Amiodar 200 Tablet: Complete Guide To Uses, Side Effects, And Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- New or worsening shortness of breath, cough, or chest pain
- Yellowing of skin or eyes, dark urine, or severe abdominal pain
- Unusual fatigue, weight change, or neck swelling
- Blurred vision or vision loss
- Palpitations, fainting, or severe dizziness
- Numbness or tingling in hands or feet
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is amiodon 200mg tablet used for?
This medicine is a prescription antiarrhythmic drug used to treat serious heart rhythm disorders. It works by stabilizing the heart's electrical activity and must be taken under strict medical supervision with regular monitoring.
- Generic Name: Amiodarone
- Manufacturer: Neon Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 amiodon 200mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एमियोडेरोन 200 मिलीग्राम की एक प्रिस्क्रिप्शन टैबलेट है, जिसका उपयोग दिल की गंभीर अनियमित धड़कनों जैसे वेंट्रिकुलर टैचीकार्डिया, वेंट्रिकुलर फाइब्रिलेशन, एट्रियल फाइब्रिलेशन और एट्रियल फ्लटर के इलाज और रोकथाम के लिए किया जाता है। यह दवा दिल की विद्युत गतिविधि को स्थिर करने में मदद करती है। यह केवल कार्डियोलॉजिस्ट की देखरेख में ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, मतली, कब्ज, चक्कर आना और धूप के प्रति संवेदनशीलता शामिल हैं। लंबे समय तक उपयोग से त्वचा का रंग नीला-भूरा हो सकता है। यह थायरॉइड, लीवर और फेफड़ों को प्रभावित कर सकती है। आंखों में जमाव भी हो सकता है। गंभीर दुष्प्रभावों में फेफड़ों की सूजन, लीवर की क्षति और दिल की धड़कन में गड़बड़ी शामिल हैं। कोई भी नया लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपने आप बंद न करें। इसे हमेशा एक ही समय पर लें। धूप से बचें और सनस्क्रीन का उपयोग करें। थायरॉइड, लीवर और आंखों की नियमित जांच कराते रहें। अंगूर का रस न पिएं। कोई भी नई दवा शुरू करने से पहले डॉक्टर से सलाह लें। गर्भवती होने या होने की योजना बनाने पर तुरंत डॉक्टर को बताएं।
💊 amiodon 200mg tablet Uses & Benefits
[{"condition":"Ventricular tachycardia","description":"Used to suppress and prevent recurrent episodes of ventricular tachycardia, especially in patients with structural heart disease.","evidence":"Well-established"},{"condition":"Ventricular fibrillation","description":"Used in the acute and long-term management of ventricular fibrillation to prevent recurrence.","evidence":"Well-established"},{"condition":"Atrial fibrillation","description":"Used to maintain normal sinus rhythm in patients with paroxysmal or persistent atrial fibrillation.","evidence":"Well-established"},{"condition":"Atrial flutter","description":"Used to restore and maintain normal rhythm in patients with atrial flutter.","evidence":"Well-established"},{"condition":"Supraventricular tachycardia","description":"Sometimes used when other treatments are ineffective or not tolerated.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Refractory ventricular arrhythmias in children","description":"Occasionally used in paediatric cardiology for life-threatening arrhythmias when standard treatments fail.","evidence":"Limited"},{"condition":"Chylothorax","description":"Rarely used to reduce lymphatic fluid production in some cases of chylothorax.","evidence":"Limited"}]
Primary treatment for: Cardiac arrhythmias
Also treats: Atrial fibrillation, Atrial flutter, Ventricular tachycardia, Ventricular fibrillation
📋 Drug Information
| Generic Name(s) | Amiodarone |
| Brand Name | Amiodar 200 Tablet |
| Manufacturer | Neon Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Class III Agents- anti arrhythmic |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C. Keep it in the original container, away from moisture, heat, and direct sunlight. Do not refrigerate unless specifically instructed. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Check the expiry date on the pack before use. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine blocks multiple cardiac ion channels, including potassium, sodium, and calcium channels, and also has beta-adrenergic blocking properties. By prolonging the cardiac action potential and refractory period, it helps suppress abnormal electrical circuits in the heart. This medicine also dilates coronary and peripheral blood vessels, which reduces cardiac workload.
Mechanism Steps
💡 How to Take amiodon 200mg tablet
Strength: This medicine is available as an immediate-release oral tablet containing 200 mg of amiodarone.
Dosage Information
| Adult Dosage | The usual adult maintenance dose of this medicine is 200 mg once daily, but the initial loading dose and maintenance dose vary widely depending on the indication and patient response. For life-threatening ventricular arrhythmias, a higher loading dose may be used initially, followed by a lower maintenance dose. For atrial fibrillation, the dose may be adjusted to the lowest effective amount. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concurrent medications. Never adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric cardiologist for individualized dosing. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially bradycardia and thyroid dysfunction. Doses should be individualized and monitored closely. Regular monitoring of thyroid, liver, and renal function is particularly important in this age group. |
| Renal Impairment | This medicine is primarily excreted in bile and faeces, so renal impairment does not significantly affect its elimination. However, dose adjustment may be needed in severe renal impairment due to potential accumulation of the active metabolite. Monitor renal function and adjust dose as clinically indicated. |
| Hepatic Impairment | This medicine is extensively metabolised in the liver. In patients with hepatic impairment, the dose should be reduced and liver function monitored closely. Use with caution and individualize the dose based on clinical response and liver function tests. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is 400 mg for maintenance, but higher doses may be used short-term under specialist supervision. The exact maximum dose must be determined by a qualified clinician based on the patient's condition and response. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of amiodon 200mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Digoxin | Major | |
| Beta-blockers | Major | |
| Verapamil | Major | |
| Simvastatin | Major | |
| Sotalol | Major | |
| Phenytoin | Moderate | |
| Cyclosporine | Moderate | |
| Levofloxacin | Moderate | |
| Tramadol | Moderate |
🚨 Major Interactions
- Warfarin
- Digoxin
- Beta-blockers
- Calcium channel blockers (verapamil, diltiazem)
- Statins (simvastatin, atorvastatin)
- QT-prolonging drugs (e.g., sotalol, quinidine, macrolides)
⚡ Moderate Interactions
- Phenytoin
- Cyclosporine
- Methotrexate
- Tramadol
- Levofloxacin
🍷 Alcohol Interaction
Alcohol may worsen dizziness, low blood pressure, and liver stress while taking this medicine. It is best to avoid alcohol or limit intake significantly, and discuss with your doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe sinus node dysfunction or sinus bradycardia","Second- or third-degree heart block without a functioning pacemaker","Known hypersensitivity to amiodarone or iodine","Thyroid dysfunction (hypothyroidism or hyperthyroidism)","Cardiogenic shock","Severe hypotension","Pregnancy (unless life-threatening arrhythmia and no alternative)","Breastfeeding"]
⚠️ Warnings & Precautions
["This medicine can cause serious lung, liver, thyroid, and eye toxicity. Regular monitoring is mandatory.","Do not stop this medicine abruptly without medical advice, as it can worsen arrhythmias.","This medicine may increase sensitivity to sunlight. Use protective measures.","Avoid grapefruit juice and St. John's wort while taking this medicine.","Inform all healthcare providers, including dentists, that you are taking this medicine.","This medicine can interact with many other drugs. Always check with your doctor before starting any new medicine.","Use with caution in elderly patients and those with kidney or liver disease.","This medicine may affect driving or operating machinery due to dizziness or fatigue."]
🤱 Lactation Safety
This medicine passes into breast milk in significant amounts and may cause thyroid problems in a nursing infant. Breastfeeding is not recommended while taking this medicine. Discuss alternative feeding options with your doctor.
💊 Overdose Management
Overdose of this medicine can cause severe bradycardia, heart block, hypotension, and QT prolongation. Seek emergency medical attention immediately. Treatment is supportive and may include gastric lavage, activated charcoal, and management of arrhythmias. There is no specific antidote. Haemodialysis is not effective because this medicine is highly protein-bound.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if less than half the dosing interval has passed. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up. If you are unsure, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your cardiologist, at the same time each day, with or without food. Do not stop this medicine suddenly on your own, because stopping abruptly can trigger a dangerous recurrence of the arrhythmia. Avoid prolonged sun exposure and use sunscreen, as this medicine can make your skin more sensitive to light. Tell all your doctors, including your dentist and eye specialist, that you are taking this medicine. Keep all scheduled blood tests for thyroid, liver, and kidney function, and do not miss your eye and lung check-ups. Avoid drinking grapefruit juice, as it can raise the level of this medicine in your body. Do not start any new medicine, herbal supplement, or vitamin without checking with your doctor first. If you become pregnant or plan to become pregnant, speak to your doctor immediately. Store this medicine in its original container, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to bradycardia, thyroid dysfunction, and falls while taking this medicine. Doses should be individualized, and monitoring should be more frequent. Review all other medications for interactions.
🤰 Pregnancy Planning (TTC)
This medicine should be avoided during pregnancy as it may harm the fetus. If you are planning pregnancy, consult your cardiologist to discuss alternative treatments. Effective contraception is advised while taking this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthesiologist that you are taking this medicine before any surgery. It may interact with anaesthetic agents and affect heart rhythm. Your doctor may adjust the dose or temporarily stop it before surgery.
🦷 Dental Procedures
Tell your dentist that you are taking this medicine. It may increase bleeding risk if you are also on blood thinners. Your dentist may need to take extra precautions during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness, fatigue, or bradycardia, which can affect your ability to exercise. Avoid strenuous activities until you know how this medicine affects you. Consult your doctor before starting any new exercise programme.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause fatigue, dizziness, or visual changes that can affect your ability to drive or operate machinery. Avoid driving until you know how it affects you. It may also require time off for medical appointments and monitoring tests. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your cardiologist. If you experience serious side effects such as severe shortness of breath, jaundice, or vision loss, seek immediate medical attention. Your doctor may decide to stop or change the medicine based on your condition and monitoring results.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to thyroid dysfunction, liver enzyme elevation, pulmonary fibrosis, corneal microdeposits, and peripheral neuropathy. Regular monitoring of thyroid, liver, lung, and eye health is essential. The dose may need adjustment over time based on these assessments. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A procedure that can cure certain arrhythmias without long-term medicine.
Evidence: Well-established for many arrhythmiasA device that monitors and corrects dangerous arrhythmias.
Evidence: Well-established for life-threatening arrhythmiasReducing caffeine, alcohol, and stress can help manage arrhythmias.
Evidence: Supportive💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, annual influenza vaccination is recommended for patients with heart disease. Discuss with your doctor before receiving any live vaccines.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. If crossing time zones, adjust dosing times gradually in consultation with your doctor. Store away from direct sunlight and moisture. Check customs regulations for controlled medicines before travelling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may take several days to weeks to achieve its full effect. Your doctor may start with a higher loading dose to reach effective levels sooner.
A: No, never stop this medicine suddenly without consulting your doctor. Stopping abruptly can cause a dangerous recurrence of the arrhythmia.
A: You will need regular blood tests for thyroid, liver, and kidney function, as well as ECG, eye exams, and possibly chest X-rays.
A: This medicine interacts with many drugs. Always inform your doctor about all medicines, supplements, and herbs you take.
🤔 Common Patient Concerns
🔄 Substitutes for amiodon 200mg tablet
View AllAlternative brands with exact same active ingredient:
-
panarone 200mg tabletPanacea Biotec Ltd ₹58.63 47.5% CHEAPER
-
art-x tabletGruentzig Pharmaceuticals ₹110.00 1.5% CHEAPER
-
amiojust 200mg tabletRidhima Biocare ₹110.00 1.5% CHEAPER
-
amedron 200 tabletCare Formulation Labs Pvt Ltd ₹110.63 0.9% CHEAPER
-
amipace 200 tabletLupin Ltd ₹115.98 3.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Amiodarone is a safe medicine for any irregular heartbeat.
Fact: This medicine is reserved for serious arrhythmias and carries significant risks. It is not for mild palpitations. - Myth: You can stop amiodarone once your heart rhythm feels normal.
Fact: Stopping suddenly can cause dangerous arrhythmias. Always consult your doctor before stopping. - Myth: Amiodarone does not need regular monitoring.
Fact: Regular blood tests, ECG, and eye exams are essential to detect serious side effects early.
🔄 Alternative Options
Generic Alternatives
- Amiodarone 200 mg tablet (generic)
Brand Alternatives
- Amiodar 200 Tablet
- Cordarone 200 Tablet
- Pacerone 200 Tablet
- Amio 200 Tablet