U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C31H44N2O5S.ClH
Molecular Weight 593.217
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DRONEDARONE HYDROCHLORIDE

SMILES

Cl.CCCCN(CCCC)CCCOC1=CC=C(C=C1)C(=O)C2=C(CCCC)OC3=C2C=C(NS(C)(=O)=O)C=C3

InChI

InChIKey=DWKVCQXJYURSIQ-UHFFFAOYSA-N
InChI=1S/C31H44N2O5S.ClH/c1-5-8-12-29-30(27-23-25(32-39(4,35)36)15-18-28(27)38-29)31(34)24-13-16-26(17-14-24)37-22-11-21-33(19-9-6-2)20-10-7-3;/h13-18,23,32H,5-12,19-22H2,1-4H3;1H

HIDE SMILES / InChI

Molecular Formula C31H44N2O5S
Molecular Weight 556.756
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including: https://www.drugs.com/ppa/dronedarone.html | https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7fa41601-7fb5-4155-8e50-2ae903f0d2d6 | http://www.rxlist.com/multaq-drug.htm

Dronedarone is an antiarrhythmic that is FDA approved for the treatment of atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation (AF). Dronedarone is multichannel blocker. Common adverse reactions include abdominal pain, diarrhea, indigestion, nausea, vomiting, asthenia and raised serum creatinine. Dronedarone has potentially important pharmacodynamics interactions: Digoxin: Consider discontinuation or halve dose of digoxin before treatment and monitor; Calcium channel blockers (CCB): Initiate CCB with low dose and increase after ECG verification of tolerability; Beta-blockers: May provoke excessive bradycardia, Initiate with low dose and increase after ECG verification of tolerability.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
MULTAQ

Approved Use

MULTAQ® is indicated to reduce the risk of hospitalization for atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation (AF) [see Clinical Studies (14)

Launch Date

1.24640638E12
Primary
MULTAQ

Approved Use

MULTAQ® is indicated to reduce the risk of hospitalization for atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation (AF) [see Clinical Studies (14)

Launch Date

1.24640638E12
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
96.2 ng/mL
1600 mg single, oral
dose: 1600 mg
route of administration: Oral
experiment type: SINGLE
co-administered: METOPROLOL
DRONEDARONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1386 ng × h/mL
1600 mg single, oral
dose: 1600 mg
route of administration: Oral
experiment type: SINGLE
co-administered: METOPROLOL
DRONEDARONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
12 h
1600 mg single, oral
dose: 1600 mg
route of administration: Oral
experiment type: SINGLE
co-administered: METOPROLOL
DRONEDARONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources:
unhealthy, 20-97 years
n = 3282
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: 20-97 years
Sex: M+F
Population Size: 3282
Sources:
Disc. AE: Gastrointestinal disorders, QT interval prolonged...
AEs leading to
discontinuation/dose reduction:
Gastrointestinal disorders (3.2%)
QT interval prolonged (1.5%)
Sources:
1600 mg 2 times / day multiple, oral
Highest studied dose
Dose: 1600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 1600 mg, 2 times / day
Sources:
healthy, 21-40 years
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Disc. AE: Diarrhea, Nausea...
AEs leading to
discontinuation/dose reduction:
Diarrhea (6.7%)
Nausea (3.9%)
Abdominal pain upper (2%)
Abdominal pain (1.9%)
Vomiting (1.7%)
Dyspepsia (1.3%)
Nasopharyngitis (3.7%)
Upper respiratory tract infection (2.9%)
Dizziness (3.4%)
Blood creatinine increased (2.5%)
Hepatic enzyme increased (1.2%)
Blood urea increased (0.4%)
Bradycardia (2.6%)
Palpitations (1.1%)
Cardiac failure congestive (1.3%)
Cardiac failure (0.8%)
Fatigue (2.7%)
Oedema peripheral (4.2%)
Back pain (3.3%)
Arthralgia (3.1%)
Pain in extremity (2.1%)
Cough (2.2%)
Dyspnoea (2.3%)
Vertigo (1.3%)
Sources: Page: p. 103
400 mg 2 times / day steady, oral
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: NYHA Class IV heart failure | NYHA Class II - III heart failure
Age Group: adult
Sources:
Other AEs: Heart failure...
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Disc. AE: Diarrhea, Vomiting...
AEs leading to
discontinuation/dose reduction:
Diarrhea (7.6%)
Vomiting (1.5%)
Dyspepsia (3%)
Abdominal pain (1.5%)
Nasopharyngitis (4.5%)
Electrocardiogram QT prolonged (1.5%)
Blood creatinine increased (1.5%)
Hepatic enzyme increased (4.5%)
Blood urea increased (3%)
Bradycardia (1.5%)
Palpitations (6.1%)
Cardiac failure congestive (4.5%)
Cardiac failure (4.5%)
Fatigue (4.5%)
Cough (1.5%)
Hypokalemia (3%)
Vertigo (4.5%)
Sources: Page: p. 103
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Disc. AE: Diarrhea, Nausea...
AEs leading to
discontinuation/dose reduction:
Diarrhea (29%)
Nausea (8.1%)
Vomiting (3.2%)
Abdominal pain (3.2%)
Influenza (3.2%)
Upper respiratory tract infection (1.6%)
Dizziness (4.8%)
Electrocardiogram QT prolonged (3.2%)
Hepatic enzyme increased (1.6%)
Blood urea increased (3.2%)
Bradycardia (6.5%)
Palpitations (4.8%)
Cardiac failure congestive (1.6%)
Cardiac failure (1.6%)
Fatigue (3.2%)
Atrial tachycardia (4.8%)
Cough (4.8%)
Vertigo (3.2%)
Sources: Page: p. 103
AEs

AEs

AESignificanceDosePopulation
QT interval prolonged 1.5%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources:
unhealthy, 20-97 years
n = 3282
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: 20-97 years
Sex: M+F
Population Size: 3282
Sources:
Gastrointestinal disorders 3.2%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources:
unhealthy, 20-97 years
n = 3282
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: 20-97 years
Sex: M+F
Population Size: 3282
Sources:
Blood urea increased 0.4%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Cardiac failure 0.8%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Palpitations 1.1%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Hepatic enzyme increased 1.2%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Cardiac failure congestive 1.3%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Dyspepsia 1.3%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Vertigo 1.3%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Vomiting 1.7%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Abdominal pain 1.9%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Abdominal pain upper 2%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Pain in extremity 2.1%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Cough 2.2%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Dyspnoea 2.3%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Blood creatinine increased 2.5%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Bradycardia 2.6%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Fatigue 2.7%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Upper respiratory tract infection 2.9%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Arthralgia 3.1%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Back pain 3.3%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Dizziness 3.4%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Nasopharyngitis 3.7%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Nausea 3.9%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Oedema peripheral 4.2%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Diarrhea 6.7%
Disc. AE
400 mg 2 times / day steady, oral
Recommended
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 989
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 989
Sources: Page: p. 103
Heart failure grade 5
400 mg 2 times / day steady, oral
Dose: 400 mg, 2 times / day
Route: oral
Route: steady
Dose: 400 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: NYHA Class IV heart failure | NYHA Class II - III heart failure
Age Group: adult
Sources:
Abdominal pain 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Blood creatinine increased 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Bradycardia 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Cough 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Electrocardiogram QT prolonged 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Vomiting 1.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Blood urea increased 3%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Dyspepsia 3%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Hypokalemia 3%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Cardiac failure congestive 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Cardiac failure 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Fatigue 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Hepatic enzyme increased 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Nasopharyngitis 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Vertigo 4.5%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Palpitations 6.1%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Diarrhea 7.6%
Disc. AE
600 mg 2 times / day multiple, oral
Dose: 600 mg, 2 times / day
Route: oral
Route: multiple
Dose: 600 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 66
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 66
Sources: Page: p. 103
Cardiac failure congestive 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Cardiac failure 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Hepatic enzyme increased 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Upper respiratory tract infection 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Diarrhea 29%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Abdominal pain 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Blood urea increased 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Electrocardiogram QT prolonged 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Fatigue 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Influenza 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Vertigo 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Vomiting 3.2%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Atrial tachycardia 4.8%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Cough 4.8%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Dizziness 4.8%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Palpitations 4.8%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Bradycardia 6.5%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
Nausea 8.1%
Disc. AE
800 mg 2 times / day multiple, oral
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources: Page: p. 103
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: atrial fibrillation | atrial flutter
Age Group: adult
Sex: M+F
Population Size: 62
Sources: Page: p. 103
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
likely
moderate [Ki 8.12 uM]
yes (co-administration study)
Comment: dronedarone increased verapamil exposure by 1.4- fold, and nisoldipine exposure by 1.5- fold; dronedarone increased simvastatin, a sensitive CYP3A substrate, and simvastatin acid exposure by 4- fold and 2- fold, respectively;
Page: 76,89,194
no
no
no
no
no
no
not significant
not significant
not significant
not significant
not significant
not significant
not significant
weak (co-administration study)
Comment: dronedarone increased S-warfarin exposure by 1.2- fold
Page: 76.0
strong [IC50 0.97 uM]
yes (co-administration study)
Comment: IC50 value obtained using vincristine as substrate; increased S-warfarin exposure by 1.2- fold
Page: 76,90
weak [Ki 4.37 uM]
yes (co-administration study)
Comment: dronedarone increased metoprolol exposure by 1.6- and 2.3- fold, respectively; increased propranolol exposure by 1.3- fold;
Page: 76,89,194
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: administration of ketoconazole resulted in a 17- to 25- fold increase in dronedarone exposure; administration with rifampicin decreased dronedarone exposure by 80%
Page: 76,89
no
no
unlikely
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Hemodynamic and antiadrenergic effects of dronedarone and amiodarone in animals with a healed myocardial infarction.
2000 Sep
Mechanisms of action of antiarrhythmic drugs relative to the origin and perpetuation of cardiac arrhythmias.
2001 Jan
Electrophysiological effects of dronedarone (SR 33589), a noniodinated amiodarone derivative in the canine heart: comparison with amiodarone.
2001 Jul
Newer antiarrhythmic drugs.
2001 May-Jun
Chronic and acute effects of dronedarone on the action potential of rabbit atrial muscle preparations: comparison with amiodarone.
2002 May
Electrophysiologic characterization of dronedarone in guinea pig ventricular cells.
2003 Feb
Involvement of nitric oxide in amiodarone- and dronedarone-induced coronary vasodilation in guinea pig heart.
2004 Aug 2
Pharmacokinetic and pharmacodynamic interactions between metoprolol and dronedarone in extensive and poor CYP2D6 metabolizers healthy subjects.
2004 Feb
Theoretical possibilities for the development of novel antiarrhythmic drugs.
2004 Jan
A benefit-risk assessment of class III antiarrhythmic agents.
2004 Nov
Antiarrhythmic drugs in patients with implantable cardioverter-defibrillators.
2005
[Atrial fibrillation: choice of the method of pharmacological cardioversion].
2005
Dronedarone administration prevents body weight gain and increases tolerance of the heart to ischemic stress: a possible involvement of thyroid hormone receptor alpha1.
2005 Jan
This DAFNE is definitely not that DAFNE.
2005 May 25
[Dronedarone establishes and maintains control of sinus rhythm].
2006 Aug 23
Do we need pharmacological therapy for atrial fibrillation in the ablation era?
2006 Dec
Amiodarone inhibits thyroidal iodide transport in vitro by a cyclic adenosine 5'-monophosphate- and iodine-independent mechanism.
2006 Jun
Topics on the Na+/Ca2+ exchanger: pharmacological characterization of Na+/Ca2+ exchanger inhibitors.
2006 Sep
Medical management of atrial fibrillation: state of the art.
2006 Sep
Dronedarone: an amiodarone analog for the treatment of atrial fibrillation and atrial flutter.
2007 Apr
Dronedarone: in quest of the ideal antiarrhythmic drug.
2007 Fall
New antiarrhythmic treatment of atrial fibrillation.
2007 Jul
Na+/Ca2+ exchange inhibitors: a new class of calcium regulators.
2007 Sep
Clinical trials update from the Heart Failure Society of America and the American Heart Association meetings in 2008: SADHART-CHF, COMPARE, MOMENTUM, thyroid hormone analogue study, HF-ACTION, I-PRESERVE, beta-interferon study, BACH, and ATHENA.
2009 Feb
Benzofuran derivatives and the thyroid.
2009 Jan
The role of thyroid hormone nuclear receptors in the heart: evidence from pharmacological approaches.
2010 Mar
Patents

Sample Use Guides

One tablet of 400 mg twice a day with morning and evening meals.
Route of Administration: Oral
In isolated ventricular myocytes, dronedarone inhibited rapidly activating delayed-rectifier K+ current (I(Kr)) (median inhibitory concentration [IC50] /= 30 uM).
Substance Class Chemical
Created
by admin
on Wed Jul 05 23:10:25 UTC 2023
Edited
by admin
on Wed Jul 05 23:10:25 UTC 2023
Record UNII
FA36DV299Q
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
DRONEDARONE HYDROCHLORIDE
DASH   MART.   MI   ORANGE BOOK   USAN   USP-RS   WHO-DD  
USAN  
Official Name English
MULTAQ
Brand Name English
SR33598B
Code English
DRONEDARONE HCL
Common Name English
Methanesulfonamide, N-[2-butyl-3-[4-[3-(dibutylamino)propoxy]benzoyl]-5-benzofuranyl]-, monohydrochloride
Common Name English
DRONEDARONE HYDROCHLORIDE [EP MONOGRAPH]
Common Name English
DRONEDARONE HYDROCHLORIDE [MI]
Common Name English
DRONEDARONE HYDROCHLORIDE [USP-RS]
Common Name English
DRONEDARONE HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
Dronedarone hydrochloride [WHO-DD]
Common Name English
DRONEDARONE HYDROCHLORIDE [MART.]
Common Name English
SR-33598B
Code English
DRONEDARONE HYDROCHLORIDE [USAN]
Common Name English
N-(2-BUTYL-3-(4-(3-(DIBUTYLAMINO)PROPROXY)BENZOYL)BENZOFURAN-5-YL) METHANESULFONAMIDE-, MONOHYDROCHLORIDE
Common Name English
DRONEDARONE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
EMA ASSESSMENT REPORTS MULTAQ (AUTHORIZED ATRIAL FIBRILLATION)
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
NCI_THESAURUS C47793
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
Code System Code Type Description
PUBCHEM
219025
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
SMS_ID
100000092682
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
FDA UNII
FA36DV299Q
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
USAN
QQ-91
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
RXCUI
736680
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY RxNorm
MERCK INDEX
M4768
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY Merck Index
EVMPD
SUB28992
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
ChEMBL
CHEMBL184412
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
CHEBI
50659
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
EPA CompTox
DTXSID30161779
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
DRUG BANK
DBSALT000061
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
NCI_THESAURUS
C65486
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
RS_ITEM_NUM
1228530
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
CAS
141625-93-6
Created by admin on Wed Jul 05 23:10:25 UTC 2023 , Edited by admin on Wed Jul 05 23:10:25 UTC 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
Related Record Type Details
ACTIVE MOIETY