I am so very sorry to hear of your father’s respiratory failure and can appreciate your anger at this terrible turn of events. The best advice I can give is that you and/or your father’s doctors contact physicians who have published their experience with Amiodarine toxicity in respected medical journals. Here are two:
The first is from the Mayo Clinic. Your best bet would be to contact the lead author of this report: Dr. K.M. Duello
• 48-Year-Old Woman With Dyspnea, Cough, and Weight Loss
• Duello KM, Louh IK, Burger CD. Mayo Clinic Proceedings. 2012 Nov; 87(11)1124-1127
The second is from the National Institutes of Health website: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687560/ and you would want to contact,
Canadian Respir J. Feb 2009; 16(2): 43–48.
Amiodarone pulmonary toxicity
Norman Wolkove, MD FRCP and Marc Baltzan, MD FRCP
Author information ► Copyright and License information ►
Good luck to you and your father.
From my clinic experience with patients being prescribed Amiodarone is that the following physician typically order pulmonary function tests BEFORE or AT the time of starting amio for the first time. This is to be able to track the lung condition during amio treatment. In years past physicians would commonly prescribe high doses of amio before several research studies suggested a lower dose is a better therapetuic option(depending on patient's severity) in order to reduce the incidence of lung damage, and lower the risk of developing interstitial lung disease.
One of the key components of amio treatment is close monitoring of pulmonary status, so that when the lung volumes and DLCO decline the physician can cease use of amio and perhaps go another route of treatment (ablation, if severe enough).
ILD(interstitial lung disease) or pulmonary fibrosis is still very hard to treat and commonly the disease is considered idiopathic in nature. However in your case it sounds like amio may be the culprit of the lung disease. There are very few options to treat ILD, steroids and bronchodilators are typically ineffective with this disease. Most patients I see that have an ILD/IPF diagnosis are prescribed Methotrexate to try and stop disease progression. I suggest seeing a qualified pulmonologist that is well experienced specifically in ILD. There are SEVERAL research studies being performed to better treat this disease as it really is a sad case considering there are very few treatment options.
Thank you very much for your imput. I did as the doctor about the Methotrexate but he seems to think it would be ineffective at this point. I know my father was such a healthy strong man and this has been going on for over a month now and they or others along with the doctor decided to start a continous Morphine drip which I am struggling with since he now doesnt speak anymore and before the drip he was very coherent. I suppose I have only the hope of a miracle but if God doesnt intervene I will have to say good bye to the best daddy ever. Thanks again.
My daddy died on March 30th from this horrible Medication. I am not dealing well and I am so lost.