Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone

Amiodarone is an antiarrhythmic drug which is highly effective against a wide spectrum of ventricular tachyarrhythmias making it irreplaceable in certain group of patients. We report an unusual case of acute liver and renal failure within 24 hours of initiation of intravenous (IV) amiodarone which r...

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Main Authors: Robin Paudel, Prerna Dogra, Saurav Suman, Saurav Acharya, Jyoti Matta
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2016/5232804
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author Robin Paudel
Prerna Dogra
Saurav Suman
Saurav Acharya
Jyoti Matta
author_facet Robin Paudel
Prerna Dogra
Saurav Suman
Saurav Acharya
Jyoti Matta
author_sort Robin Paudel
collection DOAJ
description Amiodarone is an antiarrhythmic drug which is highly effective against a wide spectrum of ventricular tachyarrhythmias making it irreplaceable in certain group of patients. We report an unusual case of acute liver and renal failure within 24 hours of initiation of intravenous (IV) amiodarone which resolved after stopping the medication. The mechanism of acute liver and renal toxicity is not clearly known but is believed to be secondary to amiodarone induced (relative) hypotension, idiosyncratic reaction to the drug, and toxicity of the vector that carries the medication, polysorbate-80. In this case review, we discuss the hyperacute drug toxicity caused by IV amiodarone being a distinctly different entity compared to the adverse effects shown by oral amiodarone and support the suggestion that oral amiodarone can be safely administered even in patients who manifest acute hepatitis with the IV form.
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institution Kabale University
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publishDate 2016-01-01
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series Case Reports in Critical Care
spelling doaj-art-ea2e6136313f48fda5b5f0672ca980002025-02-03T01:23:06ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/52328045232804Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of AmiodaroneRobin Paudel0Prerna Dogra1Saurav Suman2Saurav Acharya3Jyoti Matta4Department of Internal Medicine, University of Kentucky, Lexington, KY, USADepartment of Internal Medicine, University of Kentucky, Lexington, KY, USADepartment of Internal Medicine, University of Kentucky, Lexington, KY, USADepartment of Internal Medicine, Jersey City Medical Center, Jersey City, NJ, USADepartment of Internal Medicine, Jersey City Medical Center, Jersey City, NJ, USAAmiodarone is an antiarrhythmic drug which is highly effective against a wide spectrum of ventricular tachyarrhythmias making it irreplaceable in certain group of patients. We report an unusual case of acute liver and renal failure within 24 hours of initiation of intravenous (IV) amiodarone which resolved after stopping the medication. The mechanism of acute liver and renal toxicity is not clearly known but is believed to be secondary to amiodarone induced (relative) hypotension, idiosyncratic reaction to the drug, and toxicity of the vector that carries the medication, polysorbate-80. In this case review, we discuss the hyperacute drug toxicity caused by IV amiodarone being a distinctly different entity compared to the adverse effects shown by oral amiodarone and support the suggestion that oral amiodarone can be safely administered even in patients who manifest acute hepatitis with the IV form.http://dx.doi.org/10.1155/2016/5232804
spellingShingle Robin Paudel
Prerna Dogra
Saurav Suman
Saurav Acharya
Jyoti Matta
Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
Case Reports in Critical Care
title Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
title_full Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
title_fullStr Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
title_full_unstemmed Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
title_short Acute Liver and Renal Failure: A Rare Adverse Effect Exclusive to Intravenous form of Amiodarone
title_sort acute liver and renal failure a rare adverse effect exclusive to intravenous form of amiodarone
url http://dx.doi.org/10.1155/2016/5232804
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