Antiarrhythmic medications for fast heart rates
Examples
Generic Name Brand Name amiodarone Cordarone disopyramide Rythmodan flecainide Tambocor procainamide Procan propafenone Rythmol quinidine Biquin Durules sotalol Rylosol How It Works
Antiarrhythmic medicines work in various ways to return the heart to its normal rhythm. These medicines stabilize heart rhythm by decreasing abnormal firing of the heart's electrical system that causes the heart to beat too fast or by slowing the electrical conduction through abnormal pathways. Some antiarrhythmics also slow the heart rate by reducing the number of impulses that can pass through the atrioventricular (AV) node (amiodarone, sotalol).
Why It Is Used
Antiarrhythmic medicines are used to change an abnormal heart rhythm to a regular rhythm and to prevent an abnormal heart rhythm.
How Well It Works
Antiarrhythmic medicines can effectively control or prevent abnormal heart rhythms. There are many different types of antiarrhythmic medicines. You may need to try different medicines to see which one works best for you.
Side Effects
Some antiarrhythmic medicines may increase the risk of developing a more rapid, abnormal heart rate problem (ventricular tachycardia or ventricular fibrillation), especially for those people with a poorly functioning left ventricle. Close monitoring while taking these medicines is important.
Side effects of antiarrhythmics include:
- Chest pain.
- Slow heartbeat.
- Palpitations.
- Fatigue.
- Headache.
- Dizziness.
- Nausea and vomiting.
- Unusual taste in the mouth.
- Stomach pain.
- Constipation or diarrhea.
- Difficulty breathing.
- Rash.
- Vision problems.
- Urinary retention in men.
- Blue tinge to the skin (with amiodarone).
The United States Food and Drug Administration (FDA) recently issued warnings about the medicine amiodarone (Cordarone). People taking this medicine should be aware that it may cause serious side effects that can lead to death, including lung damage, liver damage, and more severe heartbeat problems. Amiodarone is typically used for people who have severe symptoms when other medicines have failed. The FDA recommends that you talk to your doctor if you have any side effects or any concerns about taking amiodarone.1
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
You should learn to take your pulse
if you are taking an antiarrhythmic medicine. Notify your doctor if your heart rhythm becomes too slow (less than 50 beats per minute) or irregular while you are taking an antiarrhythmic medicine.
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| Author: | Douglas Dana Monica Rhodes | Last Updated: February 7, 2007 |
| Medical Review: | Anne C. Poinier, MD - Internal Medicine Caroline S. Rhoads, MD - Internal Medicine Laurence Epstein, MD - Cardiac Electrophysiologist Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology | |
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| Topic Contents | |
| Examples | |
| How It Works | |
| Why It Is Used | |
| How Well It Works | |
| Side Effects | |
| What To Think About | |
| References | |