VERY Cautious Optimism

I have been researching and reading many of the posts about natural treatments. Last night I tried some Theanine Serene that I had purchased previously. It contains GABA, Taurine, L-Theanine, Holy Basil extract, and Magnesium.

I cannot say for certain, without more success, but last night was the first night in over a year that I had almost no ectopy. Wouldn't that be amazing if it happened again tonight?

I hope this works for you again tonight!

Quote
MeganMN
I have been researching and reading many of the posts about natural treatments. Last night I tried some Theanine Serene that I had purchased previously. It contains GABA, Taurine, L-Theanine, Holy Basil extract, and Magnesium.

I cannot say for certain, without more success, but last night was the first night in over a year that I had almost no ectopy. Wouldn't that be amazing if it happened again tonight?

Hope it works! How much Taurine? Studies have shown its value in preventing arrhythmias.

I tried Arginine and Taurine at one point but the Arginjne messed up my stomach. The supplement has:
300mg Magnesium
500mg GABA
450 mg Taurine
200mg L-Theanine
100mg Holy Basil

I have also been taking the ginger, and another antiinflammatory, but last night was my first night with any relief.

All those ingredients look good. Note that if it seems warranted you could safely increase the Taurine significantly. I take about 3000 mg as it also helps with sleep. Hope this continues to help.

No such luck last night, but I am still encouraged that I had ONE SVT free night. Guess I will still try the Multaq tomorrow.

Give the Multaq a few days before drawing conclusions. Like many drugs, it takes a while to reach full serum levels.

Thanks Carey, my first dose has not been fantastic. He only has me taking 200mg twice a day because I am so sensitive to meds and my heart rate has been increased in the 100-120 range from about an hour after taking it. I cannot find any information on it CAUSING tachycardia, but it certainly seems to have done that! I'll keep on trying, but the first half a day have not been fantastic. Also thinking I may be having more Flutter. AM posting a strip for review. I sent it to my EP and heard nothing back.

No, it's not known to be pro-arrhythmic. That strip looks to me like a mix of flutter and afib, but hard to say for sure from a short bit of single-lead ECG. I would suggest hanging in there for a week if you can.

I have been taking Multaq for about 5 and half months. I have never had it increase my heart rate. It does take a few days to get into your system and really start working. Hopefully things will calm down and you can get some relief.

I see a varied QRS interval, but in almost every case, one or two without, there is still an apparent P-wave. I haven't figured out the rate, but I also see what appears to me to be flutter, and one notable pause or skipped beat in the second tier. Is there such a thing as RVR with flutter?

Thanks. I will try to keep up on the Multaq and give it a week. I am still in significant Sinus Tach with minimal movement butbeill talk with the nurse today. Thanks all.

I feel seriously doomed. Day Two on the Multaq, I think I,am allergic. Itchy, swollen eyes, flushing type rash. Goodness. Can I ever catch a med break?

Eeeeh.... maybe don't try to hold out for a week if you're showing allergy signs.

Goodness. I am so annoyed. Sorry for the rant. I am laying on the couch wide awake and trying not to freak out. I'm still taking Colchicine for the terrible pericarditis after the last failed ablation. Now I have weird itching and tingling from the Multaq. So now in my wide awake state, I read that Multaq and Colchicine have MAJOR interactions and should NOT be used together.. How in the world did my pharmacist not catch that? Goodness. What a mess...

Yeah, they do have a major interaction. Multaq can raise your serum levels of colchicine to dangerous levels. You should stop one or the other until you talk to your EP.

One more Multaq question. It seems to have slowed my heart rate down quite a but, but hasn't really stopped the atrial bigeminy or atrial tachycardia. The rates are just way slowed down. Is that the goal? I'm not sure if it is worth the risk of med complications to have a slower rate but still all the ectopy?
Also wondering about QT prolongation. At my last calculation, my qtc is now 480-510 ?



Edited 1 time(s). Last edit at 02/23/2024 03:21PM by MeganMN.

Multaq is an antiarrhythmic, so the goal is eliminating arrhythmias, such as atrial tachycardia. When you say it has slowed your heart rate down, how much do you mean? What is it at night now and what was it without the Multaq?

A QT of 480-510 is concerning, but how did you calculate it? Can you get in to see someone who can get a 12-lead on you, even if it's just a walk-in clinic?

Great questions, Carey. Reviewing my monitor results, prior to Multaq, I ran from 87 to 127 at night with 30-50% burden of atrial tachycardia / bigeminy / etc., with an average QTc of 404-410. I am an ER Nurse and have training to measure and calculate the corrected QT.

After Multaq, my rate has been more like 80-110 with just as frequent atrial bigeminy and atrial tachycardia, but the SVT is at a slower rate, if that makes sense. 24 hours after starting Multaq, my QTc was 433, 431, etc. 48 hours later I measured 468, 472, etc. 72 hours after starting it, I was measuring 498, 485, etc. Today, now on Day 5, I am measuring 490, 516, 527. I have an appt on Monday with my EP, but am guessing that Multaq will be another dead end for me.

I also had to stop taking the Colchicine and cannot use my Albuterol because of the Mulraq. I can get an informal EKG in the ER where I work. But I think the writing is already on the wall. I am planning to ask Monday if we can try Verapamil next.....

You're having a hard time catching a break. I'm sorry.

Quote
MeganMN
I tried Arginine and Taurine at one point but the Arginjne messed up my stomach. The supplement has:
300mg Magnesium
500mg GABA
450 mg Taurine
200mg L-Theanine
100mg Holy Basil

I have also been taking the ginger, and another antiinflammatory, but last night was my first night with any relief.

How do you know it’s the Multaq that maybe causing an allergic reaction? Perhaps stop the supplements and slowly introduce one at a time.

Thanks, Susan, I stopped all the supplements because the pharmacist said Multaq has many, many interactions with things. I just stopped the Multaq, am restarting the supplements, and will ask about Verapamil at my appt tomorrow!

Quote
MeganMN
Thanks, Susan, I stopped all the supplements because the pharmacist said Multaq has many, many interactions with things. I just stopped the Multaq, am restarting the supplements, and will ask about Verapamil at my appt tomorrow!

Yes, I was glad to stop Multaq for that very reason—so many interactions. I hope Verapamil works for you.