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504 EXAM 3 ANTIARRYHYTHMIC DRUGS
504 EXAM 3 ANTIARRYHYTHMIC DRUGS
What are the general features of anti-arryhythmic drugs?
1. single drug, but polypharmacy (a single drug that act on more than one target).

2. low therapeutic index

3. can be proarrhythmic (arrhythmia causing).
Class Ia drugs include?
1. quinidine
2. procainamide
3. disopyramide
Mechanism of Class IA
Blocks Na channels

Increase APC duration due to Class III activity
Therapeutic use of Class IA
Primarily SVTs

Atrial fib and flutter
Class IB drugs include?
1. lidocaine
2. mexiletine
Mechanism of Class IB drugs
Block Na channels

Shorten AP duration
Therapeutic uses of Class IB drugs
Ventricular arrhythmias
Class IC drugs
1. propafenone
2. flecanide
3. moricizine
Class IC mechanism
Blocks Na channels

Little effect on AP duration