Atrial Fibrillation

[Mancunian]

When is the best time of the day to take bisoprolol for af.

[Hidden]

I take mine first thing in the morning which seems to be what is recommended however some do have in an evening as they feel it works better. I don't think it matters as long as it is at the same time everyday.

[Terjo]

My dose was divided into morning and bedtime I take 1.5mg in the morning and .2.5 at bedtime. It was 2.5 in the morning too but I found it made me too tired this way works ok for me. Keep well, Terry

[Mancunian in reply to Terjo]

Thanks for the reply.l have been taking 7.5mg bisoprolol first thing in the morning,but just recently I have been getting episodes of af through the night.

If they still persist I will try to split the dose as you have done.

[Hidden]

When I was first diagnosed I was prescribed Bisoprolol in the morning. This didn't work for me as I had bad side effects. My GP checked her book of magic potions and brews and said take it at night. Originally it was a 5 mg dose - it still is 5 mg dose.

That was 7 years ago - no problems since, none at all. I take it around 8 pm along with my other evening meds.

John

[souljacs4 in reply to Hidden]

Hi John can I ask do you still get AF or does the Bisoprolol keep it in check

[Hidden in reply to souljacs4]

Hi souljacs,

The Bisoprolol just keeps my heart rate down to an average of 65 BPM. Prior to AF my average daily heart rate was 88 to 90 BPM. When AF hit my HR was clocked at 160 BPM.

I haven't recorded an AF event since April 2015 but this has been due to diet and lifestyle changes, although keeping my HR and blood pressure constantly low has been a big factor.

Re Bisoprolol - I still have the weariness that I've had since I was put on this medication when diagnosed with AF 7 years ago - I try and balance my life with work (I do part time 30 to 40 hours a week), activities, such as walking along the South West coastal Path here in the far south West of Cornwall and being thoroughly lazy when my body says - back off a bit please.

Seems to work for me. The weariness - I dunno - I have a theory .... it is .... my heart wants to surge away and beat as fast as it can, the Bisoprolol says - no that's not how we do it - I'll force you to slow down. I guess its about Newton's Laws of Force and Motion - that is - a push, pull or any action that has the ability to change motion. Or his Third Law - every action has an equal and opposite reaction.

John

[souljacs4]

I did try Bisoprolol when I first had AF, June 2014, but was very tired. I stopped it about a year ago, as I seemed to put on a lot of weight for me. I do have Flecainide as PIP but don't really want to use it.

I have lost two stone now and I am trying my best to keep fit; Don't smoke, don't drink and my BP is pretty good. I agree with you about Newton and his theories though!

Can I ask, do you think your AF has gotten any worse over time?

[Hidden]

Hi souljacs,

Absolutely not. It is now non existent. I get a short burst of palpitations occasionally but so random are these I just acknowledge them and let them go.

I'm not saying I'm cured - I trust my AF as much as I trust a politician - so I am ever vigilant as to picking up the early symptoms I had originally, or indeed any symptoms. I work on the basis that if I calm my vagal nerve I calm both my digestive system AND my heart. So far it is working.

I would say this though, my AF (paroxysmal) was identified and treatment started in some 9 hours from onset - the speed and accuracy of that diagnosis has been critical in my AF not getting a hold, right at the start. For goodness sake, sometimes I read of people on here taking 9 weeks or 9 months for an accurate diagnosis from their Health Service.

John

[Plai in reply to Hidden]

Yes have waited 9 weeks for hospital 24hr ecg and still waiting for the echocardiogram appointment. The GPs have their own 24hr ecg and that is how I was diagnosed with the afib. So am taking meds until it is confirmed. I wonder how much it would cost to have the echo done privately?

[RonSym]

I've put on weight while taking the medication and am trying to lose it now. What diet plan do you recommend? I'm still working full time so cant change my lifestyle much.

[Alan_G]

I take it early evening because if I am to get AF it tends to happen when I go to bed and so I assume the bisoprolol is probably working it's best a couple of hours or so after you take it.

[jedimasterlincoln]

When it got restarted for me after 2nd failed ablation, I asked about taking it at night because it wasn't suiting me in a morning and spending the whole day tired.

[julesp]

I'm on 10mg and take 5mg on a morning and 5mg before bed. This was the way my cardicardiologist said to take it after my ablation