PHP Recitation Check 1

Brand Name of Amiodarone

Pacerone

Class of Amiodarone

Anti-Arrhythmic, Class III Potassium Channel Blocker

Indication for Amiodarone and Starting dose

Atrial Fibrillation (Maintenance)

100-200mg po once daily

ADR and monitoring of Amiodarone

CV: Bradycardia, monitor HR

Does amiodarone need to be renally or hepatically adjusted

Renal: No

Hepatic: yes

Brand name of Atenolol

Tenormin

Drug class of Atenolol

Class III Beta Blocker

Primary indication and starting dose for Atenolol

Atrial Fibrillation/Flutter (rate control)

25mg po once daily

Does atenolol need renal or hepatic adjustment

Renal: Yes

Hepatic: No

ADR and monitoring for Atenolol

CV: Bradycardia, monitor HR

Brand name of Digoxin

Lanoxin

Drug Class of Digoxin

Cardiac Glycoside

Primary indication and dose for Digoxin

Atrial Fibrillation/flutter (rate control)

Maintenance dose 0.125-0.25mg po daily

Does digoxin need renal or hepatic adjustment

Renal: Yes

Hepatic: No

ADR and Monitoring for Digoxin

Psychiatric: confusion/delirium. Monitor mental status.

Brand name for Diltiazem

Cardizem

Drug class of Diltiazem

NDHP CCB

Primary indication and dose for Diltiazem

Atrial Fibrillation/Flutter (rate control)

Immediate release: 30mg po 4x daily.

Does Diltiazem need renal or hepatic adjustment

No

ADR and monitoring for Diltiazem

Renal/GU: Peripheral Edema. Monitor urine output or physically examine lower extremities.

Brand name of Dofetilide

Tikosyn

Drug Class of Dofetilide

Anti-arrhythmic, Class III Potassium Channel Blocker

Primary Indication and dose for Dofetilide

Atrial Fibrillation/Flutter (maintenance)

500 mcg po twice daily

Does Dofetailed need hepatic or renal adjustment

Yes

ADR and monitoring for Dofetilide

Bone/Joint/Muscle: weakness, monitor Functional Status

Brand Name of Dronedarone

Multaq

Drug Class of Dronedaron

Anti-arrhythmic, Class III Potassium Channel Blocker

Primary Indication and dose of Dronedaron

Atrial Fibrillation (Rhythm Maintenance)

400 mg po twice daily

Does Dronedarone need renal or hepatic adjustment

Renal: no

Hepatic: yes, avoid in severe impairment

ADR and Monitoring for Dronedarone

CV: Bradycardia, monitor HR

Drug Class of Flecainide

Anti-arrhythmic, Class Ic Sodium Channel Blocker

Primary indication and dose for Flecainide

Atrial fibrillation/flutter (maintenance)

50 mg po q12 hours

Does Flecainide need renal or hepatic dose adjustment

Renal: yes

hepatic: no

ADR and Monitoring for Flecainide

CV: arrythmias. Monitor BP and HR

Brand name of Metoprolol

Lopressor

Drug Class of Metoprolol

Beta 1 Selective Blocker

Primary Indication and dose for metoprolol

Atrial Fibrillation

Immediate release: 25mg po twice daily

Does metoprolol need renal or hepatic adjustment

No

ADR and Monitoring for Metoprolol

CV: Bradycardia, monitor HR

Brand name of propafenone

Rythmol SR

Drug class of propafenone

Anti-arrhythmic, Class Ic Sodium Blocker

Primary Indication and Dose for Propafenone

Atrial Fibrillation/Flutter (Maintenance)

IR: 150mg po q8 hours

Does Propafenone need renal or hepatic adjustment

No

ADR and monitoring for Propafenone

GI/Hepatic: Hepatotoxicity, Monitor LFTs

Brand name of Sotalol

Betapace

Drug Class of Sotalol

Anti-arrhythmic, Class III BB

Primary Indication and dose for Sotalol

Atrial Fibrillation/Flutter (Rhythm Maintenance)

80mg po twice daily

Does Sotalol need renal or hepatic adjustment

Renal: yes

Hepatic: no

ADR and monitoring for Soltalol

CV: Bradycardia, monitor HR

Brand name of verapamil

Calan

Drug Class of Verapamil

Anti-arrhythmic, NDHP CCB

Primary Indication and Dose for Verapamil

Atrial Fibrillation/Flutter (rate control)

IR: 30mg po 3-4 times a day. Max dose 480mg/day

Does verapamil need renal or hepatic adjustment

Renal: no

Hepatic: yes

ADR and monitoring for Verapamil

RenalGU: Peripheral Edema. Monitor urine output.