Drugs for bradydysrhythmias

Re: Drugs for bradydysrhythmias

Ian Mostyn — Tue, 29 Jan 2013 19:00:51 GMT

He seemed to respond to an atropine injection initially which is why I went for propantheline as an anti-muscarinic. I just can't find any other non-injectable anti-muscarinics so seem to be stuck with beta-adrenergics.

Ian

Re: Drugs for bradydysrhythmias

David Mills — Tue, 29 Jan 2013 16:34:22 GMT

May be worth seeing if there's a response to injectable atropine first- if there isn't then oral meds are unlikely to have much of an effect (they all have mainly effects on av node parasympatholytically)

Re: Drugs for bradydysrhythmias

Alex Gough — Tue, 29 Jan 2013 14:37:02 GMT

Propentophylline probably has a similar effect - it's just a hit of a caffeine like drug to give the heart a bit of a kick!

Alex

Re: Drugs for bradydysrhythmias

Ian Mostyn — Mon, 28 Jan 2013 15:41:50 GMT

We don't have an ECG here and she didn't want a referral but I may be able to persuade her to go to our OOH clinic who I believe have an ECG. Excepting the ECG, all signs are consistent with sinus arrest. I had considered terbutaline but wasn't certain about it. At least I can get hold of some. I stopped using theophylline a few years ago and have been using propentophylline instead but can order some in.

Thanks,

Ian

Re: Drugs for bradydysrhythmias

Alex Gough — Mon, 28 Jan 2013 15:13:37 GMT

Theophylline or terbutaline may help in some of these cases. Can you do an ECG?

Alex