodarone should be referred for ophthalmological assessment.
Can amiodarone cause depression?
Although depression and other psychiatric problems are mentioned as possible side-effects of amiodarone, their exact incidence is not known. A search of the medical literature identified only a few case reports, all of them in those aged 65 or over.
Is there a better drug than amiodarone?
Multaq (dronedarone) is an expensive brand-name-only medication similar to amiodarone. Multaq is better tolerated and has fewer side effects than amiodarone—but it doesn’t work as well. Patients taking Multaq for prevention of atrial fibrillation are half as likely to remain in sinus rhythm as patients on amiodarone.
Can you stop amiodarone abruptly?
Your doctor may decrease your dose during your treatment if you develop side effects. Follow your doctor’s directions carefully. Do not stop taking amiodarone without talking to your doctor. You may need to be closely monitored or even hospitalized when you stop taking amiodarone.
What are the long term side effects of amiodarone?
Amiodarone has been associated with multiple systemic adverse effects, including bradycardia, hypothyroidism or hyperthyroidism, pulmonary toxicity, ocular deposits, and liver function derangements.
How long should you stay on amiodarone?
Never stop taking it without consulting your doctor. This medication must be taken regularly for one to three weeks before a response is seen and for several months before the full effect occurs. Due to the drug’s long half-life, it will remain in your body for up to two months.
Is amiodarone hard on the kidneys?
Amiodarone can interact with simvastatin, atorvastatin, and lovastatin, increasing the risk of severe muscle breakdown and kidney failure or liver disease.
Can amiodarone cause memory loss?
One study reported short-term memory loss in 8.6% of subjects, but the dose of amiodarone was unusually high in this sample (600 mg/d). Although not reported in larger clinical studies, three case reports have described amiodarone-induced delirium.
What is the safest antiarrhythmic drug?
Dronedarone was the best tolerated of the antiarrhythmic drugs, with the lowest rates of severe adverse events and a significant reduction in the risk of stroke. It is our practice to use propafenone, flecainide, sotalol, and dronedarone as first-line therapies in patients without structural heart disease (Table 4).
Is amiodarone a last resort?
Although amiodarone is the most effective antiarrhythmic agent for maintaining sinus rhythm in patients with atrial fibrillation, it is generally used as the drug of the last resort in the United States.