- See:
- Class I Agents
- Discussion:
- for prevention of PAT, atrial fibrillation, ventricular tachycardia, PVCs;
- acts by depressing automaticity and conduction of the myocardium;
- Class I antiarrhythmic;
- Adult: PAC, PVC:
- 200-300 mg PO tid-qid;
- PAT: 400-600 mg PO q2-3hr until terminated;
- Conversion of atrial fibrillation or flutter:
- use after digitalization: 200 mg q 2-3hr for 8 doses;
- then increase daily dose to maximum of 3-4 gm or until normal rhythm;
- follow serum levels if possible;
- Precautions:
- Quinidine will produce doubling of Digitalis plasma level;
- Digitalization is indicated before starting quinidine in order to block AV nodal conduction;
- if quinidine is used before digitization, it may increase AV nodal conduction and ventricular rate;
- Contraindications:
- Complete AV block;
- Digitalis intoxication
- Complete bundle branch block