Amiodarone: pharmacology and antiarrhythmic and adverse effects

Pharmacotherapy. 1985 Nov-Dec;5(6):298-313. doi: 10.1002/j.1875-9114.1985.tb03434.x.

Abstract

Amiodarone is a benzofuran derivative that has been effective for the treatment of both supraventricular and ventricular tachyarrhythmias. It has a large volume of distribution, moderate bioavailability and a long half-life. Its pharmacokinetics are not well understood and its tissue distribution is not typical of a 2-compartment model. Due to ocular, dermatologic, gastrointestinal, neurologic, cardiovascular, thyroid and pulmonary toxicity, amiodarone should be reserved for use in patients with refractory and/or life-threatening arrhythmias.

MeSH terms

  • Action Potentials / drug effects
  • Amiodarone / adverse effects
  • Amiodarone / metabolism
  • Amiodarone / pharmacology
  • Amiodarone / therapeutic use*
  • Animals
  • Arrhythmias, Cardiac / chemically induced
  • Arrhythmias, Cardiac / drug therapy*
  • Atrial Fibrillation / drug therapy
  • Benzofurans / therapeutic use*
  • Biological Availability
  • Cardiomyopathy, Hypertrophic / drug therapy
  • Cardiovascular Diseases / chemically induced
  • Dose-Response Relationship, Drug
  • Drug Eruptions / etiology
  • Drug Interactions
  • Eye Diseases / chemically induced
  • Gastrointestinal Diseases / chemically induced
  • Heart / drug effects
  • Hemodynamics / drug effects
  • Humans
  • Hypothyroidism / chemically induced
  • In Vitro Techniques
  • Lung Diseases / chemically induced
  • Membrane Potentials / drug effects
  • Nervous System Diseases / chemically induced
  • Tachycardia, Paroxysmal / drug therapy
  • Teratogens

Substances

  • Benzofurans
  • Teratogens
  • Amiodarone