Dofetilide tikosyn considerations for use usfda approved indications. This medication works by converting the heart to a normal rhythm and helping maintain it. S materials sent to pharmacies after certification so that they will be able to stamp the prescription. Read it again each time tikosyn dofetilide is refilled. It is important that when you go home, you take the exact dose of tikosyn that your doctor prescribed for you. Complete and submit the report online download form or call 18003321088 to. Tikosyn dofetilide side effects, dosage, interactions.
What is the most important information i should know about dofetilide tikosyn. Dofetilide, atrial fibrillation, catheter ablation, antiarrhythmic drugs. Coding for tikosyn loading cardiology coding ask an expert. Boxed warning to minimize the risk of induced arrhythmia, patients initiated or reinitiated on tikosyn should be placed for a minimum of 3 days in a. Dofetilide is renally cleared and has multiple critical drugdrug. These coupons are accepted at the majority of us pharmacies and can save you as much as 75% off the retail price of your tikosyn prescription. How to change the default pdf reader in windows 10. Safety and efficacy of inpatient initiation of dofetilide versus sotalol. Tikosyn coupon discounts will vary by location, pharmacy, medication, and dosage.
This information does not take the place of talking with your doctor about your condition or treatment. In order for there to be a generic version, the original medicine must. These coupons are instant and require no registration to use. Tikosyn is used to maintain normal sinus rhythm in order to delay atrial fibrillation or atrial flutter from happening again in people who experienced atrial fibrillationatrial flutter of greater. This brochure contains the answers to some frequently asked questions about the medicine. I have a patient with afib that has an order for tikosyn loading to be done at our local hospital. I know that the generic name for that is dofetilide but i cannot find the the hcpcs code for either name. To find out if a pharmacy stocks tikosyn, the patient or physician must call the pharmacy directly. Aug 19, 2019 tikosyn dofetilide is an antiarrhythmic drug used to help keep the heart beating normally in people with certain heart rhythm disorders of the atrium the upper chambers of the heart. What is the most important information i should know about tikosyn.
Also, i would like to confirm that the cpt for this. Tikosyn is the brand name of the drug dofetilide, which is used to treat atrial fibrillation and atrial flutter types of irregular heartbeats this prescription medicine belongs to a class of. If at any time after the second dose of tikosyn is given the qtc or qt is greater than 500 msec 550 msec in patients with ventricular conduction abnormalities, tikosyn should be discontinued. Tikosyn definition of tikosyn by medical dictionary.
Tikosyn dofetilide dosage and administration pfizer. Right now, you may have some questions about tikosyn. The csr at 1877tikosyn can provide the namenumber of the enrolled pharmacy. Most people set an alarm on their watches, cell phones or home alarm clocks to ring every day. Apr 03, 2019 tikosyn is a heart rhythm medicine, also called an antiarrhythmic. Information in this brochure cannot take the place of a talk with. To establish the right dose of tikosyn, treatment with tikosyn must be started in a hospital where your heart rate and kidney function will be checked for the first 3 days of treatment. A tikosyn stamp will be provided to certified retailmailorder pharmacies in the t. This is the earliest predictable date that a generic version could become available. There are also some offlabel uses for tikosyn, such as treating certain other irregular heart arrhythmias and wolffparkinsonwhite syndrome. The next tikosyn patent is set to expire in october 2018. This medicine comes with an extra patient fact sheet called a medication guide.
A tikosyn stamp will be provided to certified retailmail order pharmacies in the t. Tikosyn dofetilide is an antiarrhythmic drug used to help keep the heart beating normally in people with certain heart rhythm disorders of the atrium the upper chambers of the heart. Click here to view a print quality pdf of this table. Tikosyn, dofetilide dosing, indications, interactions.
Tikosyn is a prescription medication approved to treat certain heart rhythm problems known as atrial fibrillation and atrial flutter. Always remember to talk with your doctor or pharmacist if you have questions. Average discounts are 55% off your prescription purchases. It was developed for afib patients who have bleeds on blood thinners. Read the medication guide before you start taking tikosyn and each time you get a refill. Do not give it to others if i have questions about tikosyn, whom should i call.
Dec 20, 2019 this medicine comes with an extra patient fact sheet called a medication guide. The related drug information index provides comprehensive access to all drug information related to a specific drug types of content include full prescribing information, drug summaries, full prescribing information continuing medication education full pi cme, medication guides, risk evaluation and mitigation strategies rems summaries, rems continuing medication education rems cme, and. Patient label here dofetilide tikosyn initiation orders. Tikosyn dofetilide side effects, images, uses, dosage. Black box warning available only to hospitals and prescribers who have received appropriate dosing and treatment initiation education. Dofetilide discontinuations or dose reductions were determined through manual chart. What should i discuss with my health care provider before taking dofetilide tikosyn. My doctors office is not very forthcoming with information. Tikosyn dofetilide medication guide pfizer medical. Cvs caremark administers the prescription benefit plan for the patient identified. Instant savings on your prescription for tikosyn dofetilide with free coupon and discounts tikosyn dofetilide coupon and tikosyn cost skip to. Was in nsr for 4 days on sotalol 200mg and then had a breakthrough atrial flutter 30 minutes after taking the sotalol.
Management of acute atrial fibrillation and atrial flutter in non. During dofetilide initiation, women were more likely than men to have their. Click this link to browse to the program that you want to set as the default pdf reader, and choose the open button to set it as the default. Is the load constant through iv or only at particular times. Do not start dofetilide if baseline qtc greater than 440 msec 500 msec in patient with ventricular conduction abnormalities. If the qtc or qt is greater than 440 msec 500 msec in patients with ventricular conduction abnormalities, tikosyn is contraindicated. When to consider tikosyn american heart association. Dofetilide is safe and effective in preventing atrial fibrillation. Tikosyn is used in people with atrial fibrillation or atrial flutter. It shows i go into afib about once a month of different durations from a few minutes to 5. This patients benefit plan requires prior authorization for certain medications in order for the drug to be covered.
Find patient medical information for tikosyn oral on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Aug 26, 2019 therapy with tikosyn must be initiated and, if necessary, reinitiated in a setting that provides continuous electrocardiographic ecg monitoring and in the presence of personnel trained in the management of serious ventricular arrhythmias. According to dofetilide labeling, therapy with dofetilide must be initiated or reinitiated in a setting. Safety of oral dofetilide reloading for treatment of atrial. Like other medicines, tikosyn can cause side effects. Pdf cost of hospital admission for antiarrhythmic drug initiation in. Call your regular pharmacy and ask if they are able to order the medication. Tikosyn dofetilide side effects, dosage, interactions drugs.
I am thinking that it may be 96374, but would like to double check that. Tikosyn should not be used in patients with a baseline qt interval or qtc 440 msec 500 msec in patients with ventricular conduction abnormalities. Tikosyn is a heart rhythm medicine, also called an antiarrhythmic. Tikosyn, also called dofetilide generic name, is one of. Considerations for use from the atrial fibrillation toolkit. Identify these significant dofetilide oral tikosyn oral drug interactions with the rxlist drug interaction checker tool. Practical approach to the use and monitoring of dofetilide therapy. Safety of oral dofetilide reloading for treatment of atrial arrhythmias. C indications maintenance of normal sinus rhythm delay in time to recurrence of atrial fibrillationatrial flutter afafl in patients with afafl lasting more than one week, and who have been converted to normal. Earlier recommendations for sotalol loading favored inpatient. It is marketed under the trade name tikosyn by pfizer, and is available in the united states in capsules containing 125, 250, and 500 g of dofetilide. Physician prescribing information and medication guide. See what others have said about tikosyn, including the effectiveness, ease of use and side effects.
In the united states it is only available by mail order or through specially trained local pharmacies. What to expect in hospital for tikosyn load i am going into the hospital next wednesday for tikosyn load. I had an unexplained bleed in august 2016 and am an excellent candidate for the watchman filter. Eligible patients can register for valuable savings offers for nearly 40 brand name medications. The products discussed may have different product labeling in other countries. Would not convert on 160mg so they bumped it up to 200mg.
No further down titration of tikosyn based on qtc or qt is recommended. This section presents highlights of the contents of the tikosyn dofetilide product monograph and refers you to more detailed information in the text. Must be initiated or re initiated in a facility that can provide crcl calculation, ecg monitoring, and cardiac resuscitation. Tikosyn is supplied for oral administration in three dosage strengths.
Do not use it to treat any other condition you may have. Prior to administration of the first dose, the qtc or qt must be checked using an average of 510 beats. Pfizer rxpathways connects eligible patients to a range of assistance programs to help them access their pfizer prescriptions. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Therapy with tikosyn must be initiated and, if necessary, reinitiated in a setting that provides continuous electrocardiographic ecg monitoring and in the presence of personnel trained in the management of serious ventricular arrhythmias. If you have questions about tikosyn, there are a number of things you can do. It is approved for use in people who have significant symptoms. No dofetilide is the active ingredient in tikosyn, but is not a generic version of it. Dofetilide dose reductions and discontinuations in women. I will establish or oversee the establishment of a system, order sets, protocols, or other measures to ensure appropriate dosing and monitoring. A treatment pathway including a set of admission orders appendix was developed to facilitate this process.
Data sources include ibm watson micromedex updated 28 feb 2020, cerner multum updated 2 mar 2020. Tikosyn is used to help keep the heart beating normally in people with certain heart rhythm disorders of the atrium the upper chambers of the heart that allow blood to flow into the heart. Tikosyn is prescribed to treat atrial fibrillation and atrial flutter, two types of irregular heartbeats. Tikosyn is contraindicated in patients with severe renal impairment calculated creatinine clearance cl cr tikosyn capsules contain the following inactive ingredients. This tikosyn coupon is accepted at walmart, walgreens, cvs, riteaid and 59,000 other pharmacies nationwide. The following information is not intended to endorse any particular medication. Dofetilide dose reductions and discontinuations in. Tikosyn capsules contain the following inactive ingredients. Pdf initiation of some rhythmcontrol therapies for atrial fibrillation af. Dofetilide tikosyn is a new class iii antiarrhythmic agent used for the conversion to and maintenance of normal sinus rhythm in patients with highly symptomatic atrial fibrillationflutter. Also, i would like to confirm that the cpt for this service as well. If you have any questions about tikosyn dofetilide, please talk with the doctor, pharmacist, or other health care provider. Select whether you would like to get your tikosyn coupon by email, sms text, or printer to get one now.
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