Strategy for flecainide dosage reduction April 26, 2018 12:30PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 26, 2018 12:56PM |
Registered: 11 years ago Posts: 4,220 |
Re: Strategy for flecainide dosage reduction April 26, 2018 01:09PM |
Registered: 6 years ago Posts: 18,881 |
Re: Strategy for flecainide dosage reduction April 26, 2018 01:18PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 26, 2018 01:33PM |
Registered: 6 years ago Posts: 122 |
Re: Strategy for flecainide dosage reduction April 26, 2018 01:33PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 26, 2018 01:38PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 26, 2018 02:05PM |
Registered: 6 years ago Posts: 122 |
Re: Strategy for flecainide dosage reduction April 26, 2018 02:14PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 26, 2018 06:15PM |
Registered: 6 years ago Posts: 18,881 |
Re: Strategy for flecainide dosage reduction April 26, 2018 08:32PM |
Registered: 6 years ago Posts: 70 |
Re: Strategy for flecainide dosage reduction April 26, 2018 09:27PM |
Registered: 11 years ago Posts: 4,220 |
Quote
kbog
Out of curiosity, have you avoided beta blocker use this whole time?.
Re: Strategy for flecainide dosage reduction April 26, 2018 09:39PM |
Registered: 8 years ago Posts: 1,102 |
Re: Strategy for flecainide dosage reduction April 27, 2018 01:10PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 27, 2018 02:11PM |
Registered: 8 years ago Posts: 1,102 |
Re: Strategy for flecainide dosage reduction April 27, 2018 02:19PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 27, 2018 02:31PM |
Registered: 8 years ago Posts: 1,102 |
Re: Strategy for flecainide dosage reduction April 27, 2018 02:52PM |
Registered: 5 years ago Posts: 43 |
Re: Strategy for flecainide dosage reduction April 28, 2018 04:26AM |
Registered: 6 years ago Posts: 920 |
Quote
kbog
Yes, flec is usually prescribed BID, but I had noticed a pattern of my heart trying to go into AF in the last several hours before I was supposed to take the next dose, so I dug into the prescribing information and looked at studies at length, only to see that in some rare cases, a patient needed TID dosing for adequate control of symptoms. Also, that children above infant age and under 16 metabolize flec so quickly that they also needed (in one particular study of trough/peak serum concentration of flec) to use 8-hour dosing as well. It definitely has worked well for me, and my conclusion is that I metabolize it more quickly than the average adult. (I had to really state my case in order to get the doc to prescribe it TID, because they just want to do everything per standard practice/guidelines.)
Re: Strategy for flecainide dosage reduction April 28, 2018 04:42AM |
Registered: 5 years ago Posts: 43 |
Quote
Pompon
There are "long acting" versions of flecainide, to take once a day...
Re: Strategy for flecainide dosage reduction April 28, 2018 09:57AM |
Registered: 6 years ago Posts: 920 |
Quote
kbog
There are "long acting" versions of flecainide, to take once a day...
Yes! The brand-name drug, Tambocor, had an XL variant that was a sustained release. I have no idea whether this is a recent development, but Tambocor is not available where I live. It may be no longer manufactured?
Do you have experience to the contrary? Thanks so much, Pompon.
Re: Strategy for flecainide dosage reduction April 28, 2018 07:49PM |
Registered: 11 years ago Posts: 4,220 |
Quote
kbog
I'm really looking for advice on how to manage my cutback of flec... right now I'm taking 100 mg three times a day. Do I cut back to 100 mg two times a day, or 75 mg three times a day, or ...? Whatever I do, I'll stay on the new dosage for at least a week before I cut back further, as I've learned from my own experience that it takes a while for serum levels to normalize.