When I had COVID, I was hard to treat, because both albuterol and steroids trigger afib for me. Another time, I had a brief episode of aftb after taking only 2mg methylprednisolone.

I am nervous that I will be in a health situation that could deteriorate without steroids. I can think of several possible scenarios that could be dangerous without steroids. .( Also I am sun sensitive due to lupus but cannot treat.)

Have any of you encountered this problem? Have any of you gotten a protocol from cardiology to make steroids possible? Say, by taking a beta blocker along with the steroid?

Thanks in advance.

"Say, by taking a beta blocker along with the steroid? "

I think you just have to try and experiment. That sounds like good idea.

This is a response from Grok AI:

Managing the Risk of Corticosteroid-Induced Atrial Fibrillation (AFib)

Yes, while corticosteroids (like prednisone or dexamethasone) can increase the risk of AFib—especially at high doses (>7.5 mg prednisone equivalent daily) or with prolonged use—there are evidence-based strategies to mitigate this risk for patients who must continue the medication. This risk often stems from electrolyte imbalances (e.g., low potassium or magnesium), fluid retention, hypertension, or direct effects on heart rhythm. The goal is to minimize exposure, monitor closely, and address contributing factors. Always consult a healthcare provider for personalized advice, as self-adjusting medications can be dangerous.

Thank you! I have asked cardiologists and they seem to avoid the question. I will try again. When I had COVID I landed in the hospital and the doctor said "I don't know how to treat you" meaning without steroids. Albuterol and sudafed are also problems.

EP today said I could experiment with addressing steroids with beta blocker depending on blood pressure (always low) and hospital might have some approaches- but in my experience they don't. Have been coughing for 5 weeks, doing inhaled steroids. Or the hospital could just deal with the afib. He seemed to suggest I could pretreat with other meds, but not flecainide.