Amiodarone Flashcards

(13 cards)

1
Q

What is the half-life of Amiodarone?

A

About 50 days

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2
Q

What may be required for Amiodarone treatment?

A

Loading doses may be required

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3
Q

Which functions should be monitored during Amiodarone treatment?

A
  • Thyroid function
  • Liver function
  • Serum potassium
  • Chest X-ray
  • ECG (with intravenous use)
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4
Q

What are warning signs of Amiodarone use?

A
  • Signs and symptoms of hypo- or hyperthyroidism
  • Corneal microdeposits
  • Progressive shortness of breath or cough
  • Clinical signs of liver disease (e.g., jaundice)
  • Neurological effects (e.g., tremor, peripheral neuropathy)
  • Phototoxic skin reactions
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5
Q

What should be done if vision impairment occurs with Amiodarone?

A

Stop Amiodarone

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6
Q

What actions should be taken to protect the skin during Amiodarone treatment?

A

Advise patient to shield skin from direct sunlight and use a wide-spectrum sunscreen

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7
Q

How long after stopping Amiodarone may clinical effects persist?

A

For a few months

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8
Q

True or False: Amiodarone can cause dizziness in drivers at night.

A

True

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9
Q

What is a potential risk of drug interactions due to Amiodarone’s long half-life?

A

Drug interactions may occur for several weeks to months after treatment has been stopped

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10
Q

What drugs have increased plasma concentrations due to Amiodarone?

A
  • Coumarins
  • Dabigatran
  • Digoxin
  • Flecainide
  • Phenindione
  • Phenytoin
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11
Q

Which drugs increase the risk of ventricular arrhythmias when combined with Amiodarone?

A
  • Amisulpride
  • Atomoxetine
  • Chloroquine
  • Citalopram
  • Disopyramide
  • Escitalopram
  • Haloperidol
  • Hydroxychloroquine
  • Levofloxacin
  • Lithium
  • Mizolastine
  • Mefloquine
  • Moxifloxacin
  • Phenothiazines
  • Pimozide
  • Quinine
  • Sulpiride
  • Telithromycin
  • Tolterodine
  • Tricyclics
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12
Q

What is the increased risk when Amiodarone is given with beta-blockers?

A

Increased risk of bradycardia, AV block, and myocardial depression

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13
Q

Fill in the blank: Amiodarone increases the risk of myopathy when given with _______.

A

simvastatin

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