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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The first step in the treatment of amiodarone lung is to stop or reduce the dose of amiodarone.

The risk of a life-threatening arrythmia is minimised by:

  • using an alternative anti-arrythmic agent
  • using radiofrequency ablation of the aberrant conduction pathway in the heart
  • implantation of a cardioverter-defibrillator

Amiodarone lung is thought to be reversible; the response to stopping the drug may be disappointing as the half-life is up to 45 days.

If histology suggests a diagnosis of bronchiolitis obliterans organising pneumonia then treatment with corticosteroids is indicated.

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