Amiodarone: a comprehensive guide for clinicians

D Hamilton, S Nandkeolyar, H Lan, P Desai… - American Journal of …, 2020 - Springer
D Hamilton, S Nandkeolyar, H Lan, P Desai, J Evans, C Hauschild, D Choksi, I Abudayyeh
American Journal of Cardiovascular Drugs, 2020Springer
Amiodarone is an effective antiarrhythmic medication frequently used in practice for both
ventricular and atrial arrhythmias. Though classified as a class III antiarrhythmic, it affects all
phases of the cardiac action potential. However, the drug has several side effects, including
thyroid abnormalities, pulmonary fibrosis, and transaminitis, for which routine monitoring is
recommended. It also interacts with several medications, such as warfarin, simvastatin, and
atorvastatin, and many HIV antiretroviral medications. Given the common use of this …
Abstract
Amiodarone is an effective antiarrhythmic medication frequently used in practice for both ventricular and atrial arrhythmias. Though classified as a class III antiarrhythmic, it affects all phases of the cardiac action potential. However, the drug has several side effects, including thyroid abnormalities, pulmonary fibrosis, and transaminitis, for which routine monitoring is recommended. It also interacts with several medications, such as warfarin, simvastatin, and atorvastatin, and many HIV antiretroviral medications. Given the common use of this medication in medical practice, it is vital that clinicians understand the indications, contraindications, dosing, side effects, and interactions of this medication. A thorough understanding of these topics is essential for clinicians to ensure safe and effective use of amiodarone.
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