This paper is published in Volume 3, Issue 3, 2018
Area
Clinical Pharmacy
Author
Dr. Sanatkumar Nyamagoud
Co-authors
Dr. Chandrahas Jadhav, Khushboo Upadhyay
Org/Univ
Karnataka Lingayat Education Society's College of Pharmacy- Hubli, Hubballi, Karnataka, India
Pub. Date
20 March, 2018
Paper ID
V3I3-1194
Publisher
Keywords
QT Prolongation, Drug Interactions, Levofloxacin, Amiodarone, Fluconazole, Torsades de Pointes

Citationsacebook

IEEE
Dr. Sanatkumar Nyamagoud, Dr. Chandrahas Jadhav, Khushboo Upadhyay. QT Prolongation Associated with Multiple Drug-Drug Interactions, International Journal of Advance Research, Ideas and Innovations in Technology, www.IJARnD.com.

APA
Dr. Sanatkumar Nyamagoud, Dr. Chandrahas Jadhav, Khushboo Upadhyay (2018). QT Prolongation Associated with Multiple Drug-Drug Interactions. International Journal of Advance Research, Ideas and Innovations in Technology, 3(3) www.IJARnD.com.

MLA
Dr. Sanatkumar Nyamagoud, Dr. Chandrahas Jadhav, Khushboo Upadhyay. "QT Prolongation Associated with Multiple Drug-Drug Interactions." International Journal of Advance Research, Ideas and Innovations in Technology 3.3 (2018). www.IJARnD.com.

Abstract

Many drugs are known to prolong QT interval which increases the risk of development of ventricular tachycardia and cardiac arrest. The majority of sudden cardiac deaths are caused by acute ventricular arrhythmia following repolarization disturbances. An important risk factor for repolarization disturbances is use of QT prolonging drugs. Drug interactions also play a clinically significant role in the development of QT prolongation substantially, in patients receiving multiple drugs that are prone to prolong QT interval. The present case study reports two consecutive QT prolongation events associated with drug-drug interactions in a patient during his hospital stay. A 63-years-old Asian male patient was being treated for his complaints of breathlessness, uneasiness, chest discomfort and palpitation (baseline QTc being 457 msec). During his treatment, he developed QT prolongation (QTc=494 msec) suspected to be the result of concomitant use of levofloxacin, ondansetron and ivabradine; QT prolongation reduced after discontinuation of the suspected drugs. In the same patient, during the later course of therapy, a concomitant use of amiodarone and fluconazole caused QT prolongation (QTc=536 msec) again. This complication is best approached with immediate discontinuation of interacting drugs and considering their alternatives. Knowledge enhancement regarding QT prolonging drug combinations and rapid ECG monitoring while using those combinations will help circumvent such adverse events.
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