just seen my gp,about my paf,changed ... - Atrial Fibrillati...
just seen my gp,about my paf,changed my tablets to anew type,called nebivolol.can some one explain what they are.
Look it up on Google and it says it is a beta blocker. Most drugs ending in olol are! Beta blockers are used in rate control to try to slow down the heart when in AF. Rhytyhm control drugs such as flecainide . propafanone and amiodarone work to keep the heart in normal synus rhythm (NSR) . Sometimes both are used together. Frankly I would rather be treated by a proper ectrophysiologist ( a cardiologist who specialises in rhythm problems ) than a plain GP who probably does not have up to date information about the current thinking in AF treatment. Ask to be referred if possible if you are not happy with your treatment.
BobD
Google tells me it is a beta blocker. Most drugs ending in olol are. Beta blockers slow down the heart during AF or at least that is the theory. rhythm control drugs such as amiodarone, flecainide and propafanone work to try to re-establish normal synus rhythm (NSR) . Why are you being treated by your GP. Have you not seen a cardiologist or eclectriphysiologist? These latter are the best people to see as they understand AF and other rhythm problems whilst many Gps are only on the edge of understanding.
BobD
My GP will only prescribe beta-blockers for me which are totally the wrong thing. She said she is not allowed to prescribe rhythm control drugs, which is what I DO need. So if anything like me, seeing your GP is seeing the wrong person. IMO you need to see an EP as Bob says.
Most studies have found that rate control gives as good a quality of life as rhythm control. I know rhythm control drugs work for some people but unfortunately not me.With rate control I am basically normal except when in AF , with rhythm control I had far worse arrhythmias and always felt dreadful no matter whether I was in AF or not.
Just reading wikipedia (my go-to source for anything) and it says they are a beta blocker, another one like bisoprolol that is highly cardio-selective (means it affects the heart rather than other organs), at certain doses anyway. That's what it says... Hope that helps! Have you been having problems with bisoprolol?
Lis
yes liz bisoprol was giving me dizzy turns and fainting.
I have nebivolol prescribed by a rhythm speciailst and a rhythm drug (flecanide as I can't take amorodorine) and dilzem to control heart rate. I am quite well on these but will be on them for life. Get your gp to refer you to a rhythm specialist.
always seems to me that the UK NHS prefers beta blockers, as they are seen as being less troublesome that rhythm control drugs, and give rise to less A & E visits.
I take bisoprolol at 2.5mg for my permanent AF, it certainly does nowt for the rhythm and as for controling the rate I never knew it was high, I was just put on it being in perm AF. Cant try flecanide as I have had 2x stents fitted and contradicted.
Be interesting to see what would happen to my rate if I stopped taking the bisoprolol completely.
As I understand it despite what is said, the longer the ticker is in AF the more prone it is to get thicker walled and stiffer and less responsive.
I totally agree that the NHS and GPs in particular seem stuck on beta-blockers. Bisoprolol almost killed me quite literally so I went onto verapamil which worked well for 3 years. But now I am on nebivolol as it is highly cardio-selective and seems ok.
