Flecainide toxicity October 20, 2020 08:21PM |
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Re: Flecainide toxicity October 20, 2020 10:29PM |
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Re: Flecainide toxicity October 20, 2020 11:06PM |
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Re: Flecainide toxicity October 21, 2020 07:11AM |
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Re: Flecainide toxicity October 21, 2020 09:17AM |
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Re: Flecainide toxicity October 21, 2020 06:52PM |
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Re: Flecainide toxicity October 21, 2020 08:08PM |
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Re: Flecainide toxicity October 21, 2020 09:07PM |
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Re: Flecainide toxicity October 21, 2020 09:18PM |
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Quote
The Anti-Fib
Clinical practice guidelines recommend flecainide 50 to 200 mg PO every 12 hours to maintain sinus rhythm in patients with atrial fibrillation without structural heart disease. Avoid use in patients with coronary artery disease and/or history of myocardial infarction.
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Re: Flecainide toxicity October 21, 2020 09:49PM |
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Re: Flecainide toxicity October 21, 2020 11:07PM |
Registered: 5 years ago Posts: 146 |
Quote
GeorgeN
"The publication of the Cardiac Arrhythmia Suppression Trial (CAST) study in 1989, which was designed to investigate the efficacy of class I antiarrhythmic agents moricizine, encainide or flecainide in patients after myocardial infarction with reduced ejection fraction and frequent ventricular ectopic beats, resulted in a major revision of the role of these antiarrhythmic drugs. Thus, while flecainide suppressed ventricular ectopy in those patients, a threefold increase of arrhythmic death was recorded compared to placebo. Based on CAST results, flecainide nowadays is not recommended for patients with structural heart disease and coronary artery disease. However, it is recommended as one of the first line therapies for pharmacological conversion as well as maintenance of sinus rhythm in patients with atrial fibrillation and/or supraventricular tachycardias without structural heart disease."
[www.ncbi.nlm.nih.gov].
Re: Flecainide toxicity October 21, 2020 11:33PM |
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Re: Flecainide toxicity October 22, 2020 12:17AM |
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Quote
walt
Based on discussion and linked study I should probably not be on flec due to structural heart disease concerns.
Re: Flecainide toxicity October 23, 2020 12:41AM |
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Carey
Based on discussion and linked study I should probably not be on flec due to structural heart disease concerns.
Have you had a prior heart attack or have you been diagnosed with heart failure? If so, then yeah, you need to bring it up with your doc sooner rather than later. Otherwise, it can wait and probably isn't a problem.
Re: Flecainide toxicity October 23, 2020 12:54AM |
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Re: Flecainide toxicity October 23, 2020 03:43PM |
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Re: Flecainide toxicity October 23, 2020 11:24PM |
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Re: Flecainide toxicity October 26, 2020 08:57PM |
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Re: Flecainide toxicity October 28, 2020 09:39AM |
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Re: Flecainide toxicity October 28, 2020 09:45AM |
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Quote
tibbar
From to time, I wonder if I still really need it or if I should cut dose in half.
Re: Flecainide toxicity October 30, 2020 04:06PM |
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Re: Flecainide toxicity October 30, 2020 11:36PM |
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Re: Flecainide toxicity December 03, 2020 12:11PM |
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