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ARTICLE |

Adverse Effects of Amiodarone FREE

Larry E. Alves, MD; Edward P. Rose, MD; Terence G. Klingele, MD; Peter P. Heinbecker, MD; Thomas F. Frawley, MD
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Edited by John D. Archer, MD, Senior Editor.


JAMA. 1982;248(12):1448-1448. doi:10.1001/jama.1982.03330120018007
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To the Editor.—  The recent article by Nademanee and Singh (1982;247:217) did not emphasize the significant potential adverse reactions that we have noted in 100 patients receiving a mean dosage of 461 mg/day of amiodarone hydrochloride.Transient ischemic attacks have occurred in four of our patients and cerebral vascular accidents have occurred in three patients after initiation of amiodarone therapy (followup, one to 20 months; mean, 6.6 months). While our patients have a high incidence of vascular disease, only five patients had cerebral vascular accidents before the initiation of amiodarone therapy. We hope that this will not prove to be a long-term sequelae of amiodarone therapy. Weakness, fatigue, a nonproductive cough, and dyspnea have been symptoms that have responded to diuresis. None of our patients required cessation of therapy because of the adult respiratory distress syndrome.We have reported previously1 a grading system for amiodarone keratopathy. However, we neglected to

REFERENCES

Klingele TG, Alves LE, Rose EP, et al: Letter to the editor. N Engl J Med 1981;;305:1587-1588.
Carrol BJ, Feinberg M, Greden JF, et al:  A specific laboratory test for the diagnosis of melancholia . Arch Gen Psychiatry 1981;;38:15-22.

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Klingele TG, Alves LE, Rose EP, et al: Letter to the editor. N Engl J Med 1981;;305:1587-1588.
Carrol BJ, Feinberg M, Greden JF, et al:  A specific laboratory test for the diagnosis of melancholia . Arch Gen Psychiatry 1981;;38:15-22.
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