?s re propafenone & treatment for different types AF February 22, 2019 02:57PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 07:17PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 08:37PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 09:02PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 09:05PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 10:07PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 10:23PM |
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Re: ?s re propafenone & treatment for different types AF February 22, 2019 10:42PM |
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wolfpack
As long as you’re rate controlled via the betas and also anticoagulated, I see no problem with taking your time on the antiarryhtmics. You’re not in any danger from AF in the short term. I was on Propafenone, I think at 125mg BID extended release, with no beta at all and did OK with it. The propafenone does give you the option of discontinuing the BB if your cardiologist is comfortable with the idea, something that really isn’t an option with the flecainide.
Re: ?s re propafenone & treatment for different types AF February 23, 2019 03:58PM |
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Re: ?s re propafenone & treatment for different types AF February 23, 2019 09:54PM |
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Re: ?s re propafenone & treatment for different types AF February 23, 2019 10:32PM |
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Re: ?s re propafenone & treatment for different types AF February 23, 2019 10:42PM |
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Re: ?s re propafenone & treatment for different types AF February 24, 2019 12:56PM |
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Re: ?s re propafenone & treatment for different types AF February 24, 2019 05:23PM |
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Madeline
How does your Dr like it when you try to question his lead & instead you try to prescribe for yourself?
Re: ?s re propafenone & treatment for different types AF February 24, 2019 07:15PM |
Admin Registered: 6 years ago Posts: 5,335 |
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Madeline
Question for all: Do you think I should switch back to an EP in this group instead of trusting this cardiologist?
Re: ?s re propafenone & treatment for different types AF February 25, 2019 03:12PM |
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Re: ?s re propafenone & treatment for different types AF February 28, 2019 01:11PM |
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Re: ?s re propafenone & treatment for different types AF March 01, 2019 02:00PM |
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wolfpack
Propafenone should always be extended release so you can take it 2x/day instead of 3x/day which is a pain in the rear. The only reason I can think of is that the patent only recently expired on the extended release and some cardiologists who may not be current on the insurance side of things still prescribe the “normal” Propafenone so they don’t get complaints from their patients about $100+ dollar copays.
Re: ?s re propafenone & treatment for different types AF March 01, 2019 02:18PM |
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Re: ?s re propafenone & treatment for different types AF March 01, 2019 08:14PM |
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Re: ?s re propafenone & treatment for different types AF March 01, 2019 08:45PM |
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wolfpack
I tolerated Propafenone just fine. I know the published info you read can sound pretty scary, but the truth is Propafenone (and flecainide) are really more the “lightweight” anti-arrhythmics. It’s safe to start them outside of a hospital. Neither one really prolongs the QT interval which is the big risk factor for dangerous (ventricular) arrhythmias. Worst case with either Propafenone or flec (more so the flec) is you get flutter.
Sorry your insurance balked at the extended release. Morning and night isn’t a problem. You’ll just have to remember to carry a pill during the day when you’re out and about. I did it for the few months I was on it. As for the tablet size, they’re no bigger than an aspirin.
Re: ?s re propafenone & treatment for different types AF March 01, 2019 09:09PM |
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Re: ?s re propafenone & treatment for different types AF March 01, 2019 09:21PM |
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Re: ?s re propafenone & treatment for different types AF March 01, 2019 10:11PM |
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Re: ?s re propafenone & treatment for different types AF March 02, 2019 12:29AM |
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Re: ?s re propafenone & treatment for different types AF March 02, 2019 08:46AM |
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Quote
wolfpack
I tolerated Propafenone just fine. I know the published info you read can sound pretty scary, but the truth is Propafenone (and flecainide) are really more the “lightweight” anti-arrhythmics. It’s safe to start them outside of a hospital. Neither one really prolongs the QT interval which is the big risk factor for dangerous (ventricular) arrhythmias. Worst case with either Propafenone or flec (more so the flec) is you get flutter.
.
Re: ?s re propafenone & treatment for different types AF March 02, 2019 09:45AM |
Registered: 8 years ago Posts: 1,102 |
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safib
Where are you getting this information that it is safe to start them outside of a hospital?
Re: ?s re propafenone & treatment for different types AF March 02, 2019 09:51AM |
Registered: 8 years ago Posts: 1,102 |
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Madeline
So with my age being 69, how long would be too long to be on the anti-arrhythmic’s before considering ablation? And is ablation considered when the AF feels stronger or just when it happens often as in a few times a month, or when the duration has exceeded a certain length of time?
Re: ?s re propafenone & treatment for different types AF March 04, 2019 06:45AM |
Registered: 9 years ago Posts: 1,085 |
Quote
safib
I tolerated Propafenone just fine. I know the published info you read can sound pretty scary, but the truth is Propafenone (and flecainide) are really more the “lightweight” anti-arrhythmics. It’s safe to start them outside of a hospital. Neither one really prolongs the QT interval which is the big risk factor for dangerous (ventricular) arrhythmias. Worst case with either Propafenone or flec (more so the flec) is you get flutter.
.
Where are you getting this information that it is safe to start them outside of a hospital? Do you mean in an unmonitored setting? The latest study I found which specifically addresses this for PIP strongly advises administering the first dose in a monitored setting to ensure both the safety and efficacy. They found an adverse event rate of 16% including hypotension, proarrhytmia, and bradycardia due to sinus or AV node dysfunction, requiring intervention. In fact, on the basis of their followup data they additionally suggest limited subsequent out-of-hospital monitoring. There are caveats: PIP dosages were large and AV nodal blockers were administered (the latter apparently not routine for this 1c class AAD). Still, why not be safe?
Clinical effectiveness of systematic "pill-in-the -pocket" approach for the management of paroxysmal atrial fibrillation
Re: ?s re propafenone & treatment for different types AF March 04, 2019 01:01PM |
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Re: ?s re propafenone & treatment for different types AF March 05, 2019 11:42AM |
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Elizabeth
I take Propafenone , 1 tab 150mg., every night before bed, I have for a number of years. I did try a higher dose last summer, my EP always wanted me to take a higher dose, he wanted me to take 1 and 1/2 tabs, I did that for a few weeks then I started waking up a couple of hours after going to sleep and my heart felt weird like it was starting and stopping and slow, I got up and moved around and my heart went back into a steady NSR, it did that for a couple of nights, I figured it probably was the extra Propafenone that was doing it so I quit it and that weird feeling stopped.
Liz[/quote
Liz, Is your propafenone 150 mg the old kind in that it is not sustained-release or extended-release? I will be starting propafenone 150 mg 3x/day in a few weeks & it has me concerned that my dose is more than twice what you say you are on. We discussed this earlier - you had asked my size thinking that might be why they prescribed my dose as such, but I replied to you that on the contrary I am fairly small, but I do seem to have a fast metabolism (but I doubt the cardiologist knows that as I have not seen him but once). I mention metabolism because perhaps I wonder if that might make the drug get out of my system quicker. Anyway, when I start the drug maybe I will notice if it is too much after my 2nd dose before I get to the third.
Re: ?s re propafenone & treatment for different types AF March 05, 2019 08:26PM |
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