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Amiodarone

Common Brand Names: Cordarone, Pacerone

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 17, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts

  • Brand Name: Cordarone, Pacerone
  • Generic Name: Amiodarone
  • Uses: Treating certain types of irregular heartbeats (arrhythmias), including atrial fibrillation and ventricular tachycardia
  • Drug Class: Antiarrhythmic
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is amiodarone?

Amiodarone is an antiarrhythmic medication used to treat various irregular heartbeats (arrhythmias) including ventricular fibrillation and ventricular tachycardia (VT). It works by affecting the electrical activity in the heart to help maintain a regular heartbeat.

What conditions does amiodarone treat?

Amiodarone is used to treat various types of arrhythmias. Arrhythmias are abnormal heart rhythms that can pose life-threatening complications.

How does amiodarone work?

Amiodarone works by affecting the electrical signals in the heart, specifically targeting abnormal rhythms and helping to restore a normal heartbeat. It belongs to the class III antiarrhythmic agents and has multiple mechanisms of action that contribute to its effectiveness in managing arrhythmias.

How do I take amiodarone?

Amiodarone is usually taken orally with or without food, as directed by your healthcare provider. The dosage and duration of treatment depend on the type and severity of the arrhythmia.

Amiodarone can be taken with food if it helps prevent an upset stomach, dosage should be consistent: either always take amiodarone with food or always without.

Follow the prescribed dosage and schedule strictly. Do not stop taking amiodarone suddenly without consulting your healthcare provider, as it may lead to worsening arrhythmias or other complications.

How long until I feel better?

The time it takes to see improvements in arrhythmias can vary depending on the type of arrhythmia, its severity, and individual response to treatment. Some patients may experience improvements relatively quickly, while others may require longer periods to achieve stable heart rhythms.

Continue taking amiodarone as prescribed even if you feel better. Abruptly stopping the medication can result in the recurrence of arrhythmias.

Are there any other uses for amiodarone?

While amiodarone is primarily used for treating arrhythmias, healthcare providers may sometimes prescribe it off-label for other heart-related conditions or purposes, such as:

  • Treatment for atrial fibrillation (AFib)
  • Prevention of certain types of arrhythmias in high-risk individuals
  • Management of specific heart conditions in combination with other medications
  • Investigational use in certain cases not covered by approved indications

Discuss any alternative uses of amiodarone with your healthcare provider.

Dosage forms of amiodarone

Amiodarone is available in the following dosage forms:

  • Oral tablets: Available in various strengths (e.g., 100mg, 200mg, 400mg)
  • Intravenous (IV) solutions: For rapid control of arrhythmias or when oral administration is not feasible

Generic versions of amiodarone are available under various brand names.

Amiodarone is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

Side Effects and Precautions for Amiodarone


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What are the side effects of amiodarone?

The use of amiodarone can lead to various side effects in some individuals.

Common mild side effects of amiodarone use include:

  • Nausea or upset stomach
  • Vomiting
  • Loss of appetite
  • Constipation
  • Dizziness or lightheadedness
  • Tiredness or weakness
  • Tremors or shaking
  • Sleep disturbances
  • Headache

More severe side effects of amiodarone use can include:

  • Lung problems (such as cough, shortness of breath, chest pain)
  • Liver problems (such as yellowing of the skin or eyes, dark urine, abdominal pain)
  • Thyroid problems (such as changes in weight, feeling cold or hot, neck swelling)
  • Vision problems (such as blurred vision, sensitivity to light)
  • Neurological problems (such as numbness, tingling, coordination difficulties)
  • Skin reactions (such as rash, itching, sun sensitivity)
  • Irregular heartbeat or palpitations
  • Low blood pressure
  • Mood changes or depression
  • Hair loss or changes in hair color
  • Erectile dysfunction or sexual difficulties
  • Increased sensitivity to sunlight

If you experience any severe or concerning side effects while taking amiodarone, contact your healthcare provider promptly.

What should I tell my healthcare provider before using amiodarone?

Tell your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with amiodarone. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with amiodarone.

Tell your provider if you are taking these medications or supplements:

  • Antibiotics
  • Anticoagulants (blood thinners)
  • Antidepressants
  • Antifungal medications
  • Antihypertensive medications
  • Antipsychotic medications
  • Antiseizure medications
  • Beta-blockers
  • Calcium channel blockers
  • Digoxin
  • Diuretics
  • Warfarin
  • Statin medication
  • Thyroid medications
  • Grapefruit juice or grapefruit products

You should also mention medical conditions such as:

  • Lung or breathing problems
  • Liver or kidney disease
  • Thyroid problems
  • Eye problems
  • Heart disease or rhythm disorders
  • Neurological disease or disorders

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using amiodarone to assess potential risks and benefits.

Are there any other special instructions I should follow?

Take amiodarone exactly as prescribed by your healthcare provider. Do not skip doses or stop the medication prematurely, even if you start feeling better.

Amiodarone should be taken with food to improve absorption and reduce stomach upset.

Avoid excessive exposure to sunlight or tanning beds while taking amiodarone, as it can increase sensitivity to sunlight and lead to sunburn or skin damage.

Do not drink grapefruit juice or consume grapefruit products while taking amiodarone, as they can interact with the medication and increase the risk of side effects.

Store amiodarone at room temperature, away from moisture and heat. Keep it out of reach of children.

What should I do in case of an overdose?

In case of an amiodarone overdose, seek medical attention immediately. Symptoms of overdose may include severe dizziness, fainting, irregular heartbeat, or difficulty breathing. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Amiodarone


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What is the typical starting dose of amiodarone?

Amiodarone is available in the following forms:

  • Oral tablets (100mg, 200mg, 400mg)
  • Intravenous (IV) solutions

The typical starting dose of amiodarone varies depending on the condition being treated and individual patient factors. It is crucial to follow your healthcare provider's instructions regarding dosage and administration.

For ventricular fibrillation (VFib) or ventricular tachycardia (VT), typical starting doses may include:

  • Oral tablets: 800mg to 1600mg daily initially, usually divided into smaller doses taken two or three times a day for several days to weeks.

For other arrhythmias or specific cardiac conditions, the starting dose and regimen may vary. Your healthcare provider will determine the most appropriate dose based on your medical history, current medications, and response to treatment.

Amiodarone should be taken exactly as prescribed by your healthcare provider. Do not adjust your dose or stop taking the medication without consulting your provider.

If you have any questions about your dosage, contact your healthcare provider. If you want to talk to a provider right away, book an online doctor appointment on Sesame to discuss your concerns.

What should I do if I miss a dose of amiodarone?

If you miss a dose of amiodarone, take it as soon as you remember unless it is close to the time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take extra doses to make up for missed ones.

It is important to maintain a consistent dosing schedule to achieve optimal therapeutic effects.

What should I do if I'm feeling better while taking amiodarone?

Continue taking amiodarone as prescribed by your healthcare provider, even if you start feeling better. Do not stop taking the medication without consulting your provider, as sudden discontinuation can lead to rebound arrhythmias or other complications.

How should I store amiodarone?

Store amiodarone according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from moisture, heat, and light. Ensure the container is tightly closed and out of reach of children.

Do not use expired medication or medications that appear damaged or discolored. If you have any questions about storage, consult your healthcare provider or pharmacist.

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