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Syndrome of Inappropriate Antidiuretic Hormone Secretion Induced by Amiodarone Therapy
Author(s) -
ASLAM M. KAMRAN,
GNAIM CHARLIE,
KUTNICK JAY,
C. KOWAL ROBERT,
MCGUIRE DARREN K.
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00541.x
Subject(s) - amiodarone , hyponatremia , medicine , antidiuretic , syndrome of inappropriate antidiuretic hormone secretion , hormone , intensive care medicine , side effect (computer science) , atrial fibrillation , computer science , programming language
We describe a case of amiodarone induced hyponatremia consistent with the syndrome of inappropriate antidiuretic hormone (SIADH) that developed during amiodarone loading, similar to three prior reports. The hyponatremia improved after a lower maintenance dose was initiated. This episode was reported online to the FDA (http://www.fda.gov/medwatch), and future amiodarone labeling will include SIADH as a potential side effect (personal communication, Wyeth Medical Science). Clinicians should be aware of this rare but serious complication, especially in light of the neurological effect of profound hyponatremia. Amiodarone induced SIADH may develop during the loading phase, and may respond to dose reduction without termination of drug.