what med is used to treat fetal arrhythmias
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Fetal Tachycardia Furthermore, some controversy exists in relation to first-line and second-line treatment regimens for fetal supraventricular tachycardia. In general, digoxin is used as first-line treatment in the US, whereas in Europe flecainide is used for this purpose. For second-line treatment of drug-refractory supraventricular tachycardia with hydrops fetalis, Parilla and colleagues advocate early use of fetal intramuscular digoxin.
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Keppra Patients should be monitored for the emergence or worsening of depression, suicidal thoughts or behavior, and/or any unusual mood or behavior changes. Keppra (levetiracetam) should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
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Pharmacology in Emergency MedicineDiltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department This topic is important because diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both commonly used to treat atrial fibrillation and flutter (AFF) in the emergency department (ED).
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- Electroconvulsive Therapy in Pregnancy. ECT is considered safe and effective for the mother and fetus in the treatment of major depressive disorder during pregnancy.ECT is a potential treatment for patients with bipolar disorder who are experiencing mixed episodes, severe mania, or severe depression during pregnancy.
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Heart Disease and Antiarrhythmics Your doctor has determined that you have an abnormal heart rhythm that would be best treated with drugs alone or in addition to a procedure, such as putting in an implantable cardioverter defibrillator (ICD). Because these drugs only control abnormal heart rhythms, not cure them, you may have to take them for life.
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- Highlights. 1  Preterm labor occurs when uterine contractions begin to open the cervix before 37 weeks of pregnancy. Preterm labor can lead to a premature birth, which poses many risks to a baby. 2  Terbutaline is a type of betamimetic used to stop contractions and delay the labor process.
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Tocolytic The suppression of contractions is often only partial and tocolytics can only be relied on to delay birth for several days. Depending on the tocolytic used the mother or fetus may require monitoring, as for instance blood pressure monitoring when nifedipine is used as it reduces blood pressure. In any case the risk of preterm labor alone justifies hospitalization.
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Multiple Sclerosis and Pregnancy Certain medicines used to treat MS symptoms are not safe for your baby to be taking during pregnancy. These include a group of medicines called disease-modifying drugs and another group called chemotherapeutic drugs, such as azathioprine or methotrexate.
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Nifedipine in pregnancy Nifedipine is a dihydropyridine calcium channel blocker that is widely used for the treatment of cardiovascular disorders in nonpregnant individuals. Over the last 15 years its favourable pharmacologic characteristics have resulted in its efficacy and safety being assessed in pregnancy.
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- Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention.
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sotalol (Betapace, Sorine) Another form of this medicine, called sotalol (Betapace, Sorine), is used to treat heart rhythm disorders of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). Sotalol is used in people with ventricular tachycardia or ventricular fibrillation.
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Naproxen / pseudoephedrine Pregnancy and Breastfeeding Warnings Naproxen has been assigned to pregnancy category C by the FDA. Animal studies have failed to reveal evidence of fetal harm. There are no controlled data in human pregnancy. Use late in pregnancy may cause premature closure of the ductus arteriosus and prolong labor and delivery.
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- Antiarrhythmic agents. Antiarrhythmic agents are pharmaceuticals used to combat cardiac arrhythmias. An arrhythmia is an abnormality of the rate or rhythm of the heartbeat, such as atrial fibrillation, atrial flutter, ventricular fibrillation and ventricular tachycardia.
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Treatment of Preterm Labor: Magnesium Sulfate Magnesium Sulfate. In the U.S., magnesium sulfate has become the most commonly used drug for treating preterm labor. Magnesium sulfate is given only intravenously.
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Amiodarone: Guidelines for Use and Monitoring Although the U.S. Food and Drug Administration (FDA) has labeled amiodarone only for the treatment of life-threatening ventricular arrhythmias, the drug also is used to treat atrial fibrillation. Because of the complexity and widespread use of this agent, other treatment decisions often are affected.
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- However, research has cast doubts on the safe use during pregnancy of the drugs most commonly prescribed for depression: selective serotonin reuptake inhibitors (SSRIs) and some closely related drugs. SSRIs include fluoxetine (Prozac), paroxetine (Paxil), citalopram (Celexa), and sertraline (Zoloft), among others.
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Safe Anxiety Medications for Pregnant Women No anti-anxiety medication is completely safe during pregnancy, but some are much safer than others. The least safe anti-anxiety medications during pregnancy are benzodiazepines, such as Xanax and Valium. They inhibit brain function by enhancing the potency of the neurotransmitter GABA. According to a study published in the November 2007 issue of Pharmacoepidemiology and Drug Safety, benzodiazepines increase the risk of low birth weight, preterm birth and congenital malformations.
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Heart Rhythm Disorders (Abnormal Heart Rhythms) Cardiac Arrhythmia Treatment: Ablation. Ablation is used to treat abnormal heart rhythms, or arrhythmias. The type of arrhythmia and the presence of other heart disease will determine whether ablation can be performed surgically or non-surgically.
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- There are some prescription nausea medications that are safe for use during pregnancy. Phenergan, the brand name for promethazine, is an antihistamine that's commonly prescribed for pregnancy-related nausea. Other medications your doctor might prescribe are Compazine, Tigan or Reglan.
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Oxytocic drugs â Indications Oxytocic drugs are used for several indications in obstetrics and obstetric anesthesia. These include: 1  The contraction stress test to evaluate fetal well-being during the antepartum period. 2  Induction of labor.xytocic drugs are also given routinely following C-section to prevent development of uterine atony. The uterus has α and β receptors, with α-receptor stimulation resulting in contraction and β2-receptor stimulation resulting in uterine relaxation.
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- 1 Certain selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally considered an option during pregnancy, including citalopram (Celexa), fluoxetine (Prozac) and sertraline (Zoloft).  Serotonin and norepinephrine reuptake inhibitors (SNRIs).
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Heart arrhythmia Most arrhythmias can be effectively treated. Treatments may include medications, medical procedures such as a pacemaker, and surgery. Medications for a fast heart rate may include beta blockers or agents that attempt to restore a normal heart rhythm such as procainamide.
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Arrhythmias in Pregnancy Treat hemodynamically significant rhythms early. During pregnancy, the mother's cardiovascular adaptations allow adequate blood flow to both the fetus and herself, with the uterus receiving 17% of the cardiac output at term (compared with the usual 2%) along with increased flow to the kidneys, breast, and skin.
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Terbutaline Sulfate Terbutaline sulfate, in various dosage forms, has been approved by FDA for the treatment of asthma but it has be given to pregnant women subcutaneously, to stop early labor. The use of Terbutaline sulfate to treat preterm labor is an unapproved or off-label use.
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Medications for Arrhythmia Medications for Arrhythmia. When taken exactly as prescribed, medications can do wonders. They can help prevent heart attack and stroke. They can also prevent complications and slow the progression of coronary heart disease. Some of the major types of commonly prescribed cardiovascular medications used to treat arrhythmias are summarized in this section.
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Sotalol Sotalol is a medication used to treat heart arrhythmias. The U.S. Food and Drug Administration advises that sotalol only be used for serious arrhythmias, because its prolongation of the QT interval carries a small risk of life-threatening torsade de pointes.