I have reduced my flec dose from 200mg daily to 150mg daily over the last 3 months hoping to avoid runs of mild tachycardia which my EP said were caused by Flecainide. Since reducing I have had 4 runs - the same number as in the previous 15 months on the higher dose - disappointing!! I am able to stop the runs with a Valsalva so they aren't debilitating.
I take 2 x 75mg at 9am/pm and the 4 runs have each occurred around the same time - late evening.
Has anyone else had experience of this and how did you deal with it?
Has anyone opted for an unbalanced dose - I'm thinking of 100/50 as my AF was always a daytime affair?
Does anyone agree that a lower dose and some arrhythmia is better than 200mg or is that dangerous thinking?
I'm interested in the views of fellow travellers as I see my cardiologist next week and don't really know what is the best way forward.