Use current status at Place/Trust

Sandwell

 Specialist intiation supported by a RICaD

 Amiodarone RICaD-Sandwell only

Atrial fibrillation : Rhythm control should be used when:
symptomatic; under 65's; first time -lone AF; secondary to treated or corrected precipitant with congestive heart failure. Beta-blockers are first line, amiodarone should be used second line where structural heart disease is present

Check thyroid function and liver function every 6 months
Phototoxicity reactions possible - advise use of wide spectrum sunscreen.
Suspect pneumonitis if new or preogressive shortness of breath or cough develops

Following the policy - Items which should not routinely be prescribed in Primary Care. Patients who are established on Amiodarone should continue their prescriptions as normal

The guidance applies to new patients only

Wolverhampton

Walsall

 Dudley

Use current status at Place/Trust

Sandwell

 Initiation under specialist supervision

Contraindicated in heart failure or abnormal left ventricular function

Rhythm control should be used when:
symptomatic; under 65's; first time -lone AF; secondary to treated or corrected precipitant with congestive heart failure. Beta-blockers are first line, flecainide is a second line option when there is no structural heart disease:

Wolverhampton

Walsall

Dudley