Amiohexal 200mg Tablet

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Brand Hexal
Manufacturer Hexal
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Amiohexal 200mg Tablet is a prescription-only medicine (POM) that contains Amiodarone 200mg (as amiodarone hydrochloride). It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Amiohexal 200mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Amiohexal 200mg Tablet at the same time each day, with or without food, exactly as prescribed by your specialist. Attend all scheduled monitoring appointments, including thyroid function, liver function, chest X-ray, and eye examinations, as this medicine requires regular monitoring for its full duration of use.

Dosage

Amiohexal 200mg Tablet dosing is highly individualised by your specialist, typically starting with a higher loading dose for one to two weeks before reducing to a lower long-term maintenance dose, because amiodarone stays in the body for a very long time. Never adjust your own dose – your cardiologist will determine the correct regimen based on your heart rhythm response and monitoring results.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or vomiting
  • Fatigue or dizziness
  • Skin sensitivity to sunlight
  • Tremors or involuntary movements
  • Abnormal liver function tests
  • Shortness of breath or cough
  • Vision changes (such as blurred vision)

Contraindications

  • Known hypersensitivity to amiodarone or iodine
  • Severe sinus node dysfunction, second- or third-degree heart block, or severe bradycardia, unless a pacemaker is fitted
  • Known thyroid disease (unless the benefit clearly outweighs the risk and is closely supervised)
  • Pregnancy and breastfeeding, except when no safer alternative is available

Drug / Food Interactions

  • Warfarin’s blood-thinning effect is significantly increased by amiodarone, requiring closer INR monitoring and dose adjustment
  • Digoxin blood levels can rise substantially when combined with amiodarone, increasing the risk of toxicity
  • Other medicines that prolong the QT interval (certain antibiotics, antipsychotics, and antiarrhythmics) increase the risk of serious heart rhythm disturbances when combined
  • Grapefruit juice can raise amiodarone blood levels and should be avoided

Quick Tips

  • Attend every scheduled monitoring test (thyroid, liver, chest X-ray, eye examination) – these are essential for safe long-term use
  • Use sun protection and cover exposed skin, as photosensitivity can be significant
  • Tell every doctor, dentist, and pharmacist you see that you take amiodarone, as it interacts with many medicines
  • Report any new breathlessness, persistent cough, unexplained weight change, or palpitations to your specialist promptly

Ingredients / Active Ingredients

  • Amiodarone 200mg (as amiodarone hydrochloride)

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandHexal
ManufacturerHexal
ClassificationPrescription medicine
Ingredients / Active IngredientsAmiodarone
Pack Size10s, 50s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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