By rray, 25 January, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text ibutilide 60 kg 1 mg over 10min amiodarone 5 7 mg kg or 300 mg then 1200 3000 mg IV over 24h Slow onset 8 12h AEs bradycardia hypotension QT prolongation phlebitis TdP May use if LVEF 40 procainamide 1 g IV over 30min then 2 mg min over 1h Less effective than ibutilide AEs granulocytosis AV block HFrEF exacerbation hypotension neutropenia QT prolongation rash thrombocytopenia TdP Avoid if initially treated w amiodarone or ibutilide Consid IV sotalol not recommended Patient Type Detail Header (Long) If stable and pharm conversion preferred, multiple drug options: