MULTAQ

Trade Name      Generic Name
Multaq                Dronedarone

Use: 

Indicated to reduce the risk of hospitalization for atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation

Action:

Reduces the occurrence of atrial fibrillation and atrial flutter

Possible Side Effects:

    Common Side Effects:

• Gastrointestinal disorders, which may include diarrhea, nausea, vomiting, stomach pain, heart burn
• Rash or itching
• Weakness

• Modest increase in creatinine level

     More serious side effects:

• New or worsening congestive heart failure, which may include shortness of breath, difficulty sleeping at night due to breathing, swelling
• Slow heart rate
• Changes in electrocardiogram

Guidelines for Taking This Medication:

• Take twice daily with food
• Do not stop this medication, unless directed by your doctor or nurse
• Dosage of other medications may need to be adjusted when taking dronedarone
• Notify your doctor or nurse promptly if you experience shortness of breath, cough, dizziness or fainting
• Contact your doctor or nurse before taking any new prescription or any over-the-counter medications
• Keep regular appointments with our doctor; this medication needs to be monitored closely- including an EKG every 3 months and periodic bloodwork

Contraindication:

• NYHA Class IV heart failure and patients with NYHA Class II-III heart failure with recent decompensation requiring a hospitalization
• Second or third degree AV heart block
• Sick sinus syndrome
• Women of childbearing potential

• Permanent atrial fibrillation (patients in whom normal sinus rhythm will not or cannot be restored)

• renal impairment, liver impairment

Follow-up Tests:

• Blood test to monitor electrolytes, renal and liver function

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