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It is local anaesthetic & a popular antiarrhythmic in intensive care units. The most prominent cardiac action is suppression of automaticity in ectopic foci.

INDICATIONS: Ventricular tachyarrhythmias.

CONTRAINDICATIONS: Hypersensitivity to amide group of local anaesthetics. A.V. block, cardiac decompensation, serious conduction disturbances, bradycardia.

SPECIAL PRECAUTIONS: Renal or hepatic impairment. Hypotension, ECG monitoring must during therapy.

SIDE-EFFECT: Drowsiness, nausea, paresthesias, blurred vision, disorientation, twitching and fits.

DRUG INTERACTIONS: Cimetidine increases plasma concentration and toxicity. Propranolol reduces clearance. Absorption reduced by adrenaline.

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