{"id":51648,"date":"2023-09-20T09:23:58","date_gmt":"2023-09-20T09:23:58","guid":{"rendered":"https:\/\/medsname.com\/cordarone\/"},"modified":"2026-05-01T10:49:11","modified_gmt":"2026-05-01T10:49:11","slug":"cordarone","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/cordarone\/","title":{"rendered":"Cordarone"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns Rapid \u2014 Ce este Cordarone?<\/h3>\n<p style=\"margin:0;\"><strong>Cordarone<\/strong> sunt comprimate de amiodaron\u0103 100\/200 mg de la Sanofi \u2014 un antiaritmic de clas\u0103 III (cu propriet\u0103\u021bi de clas\u0103 I, II \u0219i IV \u2014 \u201cblocator multicanale\u201d). Amiodarona a fost introdus\u0103 \u00een anii 1960 ca antianginoas\u0103 de c\u0103tre Labaz; propriet\u0103\u021bile sale antiaritmice au fost recunoscute mai t\u00e2rziu. \u00cen ciuda toxicit\u0103\u021bii organice semnificative, r\u0103m\u00e2ne cel mai eficient antiaritmic oral at\u00e2t pentru aritmii atriale (FA, flutter) c\u00e2t \u0219i ventriculare (TV, FV) \u0219i este utilizat pe scar\u0103 larg\u0103 \u00een cardiopatia structural\u0103 unde alte antiaritmice sunt contraindicate. blocheaz\u0103 multiple canale ionice \u2014 potasiu (clas\u0103 III, prelunge\u0219te repolarizarea), sodiu (clas\u0103 I), beta-receptori (clas\u0103 II, par\u021bial) \u0219i calciu (clas\u0103 IV). Blocheaz\u0103 \u0219i conversia hormonilor tiroidieni \u0219i ac\u021biunea periferic\u0103. Timpul de \u00eenjum\u0103t\u0103\u021bire extrem de lung (40-60 de zile) \u0219i volumul mare de distribu\u021bie \u00eenseamn\u0103 c\u0103 efectul terapeutic se acumuleaz\u0103 pe parcursul s\u0103pt\u0103m\u00e2nilor. Dozare: <strong>Doza de \u00eenc\u0103rcare:<\/strong> 200 mg de trei ori pe zi timp de 1 s\u0103pt\u0103m\u00e2n\u0103, apoi 200 mg de dou\u0103 ori pe zi timp de 1 s\u0103pt\u0103m\u00e2n\u0103, apoi doza de \u00eentre\u021binere de 200 mg o dat\u0103 pe zi (doza total\u0103 de \u00eenc\u0103rcare este de obicei 10 g). <strong>Doza de \u00eentre\u021binere:<\/strong> 100-400 mg o dat\u0103 pe zi (ajusta\u021bi \u00een func\u021bie de r\u0103spunsul clinic \u0219i nivelurile medicamentului). Managementul aritmiilor este o disciplin\u0103 condus\u0103 de cardiologie \u2014 diagnosticul, selec\u021bia medicamentului \u0219i monitorizarea necesit\u0103 de obicei consult specializat. Acesta nu este un medicament pentru terapie autoini\u021biat\u0103.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Cordarone?<\/h2>\n<p>Cordarone sunt comprimate de amiodaron\u0103 100 \/ 200 mg de la Sanofi, furnizate \u00een cutii de 30-90 de comprimate. Amiodarona a fost introdus\u0103 \u00een anii 1960 ca antianginoas\u0103 de Labaz; propriet\u0103\u021bile sale antiaritmice au fost recunoscute mai t\u00e2rziu. \u00cen ciuda toxicit\u0103\u021bii organice substan\u021biale, r\u0103m\u00e2ne cel mai eficient antiaritmic oral at\u00e2t pentru aritmiile atriale (FA, flutter), c\u00e2t \u0219i pentru cele ventriculare (TV, FV) \u0219i este utilizat pe scar\u0103 larg\u0103 \u00een bolile cardiace structurale unde alte antiaritmice sunt contraindicate.<\/p>\n<h2 class=\"wp-block-heading\">Cum ac\u021bioneaz\u0103 amiodarona<\/h2>\n<p>Amiodarona blocheaz\u0103 multiple canale ionice \u2014 potasiu (clasa III, prelunge\u0219te repolarizarea), sodiu (clasa I), beta-receptori (clasa II, par\u021bial) \u0219i calciu (clasa IV). De asemenea, blocheaz\u0103 conversia hormonilor tiroidieni \u0219i ac\u021biunea periferic\u0103. Timpul de \u00eenjum\u0103t\u0103\u021bire extrem de lung (40-60 de zile) \u0219i volumul mare de distribu\u021bie \u00eenseamn\u0103 c\u0103 efectul terapeutic se acumuleaz\u0103 \u00een s\u0103pt\u0103m\u00e2ni.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri aprobate<\/h2>\n<ul>\n<li>Fibrila\u021bia atrial\u0103 \u0219i flutterul (controlul ritmului; de asemenea, controlul frecven\u021bei \u00een situa\u021bii specifice)<\/li>\n<li>Tahicardia ventricular\u0103 \/ fibrila\u021bie ventricular\u0103 \u2014 utilizare IV acut\u0103 \u00een stop cardiac (ALS); administrare oral\u0103 cronic\u0103 pentru prevenirea recuren\u021bei<\/li>\n<li>Aritmii supraventriculare rezistente la alte agen\u021bi<\/li>\n<li>Aritmic preferat \u00een bolile cardiace structurale (IC, post-IM) unde agen\u021bii din clasa Ic (flecainid\u0103, propafenon\u0103) sunt contraindica\u021bi<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i Monitorizare<\/h2>\n<p><strong>Doza:<\/strong> <strong>Doza de \u00eenc\u0103rcare:<\/strong> 200 mg de trei ori pe zi timp de 1 s\u0103pt\u0103m\u00e2n\u0103, apoi 200 mg de dou\u0103 ori pe zi timp de 1 s\u0103pt\u0103m\u00e2n\u0103, apoi doza de \u00eentre\u021binere de 200 mg o dat\u0103 pe zi (doza total\u0103 de \u00eenc\u0103rcare este de obicei 10 g). <strong>Doza de \u00eentre\u021binere:<\/strong> 100-400 mg o dat\u0103 pe zi (ajusta\u021bi \u00een func\u021bie de r\u0103spunsul clinic \u0219i nivelurile medicamentului).<\/p>\n<p><strong>Monitorizare:<\/strong><\/p>\n<ul>\n<li><strong>Valori ini\u021biale:<\/strong> ECG, teste func\u021bionale hepatice (LFTs), TSH (T4 liber dac\u0103 anormal), radiografie toracic\u0103, teste func\u021bionale pulmonare (DLCO), consult oftalmologic, inspectare cutanat\u0103.<\/li>\n<li><strong>La fiecare 3 luni:<\/strong> Teste func\u021bionale hepatice (LFTs), TSH.<\/li>\n<li><strong>La fiecare 6 luni:<\/strong> radiografie toracic\u0103; teste func\u021bionale pulmonare (PFTs) dac\u0103 exist\u0103 simptome pulmonare.<\/li>\n<li><strong>Anual:<\/strong> examinare complet\u0103 a ochiului pentru microdepozite corneene \u0219i neuropatie optic\u0103.<\/li>\n<li><strong>Interrup\u021bie la:<\/strong> dispnee cu sc\u0103dere a PFTs sau infiltrate noi, transaminaze &gt;3\u00d7 ULN, disfunc\u021bie tiroidian\u0103 sever\u0103 necorectabil\u0103, interval QT &gt;500 ms, bradicardie &lt;50 bpm cu simptome, decolorare piele albastru-gri, tulbur\u0103ri vizuale severe.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<ul>\n<li><strong>Toxicitate pulmonar\u0103<\/strong> (1-17%) \u2014 poate fi fatal\u0103; pneumonit\u0103 progres\u00e2nd spre fibroz\u0103. Inciden\u021ba este dependent\u0103 de doz\u0103. \u00centrerupe\u021bi imediat la dispnee cu sc\u0103dere a PFTs sau infiltrate noi.<\/li>\n<li><strong>Hepatotoxicitate<\/strong> (1-3% semnificativ clinic; 15-50% cu cre\u0219tere u\u0219oar\u0103 a enzimelor hepatice)<\/li>\n<li><strong>Disfunc\u021bie tiroidian\u0103<\/strong> \u2014 at\u00e2t hipotiroidism (10-20%) c\u00e2t \u0219i hipertiroidism (2-10%). Tirotoxicoz\u0103 indus\u0103 de amiodaron\u0103 (AIT) poate fi letal\u0103.<\/li>\n<li><strong>Microdepozite corneene<\/strong> \u2014 universal dup\u0103 luni de terapie; rareori afecteaz\u0103 vederea; de obicei reversibil.<\/li>\n<li><strong>Neuropatie optic\u0103<\/strong> (rar; poate progresa c\u0103tre pierdere permanent\u0103 a vederii \u2014 \u00eentrerupe\u021bi imediat la orice modificare vizual\u0103)<\/li>\n<li><strong>Decolorare piele albastru-gri<\/strong> (legat\u0103 de fotosensibilitate; ireversibil\u0103)<\/li>\n<li><strong>Neuropatie periferic\u0103<\/strong><\/li>\n<li><strong>Bradicardie, prelungire QT, torsade de pointes<\/strong> (rar \u2014 \u00een ciuda prelungirii QT, amiodarona rareori provoac\u0103 torsade)<\/li>\n<li><strong>GI:<\/strong> gre\u021buri, anorexie, constipa\u021bie<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Bradicardie sinusal\u0103 f\u0103r\u0103 stimulator cardiac<\/li>\n<li>Bloc AV gradul doi\/trei f\u0103r\u0103 stimulator cardiac<\/li>\n<li>Disfunc\u021bie tiroidian\u0103 sever\u0103 (cu excep\u021bia cazurilor \u00een care aritmia este amenin\u021b\u0103toare pentru via\u021b\u0103 \u0219i exist\u0103 suport tiroidian)<\/li>\n<li>Hipersensibilitate cunoscut\u0103 la iod sau amiodaron\u0103<\/li>\n<li>Medicamente concomitente care provoac\u0103 torsade de pointes (relativ)<\/li>\n<li>Sarcin\u0103 (evita\u021bi; s-a raportat hipotiroidism fetal)<\/li>\n<li>Al\u0103ptare (evita\u021bi; trece \u00een lapte)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Warfarin<\/strong> \u2014 amiodarona aproape dubleaz\u0103 INR; \u00eenjum\u0103t\u0103\u021bi\u021bi doza de warfarin la ini\u021bierea amiodaronei; monitoriza\u021bi s\u0103pt\u0103m\u00e2nal.<\/li>\n<li><strong>Digoxin\u0103<\/strong> \u2014 cre\u0219te nivelul digoxinului cu 50-100%; \u00eenjum\u0103t\u0103\u021bi\u021bi doza de digoxin.<\/li>\n<li><strong>Statine<\/strong> \u2014 amiodarona inhib\u0103 CYP3A4, cresc\u00e2nd nivelurile de simvastatin\u0103 \u0219i atorvastatin\u0103; limita\u021bi simvastatina la 20 mg cu amiodaron\u0103.<\/li>\n<li><strong>Alte medicamente care prelungesc intervalul QT<\/strong> (fluorochinolone, macrolide, SSRI, antipsihotice, metadon\u0103) \u2014 prelungire aditiv\u0103 a intervalului QT; evita\u021bi sau monitoriza\u021bi ECG.<\/li>\n<li><strong>Blocante ale canalelor de calciu non-DHP \u0219i beta-blocante<\/strong> \u2014 bradicardie \u0219i bloc AV aditive.<\/li>\n<li><strong>Suc de grapefruit<\/strong> \u2014 cre\u0219te nivelurile de amiodaron\u0103.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">De ce amiodarona necesit\u0103 at\u00e2t de mult monitorizare?<\/h3>\n<p>Amiodarona este extrem de eficient\u0103, dar se acumuleaz\u0103 \u00een \u021besuturi pe parcursul s\u0103pt\u0103m\u00e2nilor (timp de \u00eenjum\u0103t\u0103\u021bire 40-60 de zile) \u0219i provoac\u0103 toxicit\u0103\u021bi organice distinctive \u2014 fibroz\u0103 pulmonar\u0103 (poten\u021bial fatal\u0103), hepatit\u0103, at\u00e2t hipotiroidism c\u00e2t \u0219i hipertiroidism, depozite corneene, neuropatie optic\u0103 \u0219i piele alb\u0103strui-gri. Monitorizarea este conceput\u0103 pentru a detecta acestea \u00een stadiile incipiente \u0219i reversibile. Acesta este pre\u021bul eficacit\u0103\u021bii unice a medicamentului \u00een boala cardiac\u0103 structural\u0103, unde alte antiaritmice e\u0219ueaz\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 opresc amiodarona rapid?<\/h3>\n<p>Timpul de \u00eenjum\u0103t\u0103\u021bire \u00een \u021besuturi este de 40-60 de zile \u2014 astfel, efectul persist\u0103 s\u0103pt\u0103m\u00e2ni dup\u0103 ultima doz\u0103. Acesta este de obicei un avantaj (sc\u0103dere gradual\u0103) dar complic\u0103 trecerea la un alt antiaritmic. Orice schimbare este condus\u0103 de specialist; planifica\u021bi \u00een avans pentru interac\u021biuni care persist\u0103 2-3 luni dup\u0103 oprire.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 iau Cordarone \u00een sarcin\u0103?<\/h3>\n<p>\u00cen general, nu. Amiodarona con\u021bine iod \u0219i poate provoca hipotiroidism fetal. Utiliza\u021bi doar pentru aritmii materne care pun via\u021ba \u00een pericol, dup\u0103 consultare specializat\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Cordarone online?<\/h3>\n<p>Pute\u021bi achizi\u021biona Cordarone (amiodarone 100 \/ 200 mg, 30-90 comprimate) de la MedsBase cu ambalaj discret \u0219i livrare la nivel mondial.<\/p>\n<h2 class=\"wp-block-heading\">Medicamente cardio-vasculare conexe<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/abana\/\">Abana \u2014 formul\u0103 ayurvedic\u0103 cardiac\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/coq-forte\/\">Coq Forte \u2014 CoQ10 + licopen + seleniu + omega-3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ecopril\/\">Ecopril \u2014 Clopidogrel 75 mg (antiagregant plachetar)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ecosprin\/\">Ecosprin \u2014 Aspirin\u0103 75\/150 mg (antiagregant plachetar)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/rioci-1\/\">Rioci 1 \u2014 Riociguat 1 mg (stimulator sGC pentru HAP)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tachyra\/\">Tachyra \u2014 Amiodarone 200 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/high-blood-pressure-medication\/\"><strong>R\u0103sfoi\u021bi toate medicamentele pentru hipertensiune arterial\u0103<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui medic calificat. Hipertensiunea, insuficien\u021ba cardiac\u0103 \u0219i aritmiile necesit\u0103 diagnostic, monitorizare \u0219i individualizarea dozei de c\u0103tre un medic \u2014 utiliza\u021bi \u00eentotdeauna beta-blocante sub \u00eendrumare medical\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tenvir-af\/\">Tenvir AF<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zolmist-nasal-spray\/\">Zolmist Spray Nazal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/intagesic-mr\/\">Intagesic MR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/embeta-xr-25\/\">Embeta XR-25<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/pirox-dt\/\">Pirox DT<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Cordarone este comprimatul de amiodaron\u0103 100\/200 mg de la Sanofi \u2014 antiaritmic de clas\u0103 III de referin\u021b\u0103. Blocheaz\u0103 multiple canale (K, Na, Ca, beta). Cel mai eficient agent oral pentru FA, TV \u0219i FV, \u00een special \u00een cardiopatia structural\u0103 (IC, post-IM) unde alte antiaritmice sunt contraindicate. Toxicitatea organic\u0103 semnificativ\u0103 (pulmonar\u0103, hepatic\u0103, tiroidian\u0103, corneal\u0103, cutanat\u0103) necesit\u0103 monitorizare atent\u0103. Timpul de \u00eenjum\u0103t\u0103\u021bire de 40-60 de zile \u00eenseamn\u0103 c\u0103 efectele persist\u0103 s\u0103pt\u0103m\u00e2ni dup\u0103 \u00eentrerupere. Administrat de speciali\u0219ti.<\/p>","protected":false},"featured_media":51649,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3387,3388],"class_list":{"0":"post-51648","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-amiodarone","11":"product_tag-cordarone","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/51648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=51648"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/51649"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=51648"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=51648"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=51648"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=51648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}