Torsades de Pointes

Prolonged  Q-T Syndrome  

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List of Drugs to Avoid  

This link is a drug list on another website which is printable & Downloadable. I am not pleased with the drugs listed on it. Most are good drugs which cause no harm while the worst killer drugs like Zomig & hydrazaline are still omitted. My medical records on my site document the Zomig & recorded death. I can't  say it enough times to express how deadly they are.  See my drug list further below which includes my personal experience with each. Also check "Overview" to read my evaluation of this other site drug list link.

 https://crediblemeds.org/pdftemp/pdf/CombinedList.pdf

Be sure to also look at important notes on my drug list below.

Drugs by Category  Overview  Counteractive Measures  Recommended Books

List of Drugs which can cause sudden cardiac death in a patient with Torsades.

Some newer drug listings may be missing. Check the PDF file above as well.

I will note which drugs I can take without problems.  Each patient is different.


  • Zomig Deadly! Deadly! Deadly!!!

    • I cannot overemphasize how dangerous this drug is for Torsades and prolonged Q-T patients. This is the drug, which caused my sudden cardiac death and more than 100 Torsades episodes. A holter monitor recorded my sudden cardiac death caused by Zomig and has been thoroughly documented in my medical records. 

    • Zomig has been falsely omitted from Torsades lists but 

    • Donít take any chances with this drug.  

    • Some cardiologists have suggested that Imitrex which is another migraine medication may share enough similarities to pose a similar risk in Torsades and prolonged Q-T patients.  

    • Migraines are caused by natural gas. Even 1 pilot light is too much.  After I moved to an all electric home in 2004, I never had another migraine.  Meanwhile, air out your house daily. Charge your air unit filter monthly and try Flexeril (cyclobenzaprine) for the Migraines. Don't use sonic deterrents for pests. Dim your computer screen brightness. Which is why I use black backgrounds. The more fresh air, the better. Remove all mold with diluted Bleach if possible.  Bathe pets weekly if possible & thoroughly vacuum.  

    • Carpet pads, foam furniture, pressed wood, paints & floor glues can have solvents & fumes & formaldehydes outgassing & causing headaches & illness. I hand selected & installed all repairs & MSDS of each product to meet California standards. I'm in Texas. They didn't like it but they complied. No solvents. Water based where feasible. I did all paints & ceiling. Water based only on everything. Even stain. Special under pads &natural dyefree carpet with looped nap which doesn't shed.

    • If fresh air helps, consider having electrician install electrical outlets for electric appliances (dryer, stove, ovens,  hot water heater, shut down fireplace gas. The central heat & air will require special double 50-60 amp breakers & heavy wiring specific to new units specs. You can get a generic no name A frame unit which wont put you in the poor house like Trane. $2800 versus $12,000. You can also add special filters & UV lights to kill mold & bacteria for about $1000 more. You can use existing outside compressor with new inside A frame unit even if brands are different. But be cautions of freon mixture type some are highly expensive. Several thousand to charge freon when installing new equipment.& unscrupulous techs will leave a leak outside.

  •  Hydralazine (Apresoline) Deadly! Deadly! Deadly!!!

    • This new blood pressure drug nearly killed me last year. My heart went into  rapid onset tachycardia and reached 171 bpm before I could stop it with nitro, benadryl, Imdur & Bystolic (a beta blocker). It  took everything I had to stop the Torsades attack which occurred within 30 minutes of taking Hydralazine.  My defibrillator is set at 215 bpm because I wish to avoid being shocked if possible. It also recorded the event. It was a horrible experience & a close call. I was not taking Imdur at the time. I do now.

    • Hydralazine is a BAD, BAD, DEADLY drug for anyone with Torsades.

  • Droperidol (Inapsine) Deadly! Deadly! Deadly!!!

    • This antinausea drug  is a nasty bad Torsades killer. NEVER take this drug. Don't trust it even if you are undiagnosed.  It nearly killed me  in  1991 when administered for an endoscopy by the doctor without a proper anesthesiologist.  The doctor panicked & nearly did not stop the episode. He administered Benadryl.  He  failed to follow my instructions for Vistaril & when I began to have reactions, I asked if he used  Vistaril. He responded it was like Vistaril.  

    • Internet warnings: http://www.rxlist.com/inapsine-drug.htm

    • I had adamantly warned him prior to the endoscopy not to substitute because of my past bad reactions to drugs. He did Not listen & nearly killed me.  Nor was he properly prepared with nitro meds. This is why you need to insist on a qualified anesthesiologist or find a doctor who will use one.  Even with diligence, you have to double & triple check because they don't listen & consider the patients opinions are beneath their own.

    • This is one of the worst Torsades drugs and is supposed to be removed from the market. But I can now see it is still available. But any doctor or hospital which is dumb enough to order this drug is facing a huge liability if someone dies after all the huge warnings about Torsades flooding the medical sites. It should be banned. Shame on the FDA & the pharmaceutical company.

    • My torsades was undiagnosed at the time but my presumed esophageal spasms allowed me to obtain the life saving nitroglycerine which kept me alive until the deadly episode in 2001 when I  was wearing the holter monitor.

    • My cardiologist  in 2001 read the 91 report & immediately recognized this drug as deadly to Torsades patients. It was not an allergic reaction & I'm lucky to be alive. Benadryl is good but only concurrently with Nitro for a Torsades reaction.  Nitro stops the episodes. Without Nitro you are shooting craps with your life.

  • Methadone Deadly! Deadly! Deadly!!!

    • This is the drug which killed Anna Nicole Smith and her son. I believe they both had undiagnosed Torsades. Her surviving daughter is still at risk. 

    • Dr Cyril Wecht & the Broward county coroner tried to tell the press that Anna only had therapeutic levels of medicine (meaning she did not OD). Both men agreed that a heart irregularity like Torsades was likely. There are no symptoms to diagnose except during an episode. Not even after death. 

    • Especially since both mother & son had taken methadone but did not OD. They took prescribed doses. That is a standard Torsades condition. Heredity & use of a Torsades drug. Especially Methadone. Multiple family deaths. 

    • But the press refused to listen. They assume if you brought 20 bottles of meds with you, then you are taking all of them. When traveling, you bring everything with you in Case you need it. Even if you don't take them. Just "as needed". The press refused to listen to either coroner.

    • Dr Wecht even tried to warn Anna after we talked about her son & Torsades. But she was on her boat, enroute. She died so fast, we were too late. 

    • No one knows her daughter is at risk due to heredity. 

    • The press invented all kinds of crazy drug abuse stories & did not comprehend therapeutic levels or bringing extra meds if needed. The public also does not understand that British & Canadian Countries use Methadone instead of morphine for pain. The US does not use it except for drug addicts. So that's what people believe. 

    • However, that places the British & Canadian citizens at high risk of Torsades deaths. They need to change to Morphine or other pain med & get rid of the deadly Methadone.

    • Do Not use this drug! Demand an alternate pain med. Your life may depend on it if you don't know you have Torsades. It is like playing Russian Roulette with a ticking bomb.

  • Vistaril (Hydroxyzine)  I can take this drug safely

    • antihistamine. Anti anxiety

    •  Listed on internet as Long QT avoidance. Torsades risk.

  • Mycins & Mycetins
    • Clarithromycin (Biaxin) I have safely taken this drug
    • Erythromycin I have safely taken this drug
    • Azithromycin I have safely taken this drug
    • Roxithromycin
    • Telithromycin  
    • From personal experience, I would also recommend avoiding Terramycin, Streptomycin & Chlormycetin to the list of drugs, which affected my Torsades condition. DEADLY, DEADLY, DEADLY!!!
    • I Do not use Vancomycin without using nitro (or Imdur) and Benadryl. Also a Beta Blocker. I had reactions without the preventatives & could not continue.  The next time I took Imdur, Benadryl & Bystolic which safely enabled me to use Vancomycin for a severe infection without reactions.
  • Floxacins
    • Levofloxacin (Levaquin) I have safely taken this drug
    • monifloxacin, Ofloxacin I have safely taken this drug
    • Ciprofloxacin (Cipro) I have safely taken this drug
    • Sparfloxacin
    • gatifloxicin (Tequin)
    • Gemifloxacin
  • Other antibiotics. antivirals & anti-infectives
    • Pentamidine (Nebupent)
    • Amantadine
    • Trimethoprim-sulfa (Sulfa) (Bactrim) I have safely taken this drug
    • Foscarnet
  • Antifungals & conazoles
    • Voriconazole (Vfend)
    • fluconazole (Diflucan) I have safely taken this drug
    • Itraconazole
    • Ketoconazole
  • Anti-arrhythmics
    • Amiodarone (Cordarone)
    • Disopyramide (Norpace)
    • Dofetilide (Tikosyn)
    • Ibutilide (Covert)
    • Procainamide (Procan)
    • Quinidine, Sotalol (Betapace)
    • Flecainide (Tambocor)
    • Dopamine
    • Mexiletine
  • Tricyclic & other Antidepressants
    • Venlaflaxine (Effexor)
    • Amitriptylene (Elavil)
    • Amoxapine
    • Citalopram (Celexa)
    • Clomipramine (Anafranil)
    • Clozapine
    • Desipramine (Pertofrane)
    • Doxepin (Sinequan)
    • Fluoxetine (Prozac) (Sarafem)
    • Imipramine (Norfranil)
    • Nortriptyline (Pamelor)
    • Paroxetine (Paxil)
    • Protriptyline (Vivactil)
    • Sertraline (Zoloft)
    • Trimipramine (Surmontil)
  • Antipsychotics & Anti-mania
    • Chlorpromazine (Thorazine)
    • Haloperidol (Haldol) This is a bad drug for other reasons
    • Mesoridazine (Serentil)
    • Pimozide (Orap)
    • Theoridazine (Melloril)
    • Clozapine (Clozaril)
    • Lithium, Quetiapine (Seroquel)
    • Risperidone (Risperdal)
    • Ziprasidone (Geodon)
  • Gastrointestinal, Anti-Nausea, & Urinary
    • Cisapride (Propulsid)
    • Dolasetron (Anzemet)
    • Droperidol (Inapsine)
    • Domperidone (Motilium)
    • Granisetron (Kytril)
    • Ondansetron (Zofran) I have safely taken this drug
    • Solifenacin (VESIcare)
    • Tolterodine (Detrol)
  • Antiviral, Dopaminergic & Parkinsons
    • Amantadine (Symmetrel)
    • Foscarnet (Foscavir)
  • Anti-anginal
    • Bepridil (Vascor)
    • Ranolazine (Ranexa)
  • Anti-cancer
    • Arsenic Trioxide (Trisenox)
    • Tamoxifen (Nolvadex)
  • Pain & Narcotic abuse
    • Levomethadyl (Orlaam)
    • Methadone DEADLY, DEADLY, DEADLY!!!
  • Anti-Malarial
    • Chloroquine (Arelan)
    • Halofantrine (Halfan)
  • CNS Stimulants
    • Amphetamine (Adderall)
    • Dexmethyphenidate (Focalin)
    • Dextroamphetamine (Dexadrine)
    • Methyphenidate (Ritalin) (Concerta)
  • Anti-convulsant
    • Felbamate (Felbatrol)
    • Fosphenytoin (Cerebyx)
  • Cholinesterase inhibitor, Dementia, Alzheimer's
    • Galantamine (Reminyl)
  • Sedatives & insomnia
    •   Chloral hydrate (Noctec)
  • Diuretics
    • Indapamide (Lozol)
  • Endocrine
    • Octreotide (Sandostatin)
  • Immunosuppressant
    • Tacrolimus (Prograf)
  • Alpha Blocker, Prostatic Hyperplasia, anti-hypertensives
    • Alfuzosin (Uroxatral)
    • Isradipine (Dynacirc)
    • Moexipril/HCZT (Uniretic)
    • Nicardipine (Cardene)
  • Muscle relaxant
    • Tizanidine (Zanaflex) I have safely taken this drug
  • Uterine relaxant & Premature labor preventative
    • Ritodrine (Yutopar)
  • Catecholamine, heart failure, shock, vasoconstrictor, anaphylaxis, decongestants & Allergic reactions
    • Dobutamine (Dobutrex)
    • Epinephrine
    • Isoproternol (Isupres)
    • Midodrine (ProAmatine)
    • Norepinephrine (Levophed)
    • Phenylephrine (Neosynephrin) I have safely taken this drug
    • phenylpropanolomine (Dexatrim) I have safely taken this drug
    • Pseudoephedrine (Sudafed) I have safely taken this drug
    • Vistaril (Hydroxyzine)  I can take this drug safely
  • Norepinephrine, Reuptake inhibitor
    • Atomoxetine (Strattera)
  • Phosphodiesterase inhibitor & Vasodilator
    • Vardenafil (Levitra)  
    • Hydralazine (Apresoline) DEADLY, DEADLY, DEADLY!!!
  • Bronchodialators & inhalers
    • Albuterol (Ventolin) (Proventil) I have safely taken this drug
    • Ephedrine
    • Levabuterol (Xopenex)
    • Metaproterenol (Metaprel)
    • Salmeterol (Serevent)
    • Terbutaline (Brethine)
  • Appetite suppressant
    • Fenfluramine (Pondimin)
    • Phentermine (Fastin)
    • phenylpropanolomine (Dexatrim) I have safely taken this drug
    • Sibutramine (Meridia)
  • Controlled Substances & street drugs
    • Cocaine
    • Methadone  DEADLY, DEADLY, DEADLY!!!
    • Amphetamines (also see CNS stimulants)
  • Other medications 
    • based on my personal experience, I recommend avoiding   
    • Zomig, Hydralazine, Droperidol  DEADLY, DEADLY, DEADLY!!!
    • valium, carbocaine with epinephrine, Demerol, Toprol, Vistaril

 

 

 

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