Tikosyn TKU00129 2011 free printable template
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Your Name Address 1 Address 2 City State Zip For Pfizer Internal Use Only () Document Number Prescriber Certification Form P R I M A R Y O F F I C E I N F O R M A T I O N (Please print. All information
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How to fill out Tikosyn TKU00129
01
Start by reading the medication guide provided by your pharmacist or doctor.
02
Check the dosage prescribed by your healthcare provider.
03
Take the medication with or without food, as directed.
04
Swallow the capsule whole with a glass of water; do not chew or crush it.
05
Follow the schedule for taking your doses consistently at the same time each day.
06
Do not skip doses; if you miss a dose, take it as soon as you remember unless it is close to the time for your next dose.
07
Keep track of your doses using a medication calendar or reminder app.
08
If you experience any side effects or have concerns, contact your healthcare professional immediately.
Who needs Tikosyn TKU00129?
01
Patients who have a history of atrial fibrillation or atrial flutter.
02
Individuals with persistent or recurrent atrial fibrillation.
03
Patients who require rhythm control for their heart condition.
04
Those who have not responded adequately to other antiarrhythmic medications.
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People Also Ask about
Is dofetilide oral?
Dofetilide comes as a capsule to take by mouth.
What is the marketed formulation of dofetilide?
It is marketed under the trade name Tikosyn by Pfizer, and is available in the United States in capsules containing 125, 250, and 500 µg of dofetilide.Dofetilide. Clinical dataECHA InfoCard100.166.441Chemical and physical dataFormulaC19H27N3O5S2Molar mass441.56 g·mol−125 more rows
How is TIKOSYN administered?
TIKOSYN is supplied for oral administration in three dosage strengths: 125 mcg (0.125 mg) orange and white capsules, 250 mcg (0.25 mg) peach capsules, and 500 mcg (0.5 mg) peach and white capsules. Dofetilide shows Vaughan Williams Class III antiarrhythmic activity.
What are the ingredients in dofetilide?
TIKOSYN capsules contain the following inactive ingredients: microcrystalline cellulose, corn starch, colloidal silicon dioxide and magnesium stearate.
Can anyone prescribe TIKOSYN?
Only doctors who have gone through TIKOSYN training will be able to prescribe or refill your TIKOSYN prescription. Indication TIKOSYN® (dofetilide) is a medicine for highly symptomatic atrial fibrillation or atrial flutter (irregular heartbeats).
What is the formulation of dofetilide?
Dofetilide | C19H27N3O5S2 - PubChem.
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What is certification form?
A certification form is a document that confirms the accuracy and authenticity of certain information or actions.
Who is required to file certification form?
The specific individuals or organizations required to file a certification form will depend on the specific context and requirements of the form.
How to fill out certification form?
The process for filling out a certification form will vary depending on the specific form and its requirements. Generally, it involves providing accurate information, signing and dating the form, and submitting it to the appropriate authority.
What is the purpose of certification form?
The purpose of a certification form is to attest to the validity, truthfulness, or completion of certain information or actions.
What information must be reported on certification form?
The specific information required to be reported on a certification form will depend on the nature of the form and its purpose. It may include personal details, specific facts, or declarations.
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