Table 4

Adverse events associated with antiarrhythmic drugs and reasons for discontinuation

Flecainide (n = 22)Sotalol >160 mg per day (n = 37)Amiodarone (n = 57)Dronedarone (n = 3)
Max dose (mg/day)173 ± 46258 ± 37547 ± 144800 ± 0
Duration of use (days)146 (31–315)58 (24–259)273 (158–351)21 (17–42)
Total adverse events3 (13.6%)a9 (24.3%)a14 (24.6%)a1 (33.3%)a
 Cardiovascular complications2 (1)b8 (7)1 (1)
  Fatigue2 (1)3 (3)
  Bradycardia2 (2)1 (1)
  Hypotension + dizziness2 (2)
  Cold extremities1 (0)
 Dermatological complications5 (1)
 Thyroid dysfunction5 (0)
  Subclinical hypothyroidism3 (0)
  Hypothyroidism1 (0)
  Latent hyperthyroidism1 (0)
 Ophthalmic complications3 (2)
  Blurred vision2 (2)
  Cornea deposit1 (0)
 Neurological problems1 (1)
  Tinnitus1 (1)
 Pulmonary complications1 (1)
  Pneumonitis1 (1)
 Gastrointestinal complications1 (0)
  Diarrhoea1 (0)
AAD stopped due to AEs1 (4.5%)8 (21.6%)4 (7.0%)1 (33.3%)
AAD stopped due to AF recurrences7 (31.8%)16 (43.2%)11 (19.3%)2 (66.7%)
AAD stopped due to long-term sinus rhythm maintenance1 (4.5%)4 (10.8%)4 (7.0%)0 (0.0%)
AAD continued during follow-up13 (59.1%)9 (24.3%)38 (66.7%)0 (0.0%)
Flecainide (n = 22)Sotalol >160 mg per day (n = 37)Amiodarone (n = 57)Dronedarone (n = 3)
Max dose (mg/day)173 ± 46258 ± 37547 ± 144800 ± 0
Duration of use (days)146 (31–315)58 (24–259)273 (158–351)21 (17–42)
Total adverse events3 (13.6%)a9 (24.3%)a14 (24.6%)a1 (33.3%)a
 Cardiovascular complications2 (1)b8 (7)1 (1)
  Fatigue2 (1)3 (3)
  Bradycardia2 (2)1 (1)
  Hypotension + dizziness2 (2)
  Cold extremities1 (0)
 Dermatological complications5 (1)
 Thyroid dysfunction5 (0)
  Subclinical hypothyroidism3 (0)
  Hypothyroidism1 (0)
  Latent hyperthyroidism1 (0)
 Ophthalmic complications3 (2)
  Blurred vision2 (2)
  Cornea deposit1 (0)
 Neurological problems1 (1)
  Tinnitus1 (1)
 Pulmonary complications1 (1)
  Pneumonitis1 (1)
 Gastrointestinal complications1 (0)
  Diarrhoea1 (0)
AAD stopped due to AEs1 (4.5%)8 (21.6%)4 (7.0%)1 (33.3%)
AAD stopped due to AF recurrences7 (31.8%)16 (43.2%)11 (19.3%)2 (66.7%)
AAD stopped due to long-term sinus rhythm maintenance1 (4.5%)4 (10.8%)4 (7.0%)0 (0.0%)
AAD continued during follow-up13 (59.1%)9 (24.3%)38 (66.7%)0 (0.0%)

AAD, antiarrhythmic drug; AE, adverse event; AF, atrial fibrillation.

a

None was life-threatening or required emergency hospital admission.

b

Number between brackets represents number of cases that the adverse event led to discontinuation of AAD.

Table 4

Adverse events associated with antiarrhythmic drugs and reasons for discontinuation

Flecainide (n = 22)Sotalol >160 mg per day (n = 37)Amiodarone (n = 57)Dronedarone (n = 3)
Max dose (mg/day)173 ± 46258 ± 37547 ± 144800 ± 0
Duration of use (days)146 (31–315)58 (24–259)273 (158–351)21 (17–42)
Total adverse events3 (13.6%)a9 (24.3%)a14 (24.6%)a1 (33.3%)a
 Cardiovascular complications2 (1)b8 (7)1 (1)
  Fatigue2 (1)3 (3)
  Bradycardia2 (2)1 (1)
  Hypotension + dizziness2 (2)
  Cold extremities1 (0)
 Dermatological complications5 (1)
 Thyroid dysfunction5 (0)
  Subclinical hypothyroidism3 (0)
  Hypothyroidism1 (0)
  Latent hyperthyroidism1 (0)
 Ophthalmic complications3 (2)
  Blurred vision2 (2)
  Cornea deposit1 (0)
 Neurological problems1 (1)
  Tinnitus1 (1)
 Pulmonary complications1 (1)
  Pneumonitis1 (1)
 Gastrointestinal complications1 (0)
  Diarrhoea1 (0)
AAD stopped due to AEs1 (4.5%)8 (21.6%)4 (7.0%)1 (33.3%)
AAD stopped due to AF recurrences7 (31.8%)16 (43.2%)11 (19.3%)2 (66.7%)
AAD stopped due to long-term sinus rhythm maintenance1 (4.5%)4 (10.8%)4 (7.0%)0 (0.0%)
AAD continued during follow-up13 (59.1%)9 (24.3%)38 (66.7%)0 (0.0%)
Flecainide (n = 22)Sotalol >160 mg per day (n = 37)Amiodarone (n = 57)Dronedarone (n = 3)
Max dose (mg/day)173 ± 46258 ± 37547 ± 144800 ± 0
Duration of use (days)146 (31–315)58 (24–259)273 (158–351)21 (17–42)
Total adverse events3 (13.6%)a9 (24.3%)a14 (24.6%)a1 (33.3%)a
 Cardiovascular complications2 (1)b8 (7)1 (1)
  Fatigue2 (1)3 (3)
  Bradycardia2 (2)1 (1)
  Hypotension + dizziness2 (2)
  Cold extremities1 (0)
 Dermatological complications5 (1)
 Thyroid dysfunction5 (0)
  Subclinical hypothyroidism3 (0)
  Hypothyroidism1 (0)
  Latent hyperthyroidism1 (0)
 Ophthalmic complications3 (2)
  Blurred vision2 (2)
  Cornea deposit1 (0)
 Neurological problems1 (1)
  Tinnitus1 (1)
 Pulmonary complications1 (1)
  Pneumonitis1 (1)
 Gastrointestinal complications1 (0)
  Diarrhoea1 (0)
AAD stopped due to AEs1 (4.5%)8 (21.6%)4 (7.0%)1 (33.3%)
AAD stopped due to AF recurrences7 (31.8%)16 (43.2%)11 (19.3%)2 (66.7%)
AAD stopped due to long-term sinus rhythm maintenance1 (4.5%)4 (10.8%)4 (7.0%)0 (0.0%)
AAD continued during follow-up13 (59.1%)9 (24.3%)38 (66.7%)0 (0.0%)

AAD, antiarrhythmic drug; AE, adverse event; AF, atrial fibrillation.

a

None was life-threatening or required emergency hospital admission.

b

Number between brackets represents number of cases that the adverse event led to discontinuation of AAD.

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