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LV Juan-li, LIU Yang, Li Yan, Liu Zhen-hua. Dronedarone a new drug for atrial fibrillation or atrial flutter[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(1): 41-44.
Citation: LV Juan-li, LIU Yang, Li Yan, Liu Zhen-hua. Dronedarone a new drug for atrial fibrillation or atrial flutter[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(1): 41-44.

Dronedarone a new drug for atrial fibrillation or atrial flutter

  • Received Date: 2010-03-04
  • Rev Recd Date: 2010-03-11
  • Dronedarone is analogues as amiodarone, the structure is not iodine, reducing iodine-induced organ toxicity, is one of the new anti-arrhythmia drugs. on July 1, 2009 , It has been approved by FDA for the treatment of atrial fibrillation or atrial flutter in patients with heart disease. In this paper, after a literature search for Dronedarone with key words, the pharmacological , pharmacokinetics, clinical evaluation, drug interactions and adverse reactions of dronedarone are reviewed.
  • [1] Wattigney WA, Mensah GA, Croft JB. Increased atrial fibrillation mortality: United States.1980~1998[J]. Am J Epidemiol,2002,155(9):819.
    [2] Wattigney WA, Mensah GA, Croft JB. Increasing trends in hospitalization foratrial fibrillation in the United States, 1985 through 1999: implications for primary prevention[J]. Circulation ,2003,108(6):711.
    [3] Hohnloser SH, Kuck KH, Lilienthal J. Rhythm or rate control in atrial fibrillation-Pharmacological Intervention in Atrial Fibrillation (PIAF): a randomised trial[J]. Lancet,2000, 356(9244):1789.
    [4] Wyse DG, Waldo AL, DiMarco JP,et al.Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillation[J]. N Engl J Med, 2002,347(23):1825 .
    [5] Wegener FT, Ehrlich JR, Hohnloser SH. Dronedarone: an emerging agent with rhythm- and rate-controlling effects[J]. J Cardiovasc Electrophysiol.2006, 17(12):S17.
    [6] Sun W, Sarma JS, Singh BN. Electrophysiological effects of dronedarone (SR33589), a noniodinated benzofuran derivative, in the rabbit heart: comparison with amiodarone[J]. Circulation, 1999,100(22):2276 .
    [7] Hodeige D, Heyndrickx JP, Chatelain P, et al. SR 33589, a new amiodarone-like antiarrhythmic agent: anti-adrenoceptor activity in anaesthetized and conscious dogs[J]. Eur J Pharmacol,1995,279(1):25.
    [8] Guiraudou P, Pucheu SC, Gayraud R, et al. Involvement of nitric oxide in amiodarone and dronedarone-induced coronary vasodilatation in guinea pig heart[J].Eur J Pharmacol ,2004,496(1-3):119.
    [9] Celestino D, Medei E, Moro S,et al. Acute in vitro effects of dronedarone, an iodine-free derivative, and amiodarone, on the rabbit sinoatrial node automaticity: a comparative study[J]. J. Cardiovasc Pharmacol Ther,2007, 12(3): 248.
    [10] Sun W, Sarma JS, Singh BN. Chronic and acute effects of dronedarone on the action potential of rabbit atrial muscle preparations: comparison with amiodarone[J]. J Cardiovasc Pharmacol, 2002,39(5):677.
    [11] Varró A, Takács J, Németh M, et al. Electrophysiological effects of dronedarone (SR 33589), a noniodinated amiodarone derivative in the canine heart: comparison with amiodarone[J]. Br J Pharmacol,2001,133(5):625.
    [12] Chatelain P, Meysmans L, Mateazzi Jr, et al. Clinietm: Interaction of the antiarrhythmic agents SR 33589 and amiodarone with the β-adrenoceptor and adenylate cyclase in rat heart[J]. Br J Pharmacol,1995 ,116(3):1949.
    [13] Pantos C, Mourouzis I, Delbruyere M, et al. Effects of dronedarone and amiodarone on plasma thyroid hormones and on the basal and post ischemic performance of the isolated rat heart[J]. Eur J Pharmacol, 2002, 444(3):191.
    [14] Touboul P, Brugada J, Capucci A, et al. Dronedarone for prevention of atrial fibrillation: a dose-ranging study[J]. Eur Heart J ,2003, 24 (16): 1481
    [15] Singh BN, Connolly SJ, Crijns HJ,et al.EURIDIS and ADONIS Investigators. Dronedarone for maintenance of sinus rhythm in atrial fibrillation or flutter[J]. N Engl J Med, 2007,357(10): 987.
    [16] Davy JM, Herold M, Hoglund C, et al. ERATO Study Investigators. Dronedarone for the control of ventricular rate in permanent atrial fibrillation: the Efficacy and Safety of Dronedarone for the Control of Ventricular Rate During Atrial Fibrillation (ERATO) study[J]. Am. Heart J,2008,156(3):527.
    [17] KΦber L , TorpPedersen C , McMurray JJ, et al. Increased mortality after dronedarone therapy for severe heart failure[J]. N Engl J Med ,2008 ,358 (25) :2678.
    [18] Hohnloser SH, Crijns HJ, van Eickels M,et al.ATHENA Investigators. Effect of dronedarone on cardiovascular events in atrial fibrillation[J]. N Engl J Med ,2009,360(7): 668.
    [19] Sanofi-Aventis. DIONYSOS study results showed the respective profiles of dronedarone and amiodarone [EB/OL]. (2008-12-23) http://en.sanofi-aventis.com/binaries/20081223_dionysos_fe_en_en_tcm28-23624.pdf.
    [20] Dale KM, White CM.Dronedarone: an amiodarone analog for the treatment of atrial fibrillation and atrial flutter[J]. Ann Pharmacother,2007,41(4):599.
    [21] Naccarelli GV, Wolbrette DL, Khan M, et al. Old and new antiarrhythmic drugs for converting and maintaining sinus rhythm in atrial fibrillation: comparative efficacy and results of trials[J]. Am J Cardiol ,2003, 91(6A):15D.
    [22] Patel PD, Bhuriya R, Patel DD,et al. Dronedarone for atrial fibrillation: a new therapeutic agent[J]. Vasc Health Risk Manag,2009,5:635.
    [23] Quaglino D, Ha HR, Duner E, et al. Effects of metabolites and analogs of amiodarone on alveolar macrophages: structure-activity relationship. Am J Physiol Lung Cell Mol Physiol, 2004,287(2):L438.
    [24] Van Beeren HC, Jong WM, Kaptein E,et al. Dronedarone acts as a selective inhibitor of 3,5,3'-triiodothyronine binding to thyroid hormone receptor-alpha1: in vitro and in vivo evidence[J]. Endocrinology ,2003,144(2):552.
    [25] Zipes DP, Camm AJ, Borggrefe M,et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines[J]. Circulation. 2006 ,114(10):e385.
    [26] Tschuppert Y,Buclin T,Rothuizen LE,et al. Effect of dronedarone on renal function in healthy subjects[J].Br J Clin Pharmacol,2007,64(6): 785.
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Dronedarone a new drug for atrial fibrillation or atrial flutter

Abstract: Dronedarone is analogues as amiodarone, the structure is not iodine, reducing iodine-induced organ toxicity, is one of the new anti-arrhythmia drugs. on July 1, 2009 , It has been approved by FDA for the treatment of atrial fibrillation or atrial flutter in patients with heart disease. In this paper, after a literature search for Dronedarone with key words, the pharmacological , pharmacokinetics, clinical evaluation, drug interactions and adverse reactions of dronedarone are reviewed.

LV Juan-li, LIU Yang, Li Yan, Liu Zhen-hua. Dronedarone a new drug for atrial fibrillation or atrial flutter[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(1): 41-44.
Citation: LV Juan-li, LIU Yang, Li Yan, Liu Zhen-hua. Dronedarone a new drug for atrial fibrillation or atrial flutter[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(1): 41-44.
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