Amiodarone with digoxin
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Nov 6, 2016. The amiodarone digoxin interaction is one that every pharmacist should know. Here's what to expect along with a few other clinical pearls. Amiodarone-digoxin interaction: clinical significance, time course of development , potential pharmacokinetic mechanisms and therapeutic implications. Amiodarone is known to raise serum digoxin levels. This study was designed to evaluate the pharmacokinetic basis of this interaction in 10 normal subjects. Before taking amiodarone, tell your doctor if you also use digoxin. You may need dose adjustments or special tests in order to safely take both medications . Amiodarone-digoxin interaction: clinical significance, time course of development , potential pharmacokinetic mechanisms and therapeutic implications. Administration of amiodarone (600 to 1,600 mg/day) to. 28 patients during longterm digoxin therapy (0.25 ±. 0.05 mglday) increased serum digoxin level from . Twenty-two patients were given amiodarone for refractory cardiac arrhythmias, and preand post-amiodarone serum digoxin levels were studied. The interval . The coadministration of amiodarone and digoxin can increase the serum concentrations of digoxin and the risk for digoxin toxicity. Dec 1, 2003. When long-term amiodarone therapy is used, potential drug toxicity and. In patients who also are taking digoxin and warfarin, physicians must ..
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Use of amiodarone and digoxin specific Fab antibodies in digoxin overdosage.
A 61 year old man with mild aortic stenosis and chronic depression took 12.5 mg digoxin in a suicide attempt. Ventricular tachycardia and fibrillation were resistant to lignocaine and to phenytoin but responded to intravenous amiodarone, with restoration of pacing. Because of persistent hyperkalaemia he was also treated with Fab fragments of digoxin specific antibody, which bound most of the in...
متن کاملAmiodarone-digoxin interaction: clinical significance, time course of development, potential pharmacokinetic mechanisms and therapeutic implications.
Administration of amiodarone (600 to 1,600 mg/day) to 28 patients during long-term digoxin therapy (0.25 +/- 0.05 mg/day) increased serum digoxin level from 0.97 +/- 0.45 to 1.98 +/- 0.84 ng/ml (p less than 0.001). Gastrointestinal side effects occurred in nine patients, central nervous system reactions occurred in five and cardiovascular reactions occurred in four. Pharmacokinetic studies in s...
متن کاملIntravenous Amiodarone versus Digoxin in Atrial Fibrillation Rate Control; a Clinical Trial
INTRODUCTION Treatment of rapid ventricular response arterial fibrillation (rapid AF) varies depending on the decision of the in-charge physician, condition of the patient, availability of the drug, and the treatment protocol of the hospital. The present study was designed aiming to compare IV digoxin and amiodarone in controlling the heart rate of patients presenting to emergency department wi...
متن کاملIntravenous amiodarone used alone or in combination with digoxin for life-threatening supraventricular tachyarrhythmia in neonates and small infants.
OBJECTIVES The purpose of this study was to report the efficacy of intravenous amiodarone alone or in combination with digoxin in neonates and small infants with life-threatening supraventricular tachyarrhythmia (SVT). METHODS We retrospectively analyzed 9 neonates and small infants with life-threatening or resistant SVT who were treated with intravenous amiodarone alone or in combination wit...
متن کاملAmiodarone therapy for drug-refractory fetal tachycardia.
BACKGROUND Fetal tachycardia complicated by ventricular dysfunction and hydrops fetalis carries a significant risk of morbidity and mortality. Transplacental digoxin is effective therapy in a small percentage, but there is no consensus with regard to antiarrhythmic treatment if digoxin fails. This study evaluates the safety, efficacy, and outcome of amiodarone therapy for digoxin-refractory fet...
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