Ibutilide: Difference between revisions

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== Adult Dosing ==
==General==
*Type: [[Antiarrhythmics]]
*Dosage Forms:IV 1mg/10mL
*Common Trade Names: Corvert
 
==Adult Dosing==
*Loading dose = 1mg IV in 50mL D5W over 10min (wt>60kg)
*Loading dose = 1mg IV in 50mL D5W over 10min (wt>60kg)
*Loading dose = 0.01mg/kg IV in 50mL D5W over 10min (wt<60kg)
*Loading dose = 0.01mg/kg IV in 50mL D5W over 10min (wt<60kg)
*Dose may be repeated 10min after completion of 1st dose
*Dose may be repeated 10min after completion of 1st dose


== Contraindications ==
==Pediatric Dosing==
''Safety/efficacy not established''
 
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: Use in pregnancy may be considered, but data is sparse
*[[Lactation risk categories|Lactation risk]]: Not recoemmended
*Renal Dosing: none
*Hepatic Dosing: none


== Indications ==
==Indications==
*Rapid conversion of recent-onset A-fib/flutter to NSR
*Rapid conversion of recent-onset A-fib/flutter to NSR


== Mechanism of Action ==
==Contraindications==
*Class III - Prolongs AP and refractory period
*Allergy to class/drug


== Adverse Drug Rxns ==
==Adverse Reactions==
*QT prolongation, V-tach, torsades
*QT prolongation, V-tach, torsades
*Observe for 4hr after infusion
*Observe for 4hr after infusion


== Kinetics ==
==Pharmacology==
*Half-life: 2-12h
*Metabolism: Hepatic
*Excretion: Mostly urine
*Mechanism of Action: Class III - Prolongs AP and refractory period
 
===Kinetics===
*Onset of action = 20-30min
*Onset of action = 20-30min
*Duration of action = 24hr
*Duration of action = 24hr
==Comments==


==See Also==
==See Also==
[[Antiarrhythmics]]
*[[Antiarrhythmics]]


[[Category:Drugs]]
==References==
<references/>
[[Category:Pharmacology]] [[Category:Cardiology]]

Latest revision as of 20:30, 22 September 2019

General

Adult Dosing

  • Loading dose = 1mg IV in 50mL D5W over 10min (wt>60kg)
  • Loading dose = 0.01mg/kg IV in 50mL D5W over 10min (wt<60kg)
  • Dose may be repeated 10min after completion of 1st dose

Pediatric Dosing

Safety/efficacy not established

Special Populations

Indications

  • Rapid conversion of recent-onset A-fib/flutter to NSR

Contraindications

  • Allergy to class/drug

Adverse Reactions

  • QT prolongation, V-tach, torsades
  • Observe for 4hr after infusion

Pharmacology

  • Half-life: 2-12h
  • Metabolism: Hepatic
  • Excretion: Mostly urine
  • Mechanism of Action: Class III - Prolongs AP and refractory period

Kinetics

  • Onset of action = 20-30min
  • Duration of action = 24hr

Comments

See Also

References