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Cardioversion upto7 Days

DrugRoute Dosage
DofetilideOral
Creatinine clearance(ml/min)Dose (mg)
>60500
40 to 60 250
20 to 40 125
<20Contraindicated
Flecainide Oral or
Intravenous
Oral: 200 to 300 mg
Intravenous: 1.5 to 3.0 mg/kg over 10 to 20 min
IbutilideIntravenous 1 mg over 10 min; repeat 1 mg when necessary
PropafenoneOral or
Intravenous
Oral: 600 mg
Intravenous: 1.5 to 2.0 mg/kg over 10 to 20 min
AmiodaroneOral or
Intravenous
Oral:
Inpatient: 1.2 to 1.8 g per day in divided dose until 10 g total
then 200 to 400 mg per day maintenance or 30 mg/kg as single dose
Outpatient: 600 to 800 mg per day divided dose until 10 g total
then 200 to 400 mg per day maintenance.

Intravenous:

5 to 7 mg/kg over 30 to 60 min
then 1.2 to 1.8 g per day continuous IV or in divided oral doses until 10 g total
then 200 to 400 mg per day maintenance.

Cardioversion after 7 Days

DrugRoute Dosage
DofetilideOral
Creatinine clearance(ml/min)Dose (mg)
>60500
40 to 60 250
20 to 40 125
<20Contraindicated
AmiodaroneOral or IntravenousOral: Inpatient: 1.2 to 1.8 g per day in divided dose until 10 g total, then 200 to 400 mg per day maintenance or 30 mg/kg as single dose Outpatient: 600 to 800 mg per day divided dose until 10 g total, then 200 to 400 mg per day maintenance.
Intravenous: 5 to 7 mg/kg over 30 to 60 min, then 1.2 to 1.8 g per day continuous IV or in divided oral doses until 10 g total, then 200 to 400 mg per day maintenance.
IbutilideIntravenous 1 mg over 10 min; repeat 1 mg when necessary