Propranolol/bisopropol at night to prevent nocturnal Afib?

I suffer from reaction to Bisoprolol...fatigue, physical depression and feel lousy. Thought of substituting half a tablet of propranolol at night instead? My Afib tends to kick in during night......and I would normally take the propranolol to kick back into NSR. Any thoughts? thank you

Willie,

Nocturnal AF may suggest a vagally-mediated form. Beta blockers can actually aggravate vagal AF (as they did in my case), because they slow the heart down (same thing the vagus nerve does). Without knowing any more details about your case, I'd suggest talking to your EP or cardio about perhaps a pill-in-pocket approach using flecainide (an anti-arrhythmic) for sporadic episodes.

Wolfpack, I understand there is a reason to take a beta blocker prior to using the PIP, however do you take a smaller maintenance dose without a beta blocker and does that work well for you?

Tom,

I take nothing now post-ablation. My experience pre-ablation, which was mercifully short, was that betas made things worse. I took only propafenone (regurlarly, not PIP). It did a "middling" job of holding NSR.