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. Author manuscript; available in PMC: 2014 Jun 1.
Published in final edited form as: Curr Treat Options Cardiovasc Med. 2013 Jun;15(3):299–312. doi: 10.1007/s11936-013-0234-9
Standard dosage 80–160 mg every 12 hours
Contraindications Absolute: Prolonged QT interval, significant bradycardia/heart block
Relative: Congestive heart failure, significant left ventricular hypertrophy, significant renal impairment
Main drug interactions Macrolides, quinolones, phenothiazines, antifungals (risk of QT prolongation)
Main side effects Bradycardia, heart block, QT prolongation leading to torsade de pointes
Special points Class III agent (potassium channel blocker) with significant beta-blocking activity. Not as effective for converting AF, but useful to maintain NSR.
Not as effective for converting AF, but useful to maintain NSR.
Especially useful in patients with ischemic heart disease.
Cost/cost-effectiveness Generic (approximate cost $24 per month). First 5 doses generally administered inpatient to monitor QT interval, but variability in clinical practice.