Table 3-1. Pharmacokinetic properties and doses of Group IA
antiarrhythmic drugs.
Presc Cat contains the controlled drug
and FDA pregnancy safety prescribing category codes
Calculate dose for significantly over/underweight patient:
_________________________________________________________________________
Drug Recommended Half- Plasma level
(Available Dose life Thera- Toxic Presc
as) (mg) peutic Route Cat Notes
________________________________________(mg/L)___________________________
GROUP IA:
Disopyramide (Toxicity: )
(generic,Norpace:100,150 mg caps)
100-200 QID 4-10 2-8 >9 Oral Rx;C 1
controlled release: 100, 150 mg caps
200-400 BID Oral
Procainamide (Toxicity: )
(generic, Pronestyl: 250,375,500 mg tabs, caps,
100,500 mg/mL injection)
500-1000 Q3-4hr 2.5-4.5 4-8 >16 Oral Rx;C
(PgDn key for scroll)
_________________________________________________________________________
Drug Recommended Half- Plasma level
(Available Dose life Thera- Toxic Presc
as) (mg) peutic Route Cat Notes
________________________________________(mg/L)___________________________
Procainamide, sustained release
(generic, Procan-SR: 250,500,750,1000 mg tabs)
750-1500 QID 2
Quinidine (Toxicity: )
sulfate 6-8 3-6 >8 Rx;C
(generic, 83% quinidine base: 100,200,300 mg tabs,caps;
200 mg/mL injection)
200 once Oral or IM Test dose
200-300 Q6-8hr Oral Maintenance
300-600 IV Inject diluted
solution slowly
sulfate
(Quinidex: 300 mg SR tabs) 3
300-600 Q8-12hr
(PgDn key for scroll)
gluconate (62% quinidine base)
(generic, Duraquin: 324,330 mg SR tabs; 80 mg/mL injection)
330-660 Q8-12hr Oral sustained release
300-600 IV Inject diluted
solution slowly
polygalacturonate (60% quinidine base)
(Cardioquin: 275 mg tabs)
275-550 Q8-12hr Oral
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Footnotes:
1. CR caps: controlled release capsules.
2. Sustained release procainamide is preferred by many clinicians because
the half-life of regular procainamide is very short.
3. SR: sustained release forms.