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Drugs reference index «amiodarone Intravenous»

amiodarone Intravenous
amiodarone Intravenous


amiodarone (Intravenous route)

a-mi-OH-da-rone

Oral routeTablet

Amiodarone hydrochloride is intended for use only in patients with the indicated life-threatening arrhythmias because its use is accompanied by substantial toxicity.

Amiodarone hydrochloride has several potentially fatal toxicities, the most important of which is pulmonary toxicity (hypersensitivity pneumonitis or interstitial/alveolar pneumonitis) that has resulted in clinically manifest disease at rates as high as 10 to 17% in some series of patients with ventricular arrhythmias given doses around 400 mg/day, and as abnormal diffusion capacity without symptoms in a much higher percentage of patients. Pulmonary toxicity has been fatal about 10% of the time. Liver injury is common with amiodarone hydrochloride, but is usually mild and evidenced only by abnormal liver enzymes. Overt liver disease can occur, however, and has been fatal in a few cases. Like other antiarrhythmics, amiodarone hydrochloride can exacerbate the arrhythmia, e.g., by making the arrhythmia less well tolerated or more difficult to reverse. This has occurred in 2 to 5% of patients in various series, and significant heart block or sinus bradycardia has been seen in 2 to 5%. All of these events should be manageable in the proper clinical setting in most cases. Although the frequency of such proarrhythmic events does not appear greater with amiodarone hydrochloride than with many other agents used in this population, the effects are prolonged when they occur.

Even in patients at high risk of arrhythmic death, in whom the toxicity of amiodarone hydrochloride is an acceptable risk, amiodarone hydrochloride poses major management problems that could be life-threatening in a population at risk of sudden death, so that every effort should be made to utilize alternative agents first.

The difficulty of using amiodarone hydrochloride effectively and safely itself poses a significant risk to patients. Patients with the indicated arrhythmias must be hospitalized while the loading dose of amiodarone hydrochloride is given, and a response generally requires at least one week, usually two or more. Because absorption and elimination are variable, maintenance-dose selection is difficult, and it is not unusual to require dosage decrease or discontinuation of treatment. In a retrospective survey of 192 patients with ventricular tachyarrhythmias, 84 required dose reduction and 18 required at least temporary discontinuation because of adverse effects, and several series have reported 15 to 20% overall frequencies of discontinuation due to adverse reactions. The time at which a previously controlled life-threatening arrhythmia will recur after discontinuation or dose adjustment is unpredictable, ranging from weeks to months. The patient is obviously at great risk during this time and may need prolonged hospitalization. Attempts to substitute other antiarrhythmic agents when amiodarone hydrochloride must be stopped will be made difficult by the gradually, but unpredictably, changing amiodarone body burden. A similar problem exists when amiodarone hydrochloride is not effective; it still poses the risk of an interaction with whatever subsequent treatment is tried .

Amiodarone has several potentially fatal toxicities, the most important of which is pulmonary toxicity (hypersensitivity pneumonitis or interstitial/alveolar pneumonitis). Liver injury is common, but is usually mild and evidenced only by abnormal liver enzymes. Overt liver disease can occur, however, and has been fatal in a few cases. Amiodarone can exacerbate the arrhythmia, e.g., by making the arrhythmia less well tolerated or more difficult to reverse. Patients with the indicated arrhythmias must be hospitalized while the loading dose is given, and a response generally requires at least one week, usually two or more .

Commonly used brand name(s):

In the U.S.

  • Cordarone IV

Available Dosage Forms:

  • Solution

Therapeutic Class: Antiarrhythmic, Group III

Chemical Class: Benzofuran

Uses For amiodarone

Amiodarone injection is used to correct life-threatening heart rhythm problems called ventricular arrhythmias. amiodarone is used in patients who have already been treated with other medicines that did not work.

Amiodarone injection belongs to the group of medicines known as antiarrhythmics. It works directly on the heart tissue and will slow the nerve impulses in the heart. This helps keep the heart rhythm normal.

amiodarone is available only with your doctor's prescription.

Before Using amiodarone

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For amiodarone, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to amiodarone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of amiodarone injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of amiodarone injection in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving amiodarone injection.

Pregnancy

Pregnancy CategoryExplanation
All TrimestersDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using amiodarone with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Bepridil
  • Cisapride
  • Dronedarone
  • Grepafloxacin
  • Indinavir
  • Levomethadyl
  • Mesoridazine
  • Nelfinavir
  • Pimozide
  • Ritonavir
  • Saquinavir
  • Sparfloxacin
  • Terfenadine
  • Thioridazine
  • Tipranavir
  • Ziprasidone

Using amiodarone with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acebutolol
  • Acecainide
  • Ajmaline
  • Alprenolol
  • Amiodarone
  • Amisulpride
  • Amitriptyline
  • Amlodipine
  • Amoxapine
  • Amprenavir
  • Aprindine
  • Arsenic Trioxide
  • Asenapine
  • Astemizole
  • Atazanavir
  • Atenolol
  • Azimilide
  • Azithromycin
  • Betaxolol
  • Bevantolol
  • Bisoprolol
  • Bretylium
  • Bucindolol
  • Carteolol
  • Carvedilol
  • Celiprolol
  • Chloral Hydrate
  • Chloroquine
  • Chlorpromazine
  • Ciprofloxacin
  • Clarithromycin
  • Darunavir
  • Delavirdine
  • Desipramine
  • Dibenzepin
  • Digoxin
  • Dilevalol
  • Diltiazem
  • Disopyramide
  • Dofetilide
  • Dolasetron
  • Doxepin
  • Droperidol
  • Eletriptan
  • Enflurane
  • Erythromycin
  • Esmolol
  • Etravirine
  • Felodipine
  • Fentanyl
  • Flecainide
  • Fluconazole
  • Flunarizine
  • Fluoxetine
  • Fosamprenavir
  • Foscarnet
  • Gallopamil
  • Gatifloxacin
  • Gemifloxacin
  • Halofantrine
  • Haloperidol
  • Halothane
  • Hydroquinidine
  • Ibutilide
  • Iloperidone
  • Imipramine
  • Iohexol
  • Isoflurane
  • Isradipine
  • Itraconazole
  • Ketoconazole
  • Labetalol
  • Lacidipine
  • Lapatinib
  • Lercanidipine
  • Levobunolol
  • Levofloxacin
  • Lidocaine
  • Lidoflazine
  • Lopinavir
  • Loratadine
  • Lorcainide
  • Lovastatin
  • Lumefantrine
  • Manidipine
  • Mefloquine
  • Mepindolol
  • Methadone
  • Metipranolol
  • Metoprolol
  • Metronidazole
  • Mibefradil
  • Moxifloxacin
  • Nadolol
  • Nebivolol
  • Nicardipine
  • Nifedipine
  • Nilvadipine
  • Nimodipine
  • Nisoldipine
  • Nitrendipine
  • Norfloxacin
  • Nortriptyline
  • Octreotide
  • Ofloxacin
  • Ondansetron
  • Oxprenolol
  • Paliperidone
  • Pazopanib
  • Penbutolol
  • Pentamidine
  • Perhexiline
  • Pindolol
  • Pirmenol
  • Prajmaline
  • Pranidipine
  • Prilocaine
  • Probucol
  • Procainamide
  • Propafenone
  • Propranolol
  • Quetiapine
  • Quinidine
  • Ranolazine
  • Rifampin
  • Risperidone
  • Sematilide
  • Sertindole
  • Simvastatin
  • Sirolimus
  • Sotalol
  • Spiramycin
  • St John's Wort
  • Sulfamethoxazole
  • Sultopride
  • Sunitinib
  • Tacrolimus
  • Talinolol
  • Tedisamil
  • Telithromycin
  • Tertatolol
  • Tetrabenazine
  • Timolol
  • Tizanidine
  • Trazodone
  • Trimethoprim
  • Trimipramine
  • Vardenafil
  • Vasopressin
  • Verapamil
  • Voriconazole
  • Warfarin
  • Zolmitriptan
  • Zotepine

Using amiodarone with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abarelix
  • Acenocoumarol
  • Aprindine
  • Cholestyramine
  • Clonazepam
  • Clopidogrel
  • Cyclosporine
  • Dicumarol
  • Digitoxin
  • Flecainide
  • Fosphenytoin
  • Methotrexate
  • Nevirapine
  • Phenytoin
  • Procainamide
  • Rifapentine
  • Rosuvastatin
  • Theophylline
  • Tolterodine

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Using amiodarone with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use amiodarone, or give you special instructions about the use of food, alcohol, or tobacco.

  • Grapefruit Juice

Other Medical Problems

The presence of other medical problems may affect the use of amiodarone. Make sure you tell your doctor if you have any other medical problems, especially:

  • AV block (type of abnormal heart rhythm), with no pacemaker or
  • Bradycardia (slow heartbeat) or
  • Cardiogenic shock or
  • Sick sinus syndrome (type of abnormal heart rhythm), with no pacemaker—Should not be used in patients with these conditions.
  • Eye or vision problems or
  • Heart rhythm problems (e.g., QT prolongation) or
  • Hypokalemia (low potassium in the blood) or
  • Hypomagnesemia (low magnesium in the blood) or
  • Hypotension (low blood pressure) or
  • Lung disease or other breathing problems or
  • Thyroid problems—Use with caution. May make these conditions worse.

Proper Use of amiodarone

A nurse or other trained health professional will give you amiodarone in a hospital. amiodarone is given through a needle placed in one of your veins.

Your doctor will give you a few doses of amiodarone until your condition improves, and then switch you to an oral medicine that works the same way. If you have any concerns about this, talk to your doctor.

Precautions While Using amiodarone

It is very important that your doctor check your progress while you receive amiodarone to make sure that it is working properly. Blood tests may be needed to check for unwanted effects.

Using amiodarone while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.

Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. These symptoms are more likely to occur when you begin using amiodarone, or when the dose is increased.

Liver problems may occur while you are using amiodarone. Check with your doctor right away if you are having more than one of these symptoms: abdominal pain or tenderness; clay-colored stools; dark urine; decreased appetite; fever; headache; itching; loss of appetite; nausea and vomiting; skin rash; swelling of the feet or lower legs; unusual tiredness or weakness; or yellow eyes or skin.

amiodarone can cause changes in your heart rhythm, such as a condition called QT prolongation. It may cause fainting or serious side effects in some patients. Contact your doctor right away if you have any symptoms of heart rhythm problems, such as fast, pounding, or irregular heartbeats.

Tell your doctor right away if you are having shortness of breath, chest tightness, wheezing, or any type of breathing problem while being treated with amiodarone.

Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).

Grapefruits and grapefruit juice may increase the side effects from amiodarone injection by increasing the amount of amiodarone in your body. You should not eat grapefruit or drink grapefruit juice while you are using amiodarone.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (e.g., St. John's wort) or vitamin supplements.

amiodarone Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common
  • Blurred vision
  • confusion
  • dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
  • sweating
  • unusual tiredness or weakness
Less common
  • Black, tarry stools
  • bleeding gums
  • blistering, peeling, or loosening of the skin
  • blood in the urine or stools
  • chest pain or discomfort
  • chills
  • cold, clammy skin
  • cough
  • decreased urine output
  • diarrhea
  • difficulty with breathing
  • dilated neck veins
  • dizziness
  • extreme fatigue
  • fainting
  • fast, pounding, or irregular heartbeat or pulse
  • fast, weak pulse
  • fever
  • irregular heartbeat recurrent
  • itching
  • joint or muscle pain
  • lightheadedness, dizziness, or fainting
  • no blood pressure or pulse
  • pinpoint red spots on the skin
  • red, irritated eyes
  • red skin lesions, often with a purple center
  • shortness of breath
  • slow or irregular heartbeat
  • sore throat
  • sores, ulcers, or white spots in the mouth or on the lips
  • stopping of the heart
  • swelling of the face, fingers, feet, or lower legs
  • tightness in the chest
  • troubled breathing
  • unconsciousness
  • unusual bleeding or bruising
  • weight gain
  • wheezing
Incidence not known
  • Abdominal or stomach pain
  • agitation
  • back, leg, or stomach pains
  • bleeding gums
  • bloating
  • blurred or double vision
  • clay-colored stools
  • coma
  • confusion about identity, place, and time
  • cough or hoarseness
  • coughing or spitting up blood
  • cracks in the skin
  • dark-colored urine
  • decreased frequency or amount of urine
  • decreased urine output
  • depression
  • difficulty swallowing
  • eye pain
  • fever with or without chills
  • general body swelling
  • general feeling of tiredness or weakness
  • headache
  • high fever
  • hives
  • holding false beliefs that cannot be changed by fact
  • hostility
  • increased blood pressure
  • increased thirst
  • indigestion
  • inflamed tissue from infection
  • irritability
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • lethargy
  • light-colored stools
  • loss of appetite
  • loss of heat from the body
  • lower back or side pain
  • muscle cramps or spasms
  • muscle pain or stiffness
  • muscle twitching
  • muscular pain, tenderness, wasting, or weakness
  • noisy breathing
  • nosebleeds
  • painful or difficult urination
  • pains in the stomach, side, or abdomen, possibly radiating to the back
  • pale skin
  • persistent non-healing sore
  • pink growth
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • rapid weight gain
  • rash
  • red, swollen skin
  • reddish patch or irritated area
  • redness, soreness, or itching skin
  • scaly skin
  • seeing, hearing, or feeling things that are not there
  • seizures
  • severe headache
  • shiny bump
  • sores, welting, or blisters
  • stupor
  • swollen or painful glands
  • unexplained bleeding or bruising
  • unpleasant breath odor
  • unusual excitement, nervousness, or restlessness
  • upper right abdominal pain
  • vomiting
  • vomiting of blood
  • weakness
  • white, yellow, or waxy scar-like area
  • yellow eyes and skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known
  • Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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