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Generic Amiodarone Information
Introduction
Amiodarone is a potent anti‑arrhythmic drug used primarily to control irregular heart rhythms. It belongs to the cardiovascular medication group and contains the active compound Amiodarone. In the United Kingdom it is prescribed for ventricular tachycardia, ventricular fibrillation and certain supraventricular arrhythmias where other therapies have failed or are unsuitable. The drug was originally marketed under the brand name Cordarone; today generic versions are widely available.
What is Amiodarone?
Amiodarone is the generic version of Cordarone, containing the same active compound Amiodarone. The compound is a class III anti‑arrhythmic that exerts its effect by prolonging the cardiac action potential. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. Amiodarone is supplied as oral tablets (typically 200 mg) and, in some jurisdictions, as an intravenous formulation for acute use. The medication was first approved in the 197s and is now listed in the UK’s Summary of Product Characteristics (SPC) under the cardiovascular therapeutic area.
How Amiodarone Works
Amiodarone blocks multiple ion channels in cardiac myocytes: potassium (IKr), sodium (INa), and calcium (ICaL) channels, while also exerting non‑competitive antagonism of α‑ and β‑adrenergic receptors. By prolonging phase 3 of the cardiac action potential, it increases the refractory period of myocardial tissue and stabilises abnormal automaticity.
- Onset of action: Oral administration usually yields therapeutic plasma concentrations within 3–7 days, although full electrophysiological effect may require 1–3 weeks of steady dosing.
- Duration and clearance: The drug has a very long half‑life (≈ 50 days) because it is highly lipophilic and accumulates in adipose tissue. Clearance is primarily hepatic, with minimal renal excretion. The prolonged residence time contributes to both sustained efficacy and the potential for delayed toxicity.
Conditions Treated with Amiodarone
- Ventricular tachycardia (VT) and ventricular fibrillation (VF): Life‑threatening ventricular arrhythmias respond to Amiodarone when immediate cardioversion is unavailable or as adjunct therapy after shock.
- Atrial fibrillation (AF) and atrial flutter: In patients with rapid ventricular response where rate‑control agents are ineffective or contraindicated, Amiodarone can restore sinus rhythm.
- Supraventricular tachycardia (SVT) resistant to other drugs: Amiodarone is used when class I or class II agents fail.
In the UK, atrial fibrillation affects ≈ 1 % of the adult population, and ventricular arrhythmias account for a significant proportion of sudden cardiac death. Amiodarone’s broad electrophysiological profile makes it a valuable second‑line option where guideline‑directed therapy is insufficient.
Who is Amiodarone For?
Amiodarone is appropriate for adult patients who:
- Have documented ventricular tachycardia or fibrillation not adequately controlled by cardioversion or other anti‑arrhythmic agents.
- Present with atrial fibrillation or flutter requiring rhythm control, especially when β‑blockers, calcium‑channel blockers or digoxin are contraindicated or ineffective.
- Are undergoing cardiac surgery or electrophysiology procedures where temporary suppression of ectopic activity is needed.
Contra‑indications or cautionary scenarios include:
- Severe sinus node dysfunction or third‑degree atrioventricular block unless a permanent pacemaker is in place.
- Known hypersensitivity to iodine or amiodarone.
- Significant thyroid disease (especially untreated hyperthyroidism) because amiodarone contains a high iodine load.
- Pregnant or breastfeeding women: the drug crosses the placenta and may cause fetal thyroid dysfunction; use is generally avoided.
Risks, Side Effects, and Interactions
Common
- Photosensitivity: Skin becomes more prone to sunburn; patients should use sunscreen and protective clothing.
- Blue‑gray skin discoloration: Particularly on exposed areas after prolonged therapy.
- Gastro‑intestinal disturbance: Nausea, vomiting, constipation.
Rare
- Pulmonary toxicity: Interstitial pneumonitis presenting with dry cough and dyspnoea; incidence is low but clinically important.
- Thyroid dysfunction: Both hypothyroidism (due to iodine excess) and hyperthyroidism (iodine‑induced).
Serious
- Bradyarrhythmias: Severe sinus bradycardia or AV block requiring pacing.
- Hepatotoxicity: Elevations in transaminases; may progress to hepatic necrosis.
- Peripheral neuropathy: Numbness or tingling in extremities.
Drug–Drug Interactions
- Warfarin: Potentiates anticoagulant effect; INR monitoring required.
- Digoxin: Increases serum digoxin levels; renal function and digoxin levels should be checked.
- CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): Elevate amiodarone concentrations, raising risk of toxicity.
- Statins (especially simvastatin): Heightened risk of myopathy; dose adjustment or alternative lipid‑lowering agents may be needed.
Patients should disclose all concurrent medications, including over‑the‑counter products and herbal supplements, to their prescriber.
Practical Use: Dosing, Missed Dose, Overdose
Standard dosing (oral):
- Loading phase: 800–1,200 mg per day (divided into 4 doses) for 1–2 weeks, depending on clinical urgency and tolerability.
- Maintenance phase: 100–200 mg daily, adjusted to plasma concentration (target 1.5–2.5 µg/mL).
Intravenous dosing (acute) is reserved for hospital settings: 150 mg over 10 minutes, followed by 1 mg/min for 6 hours, then .5 mg/min for 18 hours, or as per local protocol.
Missed dose: If a day’s dose is missed, the patient should take the missed tablet as soon as remembered, unless it is near the time for the next scheduled dose. Do not double the dose.
Overdose: Signs include severe bradycardia, hypotension, pulmonary edema, or acute hepatic injury. Immediate medical attention is required. Activated charcoal may be considered if ingestion was recent; otherwise, supportive cardiac monitoring and electrolyte management are standard.
Practical precautions:
- Take tablets with food to improve absorption and reduce gastrointestinal upset.
- Avoid excessive alcohol, which may exacerbate hepatic toxicity.
- Regular monitoring (ECG, thyroid function, liver enzymes, pulmonary assessment) is essential, typically every 3–6 months during chronic therapy.
Buying Amiodarone from Our Online Pharmacy
Amiodarone can be purchased from our online pharmacy in the UK. Our service offers:
- Affordable pricing: Generic Amiodarone is sourced near manufacturer cost, providing a lower price than many brand‑name prescriptions.
- Verified quality: We work exclusively with licensed overseas suppliers that meet stringent GMP standards. Each batch is accompanied by a certificate of analysis.
- Guaranteed delivery: Discreet packaging is dispatched via express courier (≈ 7 days) or regular airmail (≈ 3 weeks), with tracking available for all orders.
- Online‑only access: Patients who face limited local pharmacy stock or insurance restrictions can obtain the medication safely through our pharmacy‑broker model.
Our pharmacy broker service collaborates with overseas licensed pharmacies, ensuring a discreet, privacy‑respecting experience while complying with UK import regulations for personal use.
FAQ
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Is Amiodarone available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is marketed as Cordarone, while generic versions contain the same active compound, Amiodarone, and are typically less expensive. -
Does Amiodarone require any special storage conditions?
The tablets should be kept at room temperature (15‑30 °C), protected from moisture, direct sunlight, and extreme heat. No refrigeration is needed. -
What does the packaging of Amiodarone look like when ordered online?
Tablets are supplied in blister packs or sealed bottles, each labelled with the generic name, strength (200 mg), batch number, and expiry date. The outer parcel is unmarked to protect patient privacy. -
Can Amiodarone be imported into the UK for personal use without a prescription?
Import for personal use is permitted under the UK’s “personal importation” scheme, provided the quantity does not exceed a three‑month supply and the product is sourced from a reputable licensed supplier. -
Are there any known differences in formulation between European and North American versions?
European generic tablets generally contain lactose, starch, and magnesium stearate as excipients, whereas some North American products may use alternative fillers. These differences do not affect the therapeutic activity of the active compound. -
What is the historical significance of Amiodarone’s development?
Amiodarone was first synthesized in the 196s and entered clinical use in the early 197s. It represented a breakthrough in anti‑arrhythmic therapy because of its ability to act on multiple ion channels, a property not shared by earlier class‑I agents. -
How does Amiodarone compare with older anti‑arrhythmic drugs like procainamide?
Compared with procainamide, Amiodarone has a broader electrophysiological effect and a longer half‑life, allowing once‑daily dosing after loading. However, its side‑effect profile is more extensive, requiring careful monitoring. -
Is there any impact of Amiodarone on drug testing for employment or sport?
Amiodarone does not contain prohibited substances and is not typically flagged in standard occupational drug screens. Nevertheless, it can affect thyroid function tests and may be noted in specialized medical assessments. -
Can travel with Amiodarone affect its efficacy?
The medication remains stable across typical travel temperatures and humidity levels. Patients should keep tablets in their original packaging and avoid exposure to prolonged heat or moisture. -
What advice is given to patients regarding alcohol consumption while on Amiodarone?
Moderate alcohol intake is generally acceptable, but excessive consumption can increase the risk of liver injury. Patients with pre‑existing hepatic disease should limit alcohol and discuss consumption with their clinician. -
Are there any specific warnings for Asian populations taking Amiodarone?
Certain studies suggest a higher incidence of thyroid dysfunction in populations with iodine‑rich diets. Clinicians may monitor thyroid function more closely in Asian patients receiving Amiodarone.
Glossary
- Ion channel blockade
- The process by which a drug inhibits the flow of specific ions (e.g., potassium, sodium) across cell membranes, altering electrical activity.
- Half‑life
- The time required for the plasma concentration of a drug to decrease by 50 %. Amiodarone’s half‑life is approximately 50 days.
- Pulmonary toxicity
- Damage to lung tissue caused by a medication, presenting as cough, dyspnoea, or infiltrates on imaging.
⚠️ Disclaimer
The information provided about Amiodarone is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Amiodarone for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.