Note: This document contains side effect information about dofetilide. Some dosage forms listed on this page may not apply to the brand name Tikosyn.
Summary
Common side effects of Tikosyn include: ventricular arrhythmia, ventricular tachycardia, and chest pain. Other side effects include: flu-like symptoms. Continue reading for a comprehensive list of adverse effects.
Applies to dofetilide: oral capsule.
Warning
Oral route (Capsule)
To minimize the risk of induced arrhythmia, patients initiated or re-initiated on dofetilide should be placed for a minimum of 3 days in a facility that can provide calculations of creatinine clearance, continuous ECG monitoring, and cardiac resuscitation.
Serious side effects of Tikosyn
Along with its needed effects, dofetilide (the active ingredient contained in Tikosyn) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking dofetilide:
More common
- Dizziness
- fainting
- fast heartbeat
Less common
- Chest pain
- confusion
- facial or flaccid paralysis
- numbness or tingling of the hands, feet, or face
- paralysis
- pounding, slow heartbeat
- slurred speech
- swelling of the ankles, arms, face, feet, fingers, legs, lips, tongue, or throat
- troubled breathing
- unexplained shortness of breath
- unusual tiredness or weakness
- weight gain
- yellow eyes or skin
Other side effects of Tikosyn
Some side effects of dofetilide may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
- Abdominal or stomach pain
- accidental injury
- back pain
- chills
- cough
- diarrhea
- fever
- flu-like symptoms
- general feeling of discomfort or illness
- headache
- joint pain
- loss of appetite
- migraine
- muscle aches and pains
- nausea
- rash
- runny nose
- shivering
- sneezing
- sore throat
- sweating
- trouble sleeping
- vomiting
For Healthcare Professionals
Applies to dofetilide: oral capsule.
General
The most frequent adverse events were headache, chest pain, and dizziness.[Ref]
Cardiovascular
Very common (10% or more): Ventricular arrhythmias (up to 14.5%), ventricular tachycardia (up to 12.4%)
Common (1% to 10%): Torsade de pointes, ventricular fibrillation, atrioventricular block, heart block
Uncommon (0.1% to 1%): Bundle branch block
Frequency not reported: Angina pectoris, atrial fibrillation, hypertension, palpitation, supraventricular tachycardia, bradycardia, heart arrest, myocardial infarct[Ref]
Nervous system
Very common (10% or more): Headache (11%)
Common (1% to 10%): Dizziness
Frequency not reported: Cerebral ischemia, cerebrovascular accident, facial paralysis, flaccid paralysis, migraine, paralysis, paresthesia, syncope[Ref]
Other
Very common (10% or more): Chest pain (10%)
Common (1% to 10%): Accidental injury, medical/surgical/health service procedure
Frequency not reported: Asthenia, pain, edema, peripheral edema, sudden death, application complication, injection complication, incision complication, insertion complication, device complication[Ref]
Respiratory
Common (1% to 10%): Respiratory tract infection, dyspnea, flu syndrome
Frequency not reported: Cough increased[Ref]
Gastrointestinal
Common (1% to 10%): Nausea, diarrhea, abdominal pain[Ref]
Dermatologic
Common (1% to 10%): Rash
Frequency not reported: Sweating, angioedema[Ref]
Musculoskeletal
Common (1% to 10%): Back pain
Frequency not reported: Arthralgia[Ref]
Psychiatric
Common (1% to 10%): Insomnia
Frequency not reported: Anxiety[Ref]
Genitourinary
Frequency not reported: Urinary tract infection[Ref]
Hepatic
Frequency not reported: Liver damage[Ref]