Ethacizine
Ethacizine is an antiarrhythmic agent used in the treatment of cardiac arrhythmias. It is a member of the class I antiarrhythmic agents, a group of drugs with sodium channel blocking effects. Ethacizine is primarily used in the treatment of ventricular tachycardia, and has been shown to be effective in suppressing this condition.
Pharmacology
Ethacizine works by blocking the fast sodium channels in the heart, which are responsible for the rapid depolarization phase of the cardiac action potential. This results in a decrease in the rate of electrical conduction through the heart, which can help to restore a normal rhythm in patients with certain types of arrhythmia.
The drug is metabolized in the liver and excreted in the urine. It has a half-life of approximately 6 hours, which means that it needs to be taken several times a day to maintain therapeutic levels in the blood.
Clinical Use
Ethacizine is used in the treatment of various types of cardiac arrhythmias, but is particularly effective in treating ventricular tachycardia. This is a condition where the lower chambers of the heart beat too quickly, which can lead to a decrease in blood flow to the body.
The drug is usually administered orally, but can also be given intravenously in emergency situations. The dose is adjusted based on the patient's response and tolerance to the drug.
Side Effects
Like all drugs, ethacizine can cause side effects. The most common side effects include dizziness, nausea, and fatigue. More serious side effects can include heart block, a condition where the electrical signals in the heart are delayed or blocked.
Patients taking ethacizine are usually monitored closely to ensure that the drug is working effectively and that side effects are managed appropriately.
See Also
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Contributors: Prab R. Tumpati, MD