Doctor insights on:
Amiodarone Vs Sotalol
Which drug has less proarythmic effect,less negative inotropic effect , more effective for paroxysmal Afib cordarone (amiodarone) or flecanide?
Reverses Ht Failure: Toprol xl (specifically that formulation, not metoprolol tartrate) and Carvedilol (generic or Coreg (carvedilol) brand name) have been shown in large, well controlled clinical trials to slow and sometimes reverse the damage of heart failure. They operate by blocking a malfunctioning feedback loop of hormones and signaling molecules, ultimately by blocking the effect of adrenaline on the heart. Good question! ...Read more
What is the maintenance dose of cordarone (amiodarone) in paroxysmal Afib my father take 75mg metoprolol and cordarone (amiodarone) 300 ,especially to avoid side effects ?
Amiodarone: This is a great drug with great potential for toxicity;so the lowest effective dose, varies between individuals,should be used.I have seen it effective as low as 100 mg every other day in a rare ndividual;levels can be checked to exclude excess build up in the blood ...Read more
Mixed: Pros: effective in lowering BP; effective in treating and preventing fast heart rhythms; effective in patients who have Heart Failure at high doses. Cons: can cause fatigue, lethargy, and slow heart rate; can cause dizziness; can cause depression or worsen depression in some patients. I would not recommend it as first line therapy in an otherwise healthy person unless there are other issues. ...Read more
Propranolol safety in 18y/o male with tachycardia & high bld. Press? Life expectancy decreased? Side effects? Toprol (metoprolol) vs propranolol?
This is so common: That i despair of accurate diagnosis. Your heart and BP at 18 are controlled by the limbic system of the brain---a computer that organizes your ability to adapt to environment. Defective oxidative metabolism causes the computer to send out unnecessary signals through the sympathetic nervous system. Commonest cause is vitamin b1 and magnesium deficiency from ingestion of sugar and sweeteners. ...Read more
Is Apixaban more safe and better than aspirin&plavix in72 hypertensive male with paroxysmal Afib s,creatinine 1.6in cordarone (amiodarone) 200mg?
Best to ask ...: Online inquiry in this Q would not suffice to pertinently address the concern. It would be most reasonable and beneficial to ask the treating doctor since s/he knows more about the patient than anyone online. To help sort these out correctly, follow advice described in http://formefirst.com/eNewsletter06.html; thereby you can work closer/ better with doc so to gain more benefit of care. ...Read more
Half life: Atenolol has a shorter half life than metoprolol, only about 12 hours. Metoprolol can be taken once daily where for full effectivness atenolol should be taken twice daily. People often forget the second dose of anything so in my mind a once a day drug is better. ...Read moreSee 1 more doctor answer
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Is using flecanide with amiodarone effective incase of paroxysmal atrial fibrillation refractory to amiodarone 200 mg alone,what doses should be used?
Zero guarantees. All: the Type 1 antiarrhythmic agents, as documented in the CAST Trial & analysis of other trials, neither work for most individuals (CAST Trial selected out the minorities for which these agents did decrease arrhythmias by Holter) increased mortality event rates. These agents promoted for symptoms, not health. Focus on underlying issues wiser. See: https://www.healthtap.com/#user_questions/689879. ...Read more
It depends: It really depends on the medical history of the patient. Both are anti hypertensives, but they work in different ways. For people with diabetes, Enalapril may be a better choice, while those with heart disease are often on either or both of those medications. Efficacy wise, each patient responds to the medicines a little different, so it really depends on the patient. ...Read more