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Dofetilide

Dofetilide 500MCG

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What is Dofetilide?

Dofetilide is a class III anti-arrhythmic medication primarily used to maintain sinus rhythm in patients with atrial fibrillation or flutter. It works by selectively blocking the rapid component of the delayed rectifier potassium current (I_Kr), prolonging the action potential duration and refractory period in cardiac tissue. Due to its potential to cause serious ventricular arrhythmias including Torsades de Pointes, it is initiated in a hospital setting with careful monitoring of the QT interval.

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What is Dofetilide ?

Dofetilide is a class III anti-arrhythmic medication primarily used to maintain sinus rhythm in patients with atrial fibrillation or flutter. It works by selectively blocking the rapid component of the delayed rectifier potassium current (I_Kr), prolonging the action potential duration and refractory period in cardiac tissue. Due to its potential to cause serious ventricular arrhythmias including Torsades de Pointes, it is initiated in a hospital setting with careful monitoring of the QT interval.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Fast, slow, or pounding heartbeat
  • Fainting, dizziness, or lightheadedness
  • Chest pain or trouble breathing
  • Severe diarrhea, vomiting, loss of appetite, increased thirst, sweating, muscle cramps
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, other heart rhythm problems, or mineral imbalance (such as low levels of magnesium or potassium in the blood).
  • This medicine may cause the following problems:Ventricular arrhythmiaQT prolongation
  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • Severe diarrhea, vomiting, loss of appetite, increased thirst, sweating, muscle cramps
What is dofetilide (Tikosyn) used for?
Dofetilide is FDA-approved to help maintain a normal heart rhythm in patients with atrial fibrillation or atrial flutter lasting more than a week who have already been converted back to normal sinus rhythm, and it can also be used to convert AFib/AFL to a normal rhythm. It's typically reserved for symptomatic patients where a doctor has decided rhythm control is the right approach.
Why does dofetilide require hospitalization to start?
Dofetilide has a boxed warning requiring that it be started, or restarted after any interruption, in a facility with continuous ECG (heart rhythm) monitoring for at least three days. This is because the drug carries a dose-dependent risk of prolonging the QT interval and triggering life-threatening ventricular arrhythmias, including torsades de pointes. In-hospital monitoring lets the care team adjust the dose safely and respond immediately if a dangerous rhythm develops.
What drugs and foods should be avoided with dofetilide?
Dofetilide should not be taken with verapamil, cimetidine, ketoconazole, trimethoprim, prochlorperazine, megestrol, or hydrochlorothiazide, and it should be avoided with other drugs that inhibit renal cation transport or that prolong the QT interval, since these can raise dofetilide levels or add to its rhythm risks. Always give your prescriber and pharmacist a full list of your medications, including over-the-counter drugs and supplements, so they can check for interactions.
What are the side effects and risks of dofetilide?
The most serious risk with dofetilide is QT-interval prolongation, which can lead to life-threatening ventricular arrhythmias such as torsades de pointes; this is why it carries a boxed warning and requires in-hospital initiation with ECG monitoring. It is not appropriate for people with certain baseline QT prolongation, severe kidney impairment, congenital or acquired long QT syndrome, or those taking certain interacting medications. Talk with your care team about what symptoms to watch for and always attend follow-up monitoring.
Is there a generic version of Tikosyn (dofetilide)?
Yes. Dofetilide is the generic name for Tikosyn, and generic dofetilide is available. Because it is dispensed only through a restricted distribution program, it's only available at pharmacies certified to handle it — confirm with your prescriber or hospital which certified pharmacy will fill your prescription.
How much does Dofetilide cost without insurance?
The price of Dofetilide without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 95% off retail prices with a free Rx.com coupon.
What are the common side effects of Dofetilide?
Common side effects of Dofetilide may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Fast, slow, or pounding heartbeat, Fainting, dizziness, or lightheadedness, Chest pain or trouble breathing, Severe diarrhea, vomiting, loss of appetite, increased thirst, sweating, muscle cramps. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Dofetilide?
Generic versions may be available for Dofetilide. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Dofetilide on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Dofetilide?
The cheapest pharmacy for Dofetilide depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Dofetilide near you.

Dofetilide Coupons & Prices

Dofetilide 500MCG

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Dofetilide Capsule — prescription drug image
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Dofetilide 500mcg (60)
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

Looking for a dofetilide coupon? Dofetilide (brand name Tikosyn) is a generic antiarrhythmic medication, and pharmacy cash prices for generics like this can vary widely from one pharmacy to the next. Rx.com compares pricing across 60,000+ pharmacies so you can see today's price at pharmacies near you before you fill a prescription — enter your ZIP above to get started. Because dofetilide can only be started or restarted under in-hospital monitoring, be sure to fill it at the pharmacy your prescribing hospital or clinic recommends.

What is dofetilide and how does it work?

Dofetilide is a Class III antiarrhythmic drug that works by selectively blocking a cardiac potassium channel (IKr). It is FDA-approved to help maintain normal sinus rhythm (delay the return of atrial fibrillation or atrial flutter) in patients who have already been converted back to a normal heart rhythm after more than one week of AFib/AFL, and it can also be used to convert AFib/AFL to normal sinus rhythm. Because of its risk profile, doctors generally reserve it for patients with symptoms where restoring a normal rhythm is the preferred approach.

The generic name is dofetilide; the brand name is Tikosyn. This is not a controlled substance.

Dofetilide cost and coupon savings

Dofetilide is available as a generic, and generic drug prices can differ substantially from pharmacy to pharmacy — sometimes by a wide margin for the exact same medication. That makes comparing prices worthwhile before you fill or transfer a prescription. There is currently no manufacturer savings card for dofetilide or Tikosyn on file; enter your ZIP code above to see today's price at pharmacies near you and find the lowest option in your area.

Because dofetilide requires certified prescribers and pharmacies enrolled in its restricted distribution program, not every pharmacy stocks or dispenses it — confirm with your hospital or prescriber which certified pharmacy will fill your prescription, then use Rx.com to compare pricing among the pharmacies that carry it.

Dofetilide vs. other antiarrhythmic options

Dofetilide is one of several medications used to manage AFib/AFL rhythm control. Other antiarrhythmics your doctor may consider or that you may see mentioned alongside dofetilide include amiodarone, sotalol, flecainide, and propafenone. Many AFib patients are also prescribed an anticoagulant such as warfarin or Eliquis (apixaban) to reduce stroke risk.

These medications differ in how they're monitored, dosed, and combined with other therapies, so the right choice depends on your specific heart rhythm history, kidney function, and other medications — this is a decision for your cardiologist, not something to switch on your own.

Dofetilide safety information

Dofetilide carries a boxed warning: it must be started, and restarted after any interruption, in a facility with continuous ECG monitoring and staff trained to manage life-threatening heart rhythm problems, for a minimum of three days. This is because of a dose-dependent risk of QT-interval prolongation and dangerous ventricular arrhythmias, including torsades de pointes. Dosing is individualized based on kidney function (creatinine clearance) and QT interval, and dofetilide is not appropriate for people with certain baseline QT prolongation, severe kidney impairment, congenital or acquired long QT syndrome, or who take certain interacting medications.

Dofetilide is only available through a restricted program requiring certified prescribers and pharmacies. This is general information, not medical advice — always follow your care team's specific instructions and report any new symptoms right away.

Sources & accuracy

This Dofetilide information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Dofetilide on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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