Amiodarone Injection Solution and Hydrocortisone (Systemic)
Determining the interaction of Amiodarone Injection Solution and Hydrocortisone (Systemic) and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Talk to your doctor before using amiodarone together with hydrocortisone. Combining these medications can increase the risk of an irregular heart rhythm that may be serious. If your doctor prescribes these medications together, you may need regular monitoring of your electrolyte (magnesium, potassium) levels as well as other tests to safely use both medications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, or fast or pounding heartbeats during treatment with amiodarone. In addition, you should let your doctor know if you experience signs of electrolyte disturbance such as weakness, tiredness, drowsiness, confusion, muscle pain, cramps, dizziness, nausea, or vomiting. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:GENERALLY AVOID: Amiodarone can cause dose-related prolongation of the QT interval. Theoretically, coadministration with agents that can produce hypokalemia and/or hypomagnesemia (e.g., potassium-wasting diuretics, amphotericin B, cation exchange resins, stimulant laxatives) may result in elevated risk of ventricular arrhythmias, including ventricular tachycardia and torsades de pointes, because of additive arrhythmogenic potential.
MANAGEMENT: Coadministration of amiodarone with medications that can cause potassium and/or magnesium disturbances should generally be avoided. Serum electrolytes should be evaluated and any abnormalities corrected prior to initiating therapy with amiodarone. Patients should be advised to seek medical attention if they experience symptoms that could indicate the occurrence of torsades de pointes such as dizziness, palpitations, or syncope.
- Antonelli D, Atar S, Freedberg NA, Rosenfeld T "Torsade de pointes in patients on chronic amiodarone treatment: contributing factors and drug interactions." Isr Med Assoc J 7 (2005): 163-5
- "Product Information. Amiodarone Hydrochloride (amiodarone)." Bedford Laboratories, Bedford, OH.
Generic Name: amiodarone
Brand name: Pacerone, Cordarone, Nexterone
Synonyms: Amiodarone
Generic Name: hydrocortisone
Brand name: Cortef, Colocort, Cortenema, Cortifoam, Solu-Cortef
Synonyms: Hydrocortisone
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Amiodarone Injection Solution-Hydrocortisone 2.5%
- Amiodarone Injection Solution-Hydrocortisone Acetate
- Amiodarone Injection Solution-Hydrocortisone Acetate topical
- Amiodarone Injection Solution-Hydrocortisone Acetate, Pramoxine Rectal Cream, and Diosmiplex Tablets
- Amiodarone Injection Solution-Hydrocortisone and Diphenhydramine Spray
- Amiodarone Injection Solution-Hydrocortisone and iodoquinol Topical application
- Hydrocortisone (Systemic)-Amiodarone Intravenous
- Hydrocortisone (Systemic)-Amiodarone Intravenous, Oral
- Hydrocortisone (Systemic)-Amiodarone Tablets
- Hydrocortisone (Systemic)-Amitiza
- Hydrocortisone (Systemic)-Amitriptyline
- Hydrocortisone (Systemic)-Amitriptyline and chlordiazepoxide