Multaq

Multaq (dronedarone) is an FDA-approved antiarrhythmic medication used primarily to reduce the risk of hospitalization due to atrial fibrillation (AFib) or atrial flutter in adults that lasts less than a week (called paroxysmal atrial fibrillation) or that lasts longer than a week (also known as persistent atrial fibrillation). This condition happens when the top and bottom parts of the heart, also known as atria and ventricles, respectively, do not work together, preventing your heart from beating in rhythm. Therefore, doctors prescribe Multaq as it stabilizes the heart’s rhythm by blocking multiple ion channels, thus preventing irregular heartbeats. This medication can also be used for other purposes as determined by your medical professional. If you plan to buy Multaq online, trust reliable pharmacies like Polar Bear Meds. 

Multaq (dronedarone) is a prescription antiarrhythmic medication primarily used to mitigate the risk of hospitalization due to atrial fibrillation (AFib) or atrial flutter in adults. It contains dronedarone, which belongs to a class of medications known as antiarrhythmic drugs. This drug helps maintain a normal heart rhythm by blocking multiple ion channels, including potassium, sodium, and calcium channels. This action stabilizes the heart’s electrical activity and reduces the occurrence of irregular heartbeats.

Multaq is FDA-approved for use in patients with non-permanent AFib to reduce the risk of hospitalization associated with heart-related issues. Doctors usually recommend taking a 400 mg oral tablet twice daily with meals. If you take Multaq to treat arrhythmias, consult a medical professional, as regular monitoring of heart function through electrocardiograms (every three months) is important to ensure that the treatment is appropriate for patients.

Despite its benefits, the medication can cause various side effects, such as diarrhea or nausea. While common, these reactions usually disappear within a few days or weeks. However, if you suspect any serious side effects, like long QT syndrome or kidney problems, report them immediately to your doctor. Moreover, patients with severe heart failure or certain liver conditions should avoid using this medication, as it can increase the risk of death, stroke, and worsening heart failure. Routine blood tests are advised to monitor liver function and kidney health. Lastly, patients should avoid taking alcohol during treatment and use effective birth control, as Multaq may harm an unborn baby. 

It is used to lower the chances of hospitalization due to atrial fibrillation (AFib) in adults with a history of paroxysmal or persistent AFib.

What Form & Strength Does Multaq Come In?

Multaq is available as an oral tablet with a standard dose of 400 mg strength.

What Are the Recommended Dosage for Multaq?

The recommended dosage of Multaq may vary depending on the age, severity, and medical conditions of the individuals. That is why patients are advised to consult a medical professional before starting Multaq for atrial fibrillation treatment. The doctors generally prescribe a starting dose and gradually adjust the Multaq (dronedarone) dose to make it suitable for the patient’s condition. Here are the average doses of dronedarone; if you have been prescribed a different dose, do not change it without consulting your doctor.

For Atrial Fibrillation and Atrial Flutter:

• Initial Dosage: 400 mg taken orally twice a day with meals.
• Maintenance Dosage: Continue with 400 mg twice daily, adjusting as necessary based on the doctor’s assessment and patient response.
• Maximum Dosage: Maintain at 400 mg twice daily unless otherwise directed by a healthcare provider. Adjustments should be considered based on efficacy and tolerability assessed by the healthcare provider.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your medical expert, and they’ll customize your dosage accordingly.]

Proper administration steps are important to get the best results from your medication. When considering treatment with Multaq for heart rhythm management, follow the below steps on how to take your medication:

• Follow your doctor’s instructions precisely when taking Multaq. Adhere to all the guidelines on your prescription label and review any medication guides or instruction sheets.
• Multaq should typically be taken alongside your morning and evening meals.
• Unless your doctor advises otherwise, take the medication orally and swallow the tablet wholly with a glass of water.
• Do not crush, chew, split, or break the tablet, as it can release all the drugs at once, causing severe side effects.
• If you are unable to swallow the tablets, talk to your doctor. They will suggest alternate options for easy administration.
• To ensure Multaq is still necessary and effective, your heart function might need to be evaluated every three months. Never discontinue Multaq without consulting your doctor.
• Regularly monitor your pulse and contact your doctor if you detect any irregular heartbeat.

[Note: Your doctor will determine the appropriate dosage for you based on your specific condition, adhering to guidelines and studies related to the drug. They will adjust it as needed over time.]

Multaq works as an antiarrhythmic medication primarily used to treat atrial fibrillation. It affects the electrical activity in the heart to help maintain a normal heart rhythm. Specifically, Multaq blocks multiple ion channels in the heart cells, including potassium, sodium, and calcium channels. This action prolongs the cardiac action potential and refractory period, which helps prevent irregular electrical signals that can cause arrhythmias. Additionally, Multaq has anti-adrenergic properties, meaning it can lower the effects of stress hormones on the heart. This combination of the impact helps to slow the heart rate and regularize the heart’s rhythm, making it effective in managing atrial fibrillation and mitigating the chances of hospitalization due to cardiovascular events.

Common Side Effects of Multaq: This medication can cause side effects, which are typically transient and may last from a few days to several weeks. These side effects are usually mild, but if they persist, become severe, or cause significant discomfort, you must seek advice from your healthcare expert or pharmacist. Some of the common side effects associated with Multaq use include:

• Gastrointestinal Issues: Multaq contains dronedarone as its active component, which can impact your gastrointestinal system. This can result in nausea, vomiting & diarrhea. Many patients commonly experience this side effect, which does not require immediate medical attention. This usually happens at the initial phase of the treatment and may disappear within a few days or weeks. To prevent and manage this side effect, it is advised to take the medication with food or milk, stay hydrated, and avoid heavy or spicy meals.
• Fatigue or Weakness: You may experience low levels of energy after taking this medication due to the drug’s effects on the body and overall metabolism. This effect will gradually subside once your body adjusts to the medication. In the meantime, you can manage this condition by maintaining a healthy diet, getting proper rest, and engaging in light physical activity. 
• Slow Heart Rate (Bradycardia): Bradycardia, or a slow heart rate, can occur as a side effect of Multaq as it affects the heart’s electrical activity. This usually happens at the start of the treatment. To prevent and manage bradycardia, monitor your heart rate regularly and avoid activities that can worsen the condition. If the condition persists, talk to a medical professional.
• Skin Rash or Itching: Skin rash or itching is a mild allergic reaction to Multaq. It is one of the most common side effects, usually occurring in patients with extreme sensitivity. Mild reactions can be easily managed without needing immediate medical assistance. Avoid allergens and use gentle skincare products. 
• Dizziness: Fluctuated blood pressure and heart rate due to Multaq components can lead to dizziness in many patients. However, there is no need to panic, as it is a common side effect that usually happens at the beginning of the treatment till the body adjusts to the drug’s effects. To reduce this risk, drink plenty of water and avoid sudden movements, especially when standing from a sitting or lying position. 
• Headache: An impacted blood flow and overall body function can lead to headaches. The discomfort usually ranges from mild to moderate and gradually subsides once your body gets used to the effects of Mulaq. In the meantime, you can manage this side effect by staying hydrated, managing stress, or taking over-the-counter pain relievers. However, if the headache persists and becomes severe, talk to a medical expert.
• Changes in Taste Sensation: You may experience changes in taste sensation during your treatment with Multaq, as the medication affects the nervous system. This is not a serious side effect and can be managed by maintaining proper oral hygiene and staying hydrated. 

Serious Side Effects of Multaq: While Multaq is generally well-tolerated, it can occasionally cause serious side effects that ask for medical attention right away. If you experience any of the following symptoms, contact your medical expert immediately or seek emergency medical care. Some of the serious side effects of Multaq may include the following:

• Liver Issues: Liver issues, including liver damage or liver failure, are among the serious side effects of Multaq (dronedarone). This condition is caused by the drug’s impact on liver function. This serious side effect is not experienced by every patient. If left untreated, it can cause life-threatening situations. That’s why, when considering treatment with Multaq, closely examine your liver function through blood tests and avoid alcohol consumption. If you notice symptoms like yellowing of skin or eyes, pain in the upper right part of the abdomen, itchy skin, decreased appetite, and dark urine, seek immediate medical assistance.
• Lung Inflammation: Also known as pneumonitis, it can be a serious side effect of Multaq. This condition can cause cough, difficulty breathing, and chest pain in certain patients. While the exact cause of lung inflammation is not well understood, it is believed to be related to an immune response. Watch out for any sudden respiratory symptoms during your treatment and report them to your doctor. They may suggest discontinuing the medication and the use of corticosteroids or other anti-inflammatory medications.
• Kidney Problems: This exact mechanism by which Multaq causes kidney problems is not completely understood, but it is thought that the medication may cause toxicity to the kidneys. This condition should not be overlooked, as any slight negligence can result in severe complications. If you observe any signs of an impaired kidney, including changes in urination frequency, increased creatinine levels, nausea, and confusion, consult your medical provider. They will closely monitor your kidney function through blood tests to detect any underlying issues. If suspected, your doctor may also suggest discontinuation of Multaq. 
• Heart Failure: Patients using Multaq for atrial fibrillation treatment are at high risk of new or worsening heart failure. While rare, this side effect can cause potential risks if left untreated. This usually happens due to the drug’s impact on the heart’s electrical activity and rhythm. If you observe signs like shortness of breath, fatigue, swelling in the legs & ankles, or sudden weight gain, consult your medical professional immediately.
• Long QT Syndrome: It is a rare heart condition that impacts the heart’s electrical system, increasing the risk of severe arrhythmias. This disorder may not have noticeable symptoms, so doctors usually detect the issues through an ECG. If you notice any unusual heart-related problems after taking your medication, talk to a medical professional. They will monitor your heart rhythm closely, avoiding the risk of potential issues.
• Increased Mortality Risk, Stroke, and Heart Failure: Multaq has been associated with a high risk of mortality, stroke, and heart failure, especially in patients with symptomatic heart failure. While the mechanism is not entirely understood, it is thought that the medication may impact the heart’s electrical activity and overall function. Avoid doing activities that can exacerbate heart conditions. If you notice any unusual symptoms, get immediate medial assistance. Your doctor will assess monitor this risk and may suggest discontinuation of Multaq if needed.
• Severe Allergic Reactions: Patients using Multaq are at high risk of experiencing severe hypersensitivity reactions, such as anaphylaxis, especially those with extreme sensitivity. This usually happens as your immune system mistakenly identifies the drug as a threat and triggers serious allergic reactions. If you suspect symptoms like rash, itching, swelling, dizziness, rapid heartbeat, or difficulty breathing, immediately talk to visit your doctor. They may either advise you to discontinue the medication or use emergency medications, including epinephrine.

[Note: This list may not encompass all possible side effects of Multaq. Always consult your healthcare expert for medical advice regarding side effects.]

What Are the Warnings of Multaq?

Multaq contains dronedarone as its main component. This component is not suitable for use in every patient for various reasons, such as existing medical conditions or allergies. Therefore, it is important to understand the potential complications associated with Multaq to avoid serious, potentially life-threatening situations. So, if you plan to buy Multaq online, be aware of the following warnings:

• Liver Health Concerns: Liver damage has been reported in patients taking Multaq, particularly those previously treated with amiodarone. Regular liver function tests are recommended. Avoid alcohol to reduce the risk of further liver damage.
• Potential Lung Damage: In rare instances, Multaq can cause lung problems such as pneumonitis or fibrosis. Notify your medical professional if you develop shortness of breath or a persistent dry cough.
• Low Potassium and Magnesium Levels: Certain diuretics used with Multaq may lower potassium and magnesium levels, potentially leading to severe heart issues. Regular monitoring of electrolytes is essential, and supplementation may be required.
• Life-Threatening Arrhythmias: QT prolongation is a risk with Multaq, especially if you have low potassium or magnesium levels, kidney problems, or a history of heart issues. Regular ECGs will be conducted to monitor your heart rhythm. Immediate medical attention is needed if you experience symptoms like palpitations, chest pain, or dizziness.
• Kidney Health: Multaq can affect kidney function, particularly in individuals with heart failure or dehydration. Your cardiologist will monitor your kidney function tests regularly.
• Heart Failure: Patients taking Multaq for treating arrhythmias may experience new or worsening heart failure. If you suspect any unusual signs like weight gain, difficulty breathing, or swelling in the legs, consult a medical provider. They may suggest discontinuation of the medication in case the heart failure gets worse. 
• Prolonged QT Interval: Many users have also reported an increase in the QT interval (a measure of heart rhythm). If you also face the same condition or your QT interval becomes too long, i.e., greater than 500ms, stop using the medication and talk to a medical expert. Your doctor will closely examine your heart rhythm and suggest alternate options if needed.
• Creatinine Increase: Multaq can slightly affect your kidney functioning. This can lead to a mild rise in creatinine levels, a waste product in the bloodstream. This fluctuation is temporary and may subside once you stop the treatment. If the levels get normal, your doctor will use this new level as your baseline.

What Are the FDA-Boxed Warnings for Multaq?

Boxed warnings are the FDA’s most stringent warnings, issued to alert doctors and patients about the harmful effects of prescription drugs. By knowing these warnings, users can avoid the risk of adverse effects. Multaq also carries serious FDA-boxed warnings due to significant risks identified in clinical trials. It increases the risk of death, stroke, and heart failure in people with decompensated HF or permanent AF. The details are as follows:

• Heart Failure: Individuals with severe heart failure, particularly those whose condition has recently worsened, are not advised to take Multaq. These patients often require hospitalization for treatment of their heart failure. Clinical studies have shown that people with decompensated HF who took Multaq had a two-fold increase in the risk of death. Moreover, this medication is not recommended for patients with NYHA Class IV, one of the most severe forms of heart failure, where symptoms are constant, and patients cannot do any physical activity without discomfort. 
• Permanent Atrial Fibrillation: This condition is an irregular heart rhythm where the heart is constantly out of normal and cannot be cardioverted (restored) to normal sinus rhythm. Multaq is contraindicated in patients with such conditions, as studies have shown a higher risk of death, stroke & hospitalization due to heart failure, especially in the first two weeks of the therapy. 

[Note: For any questions or worries regarding the risk of thyroid cancer related to Multaq, it is best to consult with your doctor.]

When considering treatment with Multaq for heart rhythm management, you must be aware of certain precautions to avoid the risk of potential complications. Here are some of the precautions that you should be mindful of during or before using this medication:

• Before beginning this treatment, inform your doctor about your complete medical history, especially if you had or have:
• Severe liver disease.
• Serious heart conditions that include sick sinus syndrome (SSS), AV block (unless you have a pacemaker), or extremely slow heartbeats have caused fainting.
• If you are pregnant or breastfeeding.
• If you have previously used amiodarone and experienced lung or liver problems as a result.
• Multaq can significantly increase the risk of death if you have certain heart conditions. Therefore, you should not use this medication if:
• You have experienced severe heart failure.
• You were hospitalized recently for worsening heart failure symptoms that include shortness of breath, tightness in the chest, nighttime breathing problems, swelling, or rapid weight gain.
• You have “permanent” atrial fibrillation that cannot be converted back to a normal rhythm, as determined by your doctor.
• When using Multaq, tell your doctor if you have any allergies to Multaq, dronedarone, or any of the medication’s ingredients. The product may contain certain components that can cause adverse allergic reactions.
• If you have surgery or any medical procedure, inform your medical provider about the products you use. This covers all prescription drugs, over-the-counter medications, and herbal products.
• Certain patients have experienced increased bleeding during their treatment with Multaq. If you are on warfarin, talk to your doctor, as they will closely monitor your blood’s clotting ability.
• Your potassium levels must remain stable before or during the treatment with dronedarone. This step is important as low potassium or magnesium levels can raise the risk of developing adverse side effects. Patients taking diuretics should also be aware of this step, as it can lower their potassium levels. If you experience signs of hypokalemia or hypomagnesemia, including drowsiness, dry mouth, dizziness, irregular heartbeat, feeling thirsty, reduced appetite, decreased urine, mood changes, muscle pain, nausea, vomiting, numbness or tingling, seizures, or trembling, talk to your doctor.
• Dronedarone can lead to a slight increase in the QT interval. To avoid this risk, consult a doctor. They will monitor your QT interval; if it is greater than 500ms, you may be advised to discontinue the medication.
• Based on animal studies, Multaq could harm an unborn baby. Women who are planning on conceiving should have a pregnancy test before beginning the treatment and use effective birth control during treatment and for five days after the last dose.
• If you are breastfeeding, you must talk to a medical professional and discuss every risk and benefit associated with Multaq.
• Make frequent visits to your doctor to check if the medicine is working effectively or not. Your doctor will take frequent blood and urine tests to check for any side effects.
• Watch for any signs of heart failure, including swelling in the hands, ankles, or feet, chest pain, sudden weight gain, and trouble breathing. If you suspect any, call your doctor immediately.
• Pale stools, dark urine, upper stomach pain, loss of appetite, nausea, tiredness, or jaundice. These are all signs of impaired liver function. If you observe any such signs, contact your medical professional.
• Multaq can cause serious interstitial lung disease, pulmonary fibrosis, and pneumonitis. If you experience chills, cough, chest pain, fever, thick mucus, or difficulty breathing during your treatment, inform your doctor right away.

If you are using multaq for atrial fibrillation treatment, you should be aware of the following contraindications:

• Certain heart rhythm disorders:
  • Second- or third-degree atrioventricular (AV) block
  • Sick sinus syndrome
  • Bradycardia below 50 beats per minute
  • QTc interval exceeding 500 ms
  • PR interval greater than 280 ms
• Concurrent use of:
  • Potent CYP3A inhibitors (e.g., ketoconazole, itraconazole, voriconazole, cyclosporine, telithromycin, clarithromycin, nefazodone, ritonavir, erythromycin)
  • Medications or herbal products that prolong the QT interval and may increase torsade de pointes risk (e.g., phenothiazine antipsychotics, tricyclic antidepressants, certain oral macrolide antibiotics, Class I and III antiarrhythmics)
• History of liver or lung toxicity associated with previous amiodarone use
• Severe liver impairment
• Known hypersensitivity to dronedarone or any of the medication’s inactive ingredients

• If you remember soon after the missed time, take the dose immediately.
• If it’s almost time for your next scheduled dose of Multaq, skip the missed dose. Do not double up.
• Continue with your regular dosing schedule to keep consistent drug levels in your body.
• Never take two doses at once to compensate for the missed one.
• Consider setting alarms or using a pill organizer to help remember your doses.
• Discuss missing doses with your healthcare provider for additional guidance if missing doses happen often.

[Note: If you miss a dose and are unsure when to take the next one, consult your doctor or pharmacist immediately.]

• Overdosing on Multaq can be serious; reach out to the emergency services immediately or go to the nearest emergency room located in your area.
• Possible symptoms of a Multaq overdose might include severe dizziness, fainting, slow heart rate, or heart rhythm disturbances.
• Provide the medical team with all necessary information about Multaq’s dosage and last intake time.
• Medical professionals might administer activated charcoal to prevent further absorption of the drug in your system.
• Treatment typically involves supportive care, including medications to stabilize heart rate and rhythm or other interventions based on symptoms.
• You may need to be monitored closely for any cardiac or systemic effects of the overdose.

[Note: If you consumed more than the recommended dosage of Multaq, get medical help immediately or call the Poison Help line at 1-800-222-1222.]

To maintain the long-term safety and effectiveness of your medication, you should know the proper storage instructions. If you plan on buying Multaq for heart rhythm management, follow the below storage steps:

• Store Multaq at room temperature, ideally between 20°C to 25°C (68°F to 77°F).
• Keep the medication in its original packaging to protect it from light.
• Store the medication in a dry place to prevent it from becoming damp. Avoid storing it in areas with high humidity, such as bathrooms.
• Ensure that Multaq is stored out of reach and in the sight of children to prevent accidental ingestion.
• Regularly check the expiration date on the Multaq package, and do not use it past the expiry date.
• Dispose of expired or unused Multaq as per the local regulations or return it to a pharmacy for safe disposal.

[Note: Consult your healthcare professional about the proper disposal of unused medication and any questions you may have regarding its storage.]

What Medications Interact with Multaq?

Drug interactions happen when you take two or more medications simultaneously. Co-administering a variety of drugs can interfere with the functioning of the medications or reduce their effectiveness, causing adverse side effects. If you are using Multaq with other drugs, you must inform your doctor beforehand. Below is a list of drugs that may interact with dronedarone:

• Strong CYP3A Inhibitors: Medications that inhibit CYP3A enzymes can significantly increase the levels of Multaq in the blood, potentially leading to toxicity. Examples include ketoconazole, itraconazole, and ritonavir.
• Strong CYP3A Inducers: Drugs that induce CYP3A enzymes can decrease the blood levels of Multaq, reducing its effectiveness. Examples include rifampin, St. John’s Wort, and phenobarbital.
• Drugs Prolonging QT Interval: Multaq can prolong the QT interval, and using it in conjunction with other medications that have the same effect can increase the risk of severe arrhythmias. Examples include amiodarone, sotalol, and certain antipsychotics and antidepressants.
• Beta-blockers and Calcium Channel Blockers: These drugs, especially those that affect heart rhythms like verapamil and diltiazem, can intensify the effects of Multaq, leading to an elevated risk of bradycardia (slow heart rate).
• Statins: Since Multaq is a moderate inhibitor of CYP3A4, it can increase the levels of statins metabolized by this enzyme, such as simvastatin and atorvastatin, raising the risk of muscle toxicity.
• Warfarin: Multaq can alter the effects of warfarin, requiring close monitoring of INR levels to avoid increased bleeding risk.
• Digoxin: Multaq increases digoxin plasma concentration significantly, which may necessitate a reduction in the digoxin dose.

What Are the Other Multaq Interactions?

Multaq contains dronedarone as its main component, which can interact with other substances like food, alcohol, herbs, supplements, and vitamins. These interactions are explained below:

• Alcohol: While there is no known direct interaction between alcohol and Multaq, heavy drinking during treatment with Multaq could heighten the risk of liver issues. Since both heavy alcohol use and Multaq can lead to liver complications, combining the two may exacerbate this risk. If you’re unsure about the safe levels of alcohol consumption while on Multaq, it’s important to discuss this with your doctor or pharmacist.
• Herbs: Concurrent use of St.John’s wort and Multaq may break down dronedarone quickly in the body, leading to a decreased level of drugs in the system. If this level is too low, the medication may not work as effectively as it should. 
• Food: Do not co-administer grapefruit products with Multaq. Doing so can stop your body from processing Multaq, increasing the level of the medication in the system. This can raise the chances of developing side effects in certain patients. 
• Diseases: Dronedarone is not suitable for every patient due to varying medical conditions. If you have any of the following diseases or problems, avoid using Multaq:
  • Permanent AFib or severe heart failure
  • Heart rate problems
  • Severe liver disease
  • Lung or liver problems

[Note: This isn’t a complete list, and there could be other drugs that can potentially interact with Multaq. Make sure to tell your healthcare professional about any prescription, over-the-counter medicines & herbal products you’re taking.]

While Multaq is beneficial for managing atrial fibrillation, it is not suitable for every patient and is contraindicated in certain cases. In such situations, people opt to switch to other treatment options. Although many effective alternatives are available in the market for atrial fibrillation, it is important to consult a medical professional before using one. Some of the popular drugs that you can take in place of Multaq are as follows:

• Cordarone, Pacerone (amiodarone)
• Betapace, Sorine (sotalol)
• Tambocor (flecainide)
• Rythmol, Rythmol SR (propafenone)
• Tikosyn (dofetilide)
• Lanoxin, Digitek (digoxin)
• Lopressor, Toprol XL (metoprolol)
• Tenormin (atenolol)
• Calan, Verelan (verapamil)
• Cardizem, Tiazac (diltiazem)

[Note: Your doctor will choose the most appropriate medication alternative for you. Avoid using any of the above-mentioned medications without first consulting your healthcare provider. Taking them without medical supervision may cause serious side effects.]

The cost of Multaq can vary widely depending on your insurance coverage for prescription medications. If your insurance plan includes prescription drug benefits, it’s crucial to verify whether Multaq is covered under your policy and to understand your specific cost responsibilities, which might be a fixed copay or a percentage of the medication’s price. However, it’s important to note that not all insurance plans provide coverage for Multaq. Many people consider alternative purchasing options to help manage the costs of Multaq. One such option is to buy Multaq online from Canada, where it is often available at a more affordable price. Purchasing Multaq from Canadian pharmacies can be a cost-effective strategy for those in the USA. At Polar Bear Meds, a popular choice for buying medications from Canada, you can use the coupon code WELCOMEPB10 to receive a 10% discount on your first purchase of Multaq.

AtPolarBearMeds.com, we guarantee the most affordable Multaq prices. Rest assured, your order will be managed by a trustworthy Licensed Canadian Pharmacy Online, dedicated to maintaining the top most standards of quality & authenticity. Our discounted medications are delivered straight from Canada to your doorstep, guaranteeing a quick and safe delivery experience. To buy Multaq online hassle-free at a substantial cost, call us at 1-888-779-2193 toll-free.