HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is There Another Drug That Can Be Used To Treat A-fib And V-tach Without As Severe Side Effect?

I have just recently been put on Amiodarone 200mg for Afib and Vtach, How many people have died using this drug for long term? Other than Amiodarone and Metoprolol is there another drug that can be used to treat Afib and Vtach without as severe side effects such as the Amiodorone?
Tue, 9 Jun 2015
Report Abuse
Cardiologist 's  Response

Hello!

Thank you for asknig on HCM!

Regarding your concern, I would explain that Amiodaron is one of the most effective antiarrhythmics used for the above mentioned purpose. But, its pharmacokinetic and pharmacodynamic profile may lead t oserious drug depositions in several organs (liver, cornea, lungs, skin, etc) and may lead to serious complications, such as pulmonary fibrosis, liver toxicity, vision disturbances, dangerous prolongation of QT interval on ECG, dysthyroidism, etc.

The best therapeutical strategy for treating your arrhythmias would be to avoid antiarrhythmics (as they may paradoxically show proarrhythmic effects too), and try to eleminate the possible myocardial organic substrate of arrhythmia by possible cardiac ablation, if suchj a procedure is available to your attending medical center. A comprehensive electrophysiological study should be performed first, to address the pathological issues.

Ather medical options are avaliable, besides Amiodaron, such as other antiarrhythmics like sotalol, propafenone, flecainide, etc, but each othem has its own side effects.

Hope to have been helpful! Greetings! Dr. Iliri



I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Cardiac arrhythmia


Loading Online Doctors....
Is There Another Drug That Can Be Used To Treat A-fib And V-tach Without As Severe Side Effect?

Hello! Thank you for asknig on HCM! Regarding your concern, I would explain that Amiodaron is one of the most effective antiarrhythmics used for the above mentioned purpose. But, its pharmacokinetic and pharmacodynamic profile may lead t oserious drug depositions in several organs (liver, cornea, lungs, skin, etc) and may lead to serious complications, such as pulmonary fibrosis, liver toxicity, vision disturbances, dangerous prolongation of QT interval on ECG, dysthyroidism, etc. The best therapeutical strategy for treating your arrhythmias would be to avoid antiarrhythmics (as they may paradoxically show proarrhythmic effects too), and try to eleminate the possible myocardial organic substrate of arrhythmia by possible cardiac ablation, if suchj a procedure is available to your attending medical center. A comprehensive electrophysiological study should be performed first, to address the pathological issues. Ather medical options are avaliable, besides Amiodaron, such as other antiarrhythmics like sotalol, propafenone, flecainide, etc, but each othem has its own side effects. Hope to have been helpful! Greetings! Dr. Iliri