Doctor insights on:
What Drug To Use When Having Afib
I have been told Eliqis is the better drug for the elderly taken twice a day, at 2.5 per time. Why is it better than XeraltoThis is for lone afib.
Oral anticoagulants: 3 new alternatives (Eliquis, Pradaxa & Xarelto) to Warfarin, traditional oral anticoagulant (blood thinner) of choice for decades, don't require monitoring nor are affected by what you eat. All 3 are approved in States for preventing stroke in atrial fibrillation. Some are approved for more uses. None of 3 new ones has been proven better than others at preventing strokes but may be safer than Warf ...Read more
Lots of choices: If the goal is just to control the heart rate, the common choices are drugs that slow the heart rate like a beta blocker or calcium channel blocker and a blood thinner to lower the risk of stroke. Classically coumadin, (warfarin) but there are newer ones (xarelto, for example). Sometimes there are drugs given after the heart has been restored to a normal rhythm that help maintain this, such as amiodarone. ...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?
How does a cardiologist treat an afib patient in their late80's when they are intolerant of the drugs available due to other existing health issues.
See below: All patients with atrial fibrillation should be placed on anticoagulants to decrease the risk of blood clots from the atrium. Drugs like warfarin or the newer drugs such as 10a inhibitors are used. Drugs such as beta blockers or calcium channel blockers are used to control the heart rate. Other drugs such as amiodarone or sotalol are used to try to convert atrial fibrillation back to sinus rhythm. ...Read more
No: A pacemaker kicks in when your heart rate drops below a preset heart rate. ...Read more
The non drug treatments for Atrial fibrillation include:: Watchful waiting, Cardioversion, Cardiac ablation.Get a more detailed answer ›
Should an electrophysiologist be an option when an 87 year old afib patient has too many side effects from prescribed drugs for this condition.
Atrial Fibrillation: It depends upon what medications were tried and what are those side effects. It is of no harm if you consult an electrophysiologist. ...Read more
Warfarine vs xalerto 15 vs Apixaban 2.5 for paroxysmal afib (s.cr2)which one to use although war is nephrosafe but risk of bleeding and other problems?
Anticoagulants: The final answer to this remains to be determined. BOTH are equal in efficacy at prevention of stroke for atrial fib. Xeralto. Is more convenient as no PT one needed to monitor, but if bleeding complication no easy reversal agent and it is expensive. Coumadin (warfarin) well established and easy to reverse, however rregular monitoring necessary. However with home monitoring units this is less of an issu ...Read more
What is the drug of choice for controlling pacs and afib? Calcium channel blocker or beta blocker?
PACs and afib: Of these two usually beta blockers are better tolerated and have a somewhat lower side effect profile. There are also some who feel that beta blockers are better at preventing afib. ...Read more
For Atrial Fibrillation, can you still have an electrical cardio-version if drugs (Flecainide) stop working?
Please make sure you have seen an electrophysiologist... That is really essential...
In short yes you can be cardioverted, but by a specialist ...Read more
Which drug has less proarythmic effect, less negative inotropic effect, more effective for paroxysmal Afib cordarone (amiodarone) or flecanide?
What is the antiarrythmic drug of choice for paroxysmal Afib started before 1yr in 72yr male hypertensive with mild left ventricular hyper trophy?
A-fib drugs: There are options for treating atrial fibrillation. 1) Use beta blockers &/or calcium blockers to control the heart rate, but this does not prevent a-fib episodes. 2) Anti-arrhythmic drugs vary in effectiveness and side effects: amiodarone, sotalol, flecainide, and dofetilide are used. 3) An ablation procedure is another strategy. Get a consult on HealthTap to look at your particular case! ...Read more
On verapamil 120 mg. Sr for mildly elev. BP & occas. Afib. Concerned about long term effects. Curious about docs have seen w/patients on long trm use?
I have atrial fibrillation for a couple of hours each month should I ask my doctor for rate control drugs-there seems to be different opinions. Thanks?
Lots of options: You're correct, there are a lot of options, and a lot of it comes down to your preferences and discussions with your doctor. For atrial fibrillation we think of three things: minimizing risk of stroke with anticoagulation, controlling the heart rate, and managing symptoms. If you are feeling ok, a few hours a month of afib symptoms could be ok and may not necessarily need a change in strategy. ...Read more
Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?
Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more
My father 73, had CKD s.cr1.7, paroxysmal afib mild lvH 1d.h block he use betaloc 25, lercanidipine 20, what can I add to control his Bp?
Can't tell Alaa: Hope your father will be better, unfortunately we can't judge which way to go or what drug to add in your father's rather complex case and this limited platform, which isn't meant for diagnosis/treatment, rather for guidance and advice. Your father's best bet is to follow up closely with a primary physician that he trusts, his primary doctor would orchestrate his care with cardiology/nephrology ...Read more
My father in law aged 72 yrs. Hospitalized for last 28 days. Diagnosed as follows : 1.Atrial fibrillation. 2.Multi drug resistant klebsillia pneumona
CHF: Sounds like your father in law is very ill and the klebsiella resistant is an additional very serious problem. What is your question? ...Read more
Generally, yes: Most otc cough and cold meds contain cough suppressants and antihistamines. You need to avoid decongestants that have amphetamine-like agents in them. The preps that have "-d" after the name are the ones to particularly avoid since those agents may aggravate your arrhythmia. ...Read more
Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options
Can I use biflace sildenafil 50 mg. If I have had or if I am in the middle of a treatment for atrial fibrillation taking xarelto of 20 mg? Cialis?
Discuss w cardiac Dr: S/he is the person to ask. Would be medically unethical to give you advice. ...Read more
Does the use of cordarone (amiodarone) in 72yr hypertensive male (200once) for paroxysmal Afib good for the heart b/c I'm afraid ofS/E what is the safest dose?
Cordorone: The maintanence dose may vary from 200 -600 mg he is on the lowest recommended dose the dosing is adjusted based on other underlying problems and medications not just by the age alone ...Read more
What meds can I use to control my a fib? What are the risks and side effects of medications to control my atrial fibrillation or to reduce the risk of stroke? What are the risks/benefits of other treatment options?
The treatment of atrial fibrillation has two important components: 1) treating the rhythm, and 2) preventing stroke. There are two strategies for treating the rhythm. The first is called the rate control strategy, and involves using medicines to prevent the heart rate from going too fast. These medicines do not prevent atrial fibrillation episodes, but are generally effective at preventing fast rhythms and also tend to have few side effects. This is a good strategy for people who do not have severe symptoms from atrial fibrillation, such as older less active people. The second strategy is called the rhythm control strategy, and involves using medications that are designed to maintain normal sinus rhythm and prevent episodes of atrial fibrillation. This strategy may be more desirable for people who are vey symptomatic when in atrial fibrillation such as young, active people. Unfortunately, this strategy tends to be less successful because recurrence of atrial fibrillation is common. The rhythm control medications also tend to have more side effects than the rate control medicines, and in some cases the side effects can be severe. Neither strategy is better than the other at preventing stroke.
For stroke prevention, warfarin (also called coumadin) is typically used for people at moderate or high risk. This medication has been shown to be superior in preventing stroke, but it also increases the risk of dangerous bleeding because it is a blood thinner. Patients at lower risk for stroke may just take an Aspirin tablet daily. This has a lower bleeding risk than warfarin.
Lastly, some people are candidates for surgical or catheter-based ablation procedures. These procedures can cure atrial fibrillation, but are not always successful and not all people are good candidates. ...Read more
I've had afib for 13yrs the concerning current worries- my memory loss, heart rate very fast, with use of cardizem 240mg and toprol (metoprolol). 106?
Are you in: Any anticoagulation therapy? The chads2 score used to determine choice of thromboprophylaxis. Zero score no treatment or aspirin. Rate control very important to less than 110. Memory loss could be related to treatment and to increase hr. You should see your cardiologist soon for better rate control and to review your treatments. I will recommend repeat echo to r/o atrial thrombus. ...Read more
What is your opinion about drug (moxonidil0.2)for hypertensive 72male with paroxysmal Afib on betaloc amlodipine and cordarone (amiodarone) the doc put him on it?
Hypertension: In my opinion there are better choices than minoxidil such as a diuretic like hydrochlorothiazide, or an ace inhibitor like lisinopril or an arb like cozaar (losartan) or avapro. Of course his physician or cardiologist, who knows his condition and laboratory values, is better qualified to recommend treatment. ...Read more
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