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Dofetilide
Tikosyn ®
Usual Dosing (Adults)

500 mcg po bid initially. May be initiated at lower doses based on physician discretion. QTc interval should be measured 2-3 hours after the initial dose. If the QTc >15% of baseline, or if the QTc is >500 msec (550 msec in patients with ventricular conduction abnormalities), dofetilide should be adjusted. Continued monitoring for doses 2-5: QTc interval must be determined 2-3 hours after each subsequent dose of dofetilide for in-hospital doses 2-5. If the measured QTc is >500 msec (550 msec in patients with ventricular conduction abnormalities) dofetilide should be stopped.

Renal Dosing
[CRCL >60 ml/min]: 500 mcg bid

[40-60
ml/min]: 250 mcg twice daily.

[20-39
ml/min]: 125 mcg twice daily.

[<20
ml/min]: Contraindicated.
Hemodialysis
Contraindicated.


 

 

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