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Molecule

Amiodarone

Also known as amiodarone hydrochloride
Available on requestOrphanCardiology
Presentations
15
Brands
2
Manufacturers
2
Available from stock
0

Amiodarone is an antiarrhythmic indicated for initiation of treatment and prophylaxis of frequently recurring ventricular fibrillation (VF) and hemodynamically unstable ventricular tachycardia (VT) in patients refractory to other therapy. MedsAcross supplies Amiodarone for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Antiarrhythmic, Cytochrome P450 1A2 Inhibitors, Cytochrome P450 2C9 Inhibitors, Cytochrome P450 2D6 Inhibitors, P-Glycoprotein Inhibitors, Cytochrome P450 3A Inhibitors, Cytochrome P450 3A4 Inhibitors
ATC classification
C01BD01 Amiodarone · Heart rhythm and heart failure medicines, subgroup C01B, subgroup C01BD
US FDA first approval
24 December 1985
EU status
Not recorded
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral, Intravenous
Dosage forms
Tablet, Injection
Identifiers
UNII N3RQ532IUTRxCUI 703CAS 1951-25-3DrugBank DB01118Q410061

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

NEXTERONE is indicated for initiation of treatment and prophylaxis of frequently recurring ventricular fibrillation (VF) and hemodynamically unstable ventricular tachycardia (VT) in patients refractory to other therapy. NEXTERONE is an antiarrhythmic agent indicated for treatment and prophylaxis of ventricular fibrillation (VF) and hemodynamically unstable ventricular tachycardia (VT) in patients refractory to other therapy.

Source: US FDA prescribing information

How it works

Amiodarone is considered a class III antiarrhythmic drug, but it possesses electrophysiologic characteristics of all four Vaughan Williams classes. Like class I drugs, amiodarone blocks sodium channels at rapid pacing frequencies, and like class II drugs, amiodarone exerts a noncompetitive antisympathetic action. One of its main effects, with prolonged administration, is to lengthen the cardiac action potential, a class III effect. The negative chronotropic effect of amiodarone in nodal tissues is similar to the effect of class IV drugs. In addition to blocking sodium channels, amiodarone blocks myocardial potassium channels, which contributes to slowing of conduction and prolongation of refractoriness.

Source: US FDA prescribing information

Dosing overview

• The recommended starting dosing regimen is: o Initial Load: 150 mg in 100 mL infused over 10 minutes o Followed by: 1 mg/min for 6 hours o Followed by: 0.5 mg/min thereafter • For breakthrough episodes of VF or hemodynamically unstable VT, repeat the Initial Load

Source: US FDA prescribing information

Contraindications

NEXTERONE is contraindicated in patients with: • Known hypersensitivity to any of the components of NEXTERONE Premixed Injection, including iodine. • Cardiogenic shock. • Marked sinus bradycardia. • Second- or third-degree atrioventricular (AV) block unless a functioning pacemaker is available. NEXTERONE is contraindicated in patients with: • Known hypersensitivity to any of the components of NEXTERONE, including iodine • Cardiogenic shock • Marked sinus bradycardia • Second- or third-degree atrio-ventricular (AV) block unless a pacemaker is available.

Source: US FDA prescribing information

Warnings and precautions

• Hypotension: Slow the infusion, as needed, add vasopressor drugs, positive inotropic agents, and volume expansion. • Bradycardia and AV block: Slow the infusion or discontinue.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described elsewhere in labeling: • Hypotension • Hepatic injury • Proarrhythmia • Pulmonary injury • Thyroid injury • Hypersensitivity • The most common adverse reactions (1-2%) leading to discontinuation of intravenous amiodarone therapy are hypotension, asystole/cardiac arrest/pulseless electrical activity, VT, and cardiogenic shock. • Other important adverse reactions are torsade de pointes, congestive heart failure, and liver function test abnormalities.

Source: US FDA prescribing information

Interactions

Drug interactions with amiodarone are described in Table 5 below. Table 5: Amiodarone Drug Interactions Concomitant Drug Class/Name Examples Clinical Comment QT Prolonging Drugs class I and III antiarrhythmics, lithium, certain phenothiazines, tricyclic antidepressants, certain fluoroquinolone and macrolide antibiotics, azole antifungals, halogenated inhalation anesthetic agents Increased risk of Torsade de Pointes. Avoid concomitant use. Negative Chronotropes digoxin, beta blockers, verapamil, diltiazem, clonidine, ivabradine Potentiates the electrophysiologic and hemodynamic effects of amiodarone, resulting in bradycardia, sinus arrest and AV block. Monitor heart rate. CYP450 Inhibitors Grapefruit juice, certain fluoroquinolone and macrolide antibiotics, azole antifungals, cimetidine Increased exposure of amiodarone.

Source: US FDA prescribing information

Storage

Store at 20° - 25°C (68° - 77°F), excursions permitted to 15° - 30°C (59° - 86°F). See USP Controlled Room Temperature. Protect from freezing. Protect from light and excessive heat.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

15 presentations of Amiodarone, sorted by availability.

MedicineManufacturerRegisterAvailability
Amiodarone 200 mg tabletOralGeneric name—US FDAAvailable on request
Amiodarone 150 mg/3 mL injectionIntravenousGeneric name—US FDAAvailable on request
Amiodarone 100 mg tabletOralGeneric name—US FDAAvailable on request
Amiodarone 450 mg/9 mL injectionIntravenousGeneric name—US FDAAvailable on request
Amiodarone 900 mg/18 mL injectionIntravenousGeneric name—US FDAAvailable on request
Amiodarone 400 mg tabletOralGeneric name—US FDAAvailable on request
Pacerone 200 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Pacerone 100 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Amiodarone 300 mg tabletOralGeneric name—US FDAAvailable on request
Pacerone 400 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Amiodarone 150 mg/100 mL injectionIntravenousGeneric name—US FDAAvailable on request
Amiodarone 360 mg/200 mL injectionIntravenousGeneric name—US FDAAvailable on request
Amiodarone 50 mg/1 mL injectionIntravenousGeneric name—US FDAAvailable on request
Nexterone 150 mg/100 mL injectionIntravenousBaxter HealthcareUS FDAAvailable on request
Nexterone 360 mg/200 mL injectionIntravenousBaxter HealthcareUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 24 December 1985Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Amiodarone in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Amiodarone available for export from India?

Yes, on request. MedsAcross lists 15 presentations of Amiodarone and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Amiodarone have?

The catalogue lists 2 brand names for Amiodarone, including Nexterone, Pacerone.

Is Amiodarone approved by the US FDA?

Yes. The US FDA first approved Amiodarone on 24 December 1985, according to Drugs@FDA.

Does Amiodarone need cold chain shipping?

No listed presentation of Amiodarone is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Amiodarone in?

Amiodarone is classified under ATC code C01BD01 (Amiodarone).

References

  1. Nexterone prescribing information (Baxter Healthcare). U.S. National Library of Medicine, DailyMed. Retrieved 16 April 2024

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