Doctor insights on:
Is Risperidone Harmful For Someone Who Has Afib And Is Over 80
Risk vs benefits: No antipsychotic is fda approved for treatment in elderly. You have to weight your risk and benefits to see if taking the medication will be more beneficial. All antipsychotics have the potential to increase your qt interval which could cause the afib to get worse. I encourage you to talk to the prescriber about this. ...Read more
Risperidone is a second generation antipsychotic that is fda approved for schizophrenia, bipolar disorder, and behavioral issues with autism. It is generally effective and used commonly. Side effects include sedation, weight gain, increase in lipids and blood sugar, hunger, severe muscle reactions such as dystonia, tremors, among others. It also comes in a ...Read more
My doctor & his nurse say my newly diagnosed afib is not harmful. They said I could take metoprolol or not. No blood thinners prescribed. I'm confused?
If no risk for clots: The relative risk for throwing clots (thromboembolism) needs to be considered in all patients with afib. Your relative youth makes clotting less a concern probably making them give you just a rate control med like metoprolol. Should look at the chadsvasc scoring system and make sure no other risks. This included ade, diabeteses, hypertension, prior stroke, female sex, heart failure, as importan. ...Read more
I have just been prescribed topimax to combat the significant weight gain from taking risperidone and Geodone. Any harmful side effects?
Topamax: It is always good to find out about potential side effects & drug- drug interactions. Here is a comprehensive list of possible side effects for Drugs. Com: https://www. Drugs. Com/sfx/topamax-side-effects. Html ...Read more
Depends: New onset atrial fibrillation is often self limited, going away by itself. But the cause dictates the subsequent course. Thus treating things like high blood pressure, heart valve disease, heart failure, over active thyroid hormones, coronary disease, and avoiding alcohol may be important. Some drugs are useful to maintain rate and rhythm. If needed, electric shock (cardioversion) is effective. ...Read more
Yes: As long as the heart rate is not to fast and the risk of strike is appropriately dealt with, people work with af. Some people might feel better if they are in normal rhythm. Specific questions regarding rhythm vs. Rate control should be directed to your doctor. ...Read more
My father took betaloc25, amlodipine5, cordarone200for afib his pR (49-59), hisBp150/80 at evening, what drug to increase to control his BP?
No: Although it theoretically makes sense to use anti arrhythmic medications which target the parasympathetic (vagal) nervous system, studies don't seem to show a difference in success using this approach. ...Read more
Top vs Bottom: Ventricular fibrillation is from the bottom chamber; vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation - from the top chamber- while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. ...Read more
Arrhythmias: Atrial fibrillation (afib) is the most common sustained rhythm abnormality. It's characterized by an irregular heart rate. The upper chambers of the heart (atrium) do not beat but quiver. Many people don't notice it. But many do. It can lead to strokes in some patients so blood thinners are important. It can be treated with medications, ablation thru iv's in the groin or surgery. See a cardiologis. ...Read more
Hypothetically...: Let's make assumptions: you're 36, presumably healthy without other major med problems and you have already failed a trial of 1 or more drugs. You only have afib sometimes. Fine, here's the breakdown. Chance of cure on 1st procedure: 50%. Chance of cure after 2nd procedure: 70%. Recovery time: short. Risk of major complications, ~4% including 1:250-500 of stroke. Pick your ep doc well. ...Read more
Atrial fibrillation: Atrial fibrillation, or afib, is a very common rhythm disturbance, the most common in this country. It is most often associated with hypertension, but can also be associated with valvular disease specifically mitral valve disease. It can be treated with either rate control or converting back to the normal sinus rhythm. Patient are often placed on blood thinners to prevent complications. ...Read more
It can be: If afib is difficult to treat ie unable to convert patient to normal rythm or unable to slow rate down with medicines, or perhapse the patient can't tolerate the medications to treat the problem, a person can be disabled. Pts with pre existing heart problems may not tolerate afib as well. Ablation therapy is not always effective and some patients may need a pacemaker. Just depends on pt ...Read more
Only if…: Only if the atrial rate is conducted in a very rapid fashion to the lower chamber. Your heart has built-in protection to keep this from happening. However, patients with a condition known as Wolff-Parkinson-White sometimes lack this protection and under the right circumstances can die as a result of atrial fibrillation. ...Read more
EKG /Physical exam: Different ways. Listening to the heart there is obvious irregular rhythm with irregular rate. The electrocardiogram is diagnostic. Some times atrial fibrillation may appeared transiently or paroxystically. A holter monitor or cardiac monitor could show the characteristic features of the EKG changes. ...Read more
Read...: As per epocrates: CAD (coronary disease) hypertension, heart failure, valvular disease, pericardial and pleural diseases, diabetes, thyroid disorders, disorders of the lung, and advanced age are known risk factors for the development of acute af. However, af may occur in the absence of any underlying cardiac or noncardiac diseases, for example, as a result of heavy alcohol intake. ...Read more
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