Can an episode of rapid heartbeats (95bpm) stop ectopic beats? That's what's happened to me at 6am today. Have had ectopics for months.

[Gwersey]

Ectopics

[Hidden]

95 doesn't sound rapid but presumably is for you. Did it come on with exercise or by itself. Reading about ectopics there are some who say nothing to worry about and others well ok but they're still a damn nuisance I'm not sure you have a cure with your discovery but Flec gets a few mentions .Deep breathing and all the vagal stuff doesn't work for me

[Gwersey in reply to Hidden]

The ectopics are back with a vengence but thanks for replying.

[Hidden in reply to Gwersey]

Any news?

[Hidden in reply to Hidden]

My guess would be the bpm rate and the ectopic beats may or may not be related but you won't know until you check with your doctor and he/she may not be sure until they do an ekg. Talk to your doc and share all your details. You may need another tx or med that shouldn't be guessed at here. Something else completely unrelated may be going on.

[ILowe]

There is a name for this. "inappropriate sinus tachycardia". I believe that tachycardia comes in many forms and this is a less well recognised form The classical definition is usually defined as a heart rate of over 120.

Sometimes, usually after a good pause in the day I can be sitting and the body gets fed up with irregularities and increases the speed to around 100. The whole point of tachycardia is to tame the irregularities. The trouble comes when it gets stuck. Then the irregularities fight back and I end up in AF. In the past I would ride it out. Now I take the usual actions: cold water drink, breathing tricks, lie down. If it does not diminish within 15 minutes or so I take 1.25mg bisoprolol. just in case. Interestingly, when it does slow down it does so over 10-15 minutes. I can feel the thuds demanding a slow down.

[Hidden in reply to ILowe]

ILowe

Interesting.

Can I grab you while you are in the area. Is there a case for 12 hourly Bisoprolol dosing?

I started Biso 7.5 6 days ago for rate management of flutter. Atrial couplets and triplets highly symptomatic . Clear diurnal pattern. Given half life, is steady state achievable as in constant blood level on once a day?

Thanks.

Could I have a note of likely fees?

[ILowe in reply to Hidden]

Let me show you what the professional side of drugs.com says.

"The plasma elimination half-life is 9-12 hours and is slightly longer in elderly patients, in part because of decreased renal function in that population. Steady state is attained within 5 days of once daily dosing. In both young and elderly populations, plasma accumulation is low; the accumulation factor ranges from 1.1 to 1.3, and is what would be expected from the first order kinetics and once daily dosing. Plasma concentrations are proportional to the administered dose in the range of 5 to 20 drugs.com/pro/bisoprolol.html

Yes, it is easy to think that a half life of 12 hours would require twice daily doses. But there are other factors including buffering. Therefore other meds with a similar half life might need twice daily consumption.

I admire you for wanting to understand what is going on. We non-medics are also free to think the unthinkable.

A non British doctor last year, with another drug, specifically wanted to keep the peaks. Therefore he asked me to stop taking them at weekends. Conventional thinking seeks to reduce peaks which I think can be a mistake. For instance, bisoprolol might work very well for you during the day, but at night it might reduce your heartrate too much at a time when it naturally goes low. That happened to me on just 1.25mg.

[Hidden in reply to ILowe]

This is absolutely what I needed to know. I can now discuss this with my GP on a more informed basis

Many thanks. We need you around, there are many with similar questions

[ILowe in reply to Hidden]

My pleasure to indulge in a bit of human biology and have the pleasure of helping out.

[Hidden in reply to ILowe]

Ilowe

Be careful what you wish for,

We need some heavyweights to sort out our magnesium issues, currently a hot potato in these parts

Tread lightly, there are strong feelings, defensive postures and a sense of unacceptable challenging of received wisdom in recent threads on the subject.