Amiodarone: A Comprehensive Guide for Clinicians

Am J Cardiovasc Drugs. 2020 Dec;20(6):549-558. doi: 10.1007/s40256-020-00401-5.

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.

Publication types

  • Review

MeSH terms

  • Amiodarone / adverse effects
  • Amiodarone / pharmacology
  • Amiodarone / therapeutic use*
  • Anti-Arrhythmia Agents / adverse effects
  • Anti-Arrhythmia Agents / pharmacology
  • Anti-Arrhythmia Agents / therapeutic use*
  • Arrhythmias, Cardiac / drug therapy*
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Humans

Substances

  • Anti-Arrhythmia Agents
  • Amiodarone