Tikosyn TKU00129 2015-2025 free printable template

TKU00129 Reference ID: 3852306 2015 Pfizer Inc. All rights reserved Printed in USA 2015

How to fill out tikosyn prescriber certification blank form

How to fill out Tikosyn TKU00129

1. Read the patient information leaflet provided with the medication.
2. Ensure you have your prescribed dosage and schedule from your healthcare provider.
3. Take Tikosyn exactly as prescribed, typically twice a day (morning and evening).
4. Swallow the capsule whole with a glass of water; do not crush or chew it.
5. Take the medication with or without food, but maintain consistency in how you take it.
6. If you miss a dose, take it as soon as you remember, unless it's almost time for the next dose; do not double up.
7. Store the medication at room temperature, away from moisture and heat.
8. Attend scheduled follow-up appointments for monitoring kidney function and heart rhythm.

Who needs Tikosyn TKU00129?

1. Patients diagnosed with atrial fibrillation or atrial flutter.
2. Individuals at risk for heart rhythm disorders.
3. Patients who need to restore normal heart rhythm after procedures.
4. Those with a history of heart failure may also require this medication.

Video instructions and help with filling out and completing prescriber certification form

Instructions and Help about tku00129 prescriber certification form online

Music hi there my name is Dr Mullen we've got a patient on our hands that's got a little tickle in his a trip called atrial fibrillation now we want to take care of that tickle that we're starting them on some medicine because you know to tickle it's a sin yes right we're starting to Monte Kathy, so I'm going to take you over here we're filling out this order set for Mr butter French, and I'm going to get this in and go talk to that are in will hey there Foley's I just saw Mr butter crunch there in 213, and we are going to start some weeks been on, and he's got that atrial fibrillation, and we're going to start them on that medicine now I want you to know that I want you to call me with those EKG's it will discuss the QT and r2 are measurements ozone tell that night under that you'll call me tomorrow you're going to be here I'll be around then you'll call me tomorrow with that 2300 EKG all right looks like I got an order protected site I've already got the 12 EGG completed it's been scanned into epic my next move is to call a physician and have him read the EKG now let's see what do I need what information do I need from him, I know I need the art are the Qt so give me the QT see, but I know an epic the flow sheet got a wrench in it will calculate the QT see for me, I also need to make sure you want me to start this initial dose, and then we can go from there hi Dr mullet yes, thank you for returning my phone calls I know what League you looking at Lee — okay great I'm going to circle that on the EKG and what is the RR point eight five milliseconds okay what about the cutie is all right I'm in my patients epic butter crunch it's around butter crunch I'm going to put a flow sheet and over here I'm going to type in take a pen and just wrench it in you can see I already have if it's already here displayed first question was did I go to 12 lead ECG before the answer to that is yes Dr mole is lead to diagnose the measurements, and I'm just putting on the measurements what he said we need five for they are two are what 406 for the QT TTC is automatically calculated he said it was point four oh, so that's correct I've already checked my Mac and K to make sure they're within normal limits and the baseline grant is with a normal life intervention as far as this I will probably write something like Dr mullet as ready caging, and it's okay to start the initial dose at uh nine hundred the nurse delivers the first dose of T Bison at 1100 the EKG is performed a little after 1100 I've got my 12 lead EKG after the two our post first dose I've scanned it into ethics, so I'm going to call the physician I know exactly what I want to ask him when I call him, and I'm going to find out what we're going to do for the 2100 you should report the 11 o'clock EKG before 1400 hi Dr Mullen this is Colleen I'm calling about the two our post EKG on the patient you have a chance to read it right now the ROR was 088 great what about the two t point four eight okays — TC is 0478...

People Also Ask about tku00129 certification form pdf

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.

For pdfFiller’s FAQs

How can I send tikosyn tku00129 prescriber print for eSignature?

Once your tikosyn tku00129 prescriber form printable is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can send a PDF by email, text message, fax, USPS mail, or notarize it online - right from your account. Create an account now and try it yourself.

Can I edit tikosyn tku00129 prescriber certification online on an iOS device?

You can. Using the pdfFiller iOS app, you can edit, distribute, and sign tikosyn tku00129 prescriber certification form. Install it in seconds at the Apple Store. The app is free, but you must register to buy a subscription or start a free trial.

How do I fill out tku00129 certification form edit on an Android device?

On an Android device, use the pdfFiller mobile app to finish your tku00129 certification blank. The program allows you to execute all necessary document management operations, such as adding, editing, and removing text, signing, annotating, and more. You only need a smartphone and an internet connection.

What is Tikosyn TKU00129?

Tikosyn TKU00129 is a medication utilized for the treatment of atrial fibrillation and atrial flutter. It contains the active ingredient Dofetilide.

Who is required to file Tikosyn TKU00129?

Healthcare providers prescribing Tikosyn, particularly those involved in the treatment of patients with atrial arrhythmias, are required to file Tikosyn TKU00129.

How to fill out Tikosyn TKU00129?

Fill out Tikosyn TKU00129 by providing patient information, dosage details, and relevant clinical data as instructed in the medication guidelines.

What is the purpose of Tikosyn TKU00129?

The purpose of Tikosyn TKU00129 is to monitor and document the use of the medication in patients, ensuring proper treatment and managing possible side effects.

What information must be reported on Tikosyn TKU00129?

Information that must be reported on Tikosyn TKU00129 includes patient identification, prescription details, dosage, administration dates, and any observed adverse effects.