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There have been cases, some fatal, of Cordarone overdose.
In addition to general supportive measures, the patient's cardiac rhythm and blood pressure should be monitored, and if bradycardia ensues, a β-adrenergic agonist or a pacemaker may be used. Hypotension with inadequate tissue perfusion should be treated with positive inotropic and/or vasopressor agents. Neither Cordarone nor its metabolite is dialyzable.
The acute oral LD50 of amiodarone HCl in mice and rats is greater than 3,000 mg/kg.
Cordarone is contraindicated in patients with cardiogenic shock; severe sinus-node dysfunction, causing marked sinus bradycardia; second-or third-degree atrioventricular block; and when episodes of bradycardia have caused syncope (except when used in conjunction with a pacemaker).
Cordarone is contraindicated in patients with a known hypersensitivity to the drug or to any of its components, including iodine.
Last reviewed on RxList: 2/6/2014
This monograph has been modified to include the generic and brand name in many instances.
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