I have a follow-up/reevaluation appointment with my cardiologist this week and as he is usually in a hurry I'm trying to organize my thoughts before I get there.
Here's the thing: I was diagnosed with paroxysmal AF a few years ago, and told to take an aspirin a day. Then 18 months ago I was told that aspirin was no longer considered effective against blood clots and was put on Xarelto 15 mg at night, as well as Flecainide 100mg morning and night, and Metoprolol. Well, 100 mg x 2 of Flecainide, plus Metoprolol just about knocked me out. When I reported this, the cardio said to reduce the Flecainide by half to 50 mg twice a day. Then, because my heart rate is almost never higher than 80 even without Metoprolol, I decided to discontinue the Metoprolol (which was adding to the debilitating side-effects I was experiencing). When I told the cardio he didn't seem concerned and I never got around to asking him why he prescribed it in the first place.
A few months ago when I was considering foot surgery, he told me that it would be OK to discontinue the Xarelto for "two, even three" days (which makes me wonder if I really need to take it any day). Although I was having frequent ectopics I'm never aware of any AF events, but any time I have an ectopic episode which seems slightly unusual I use my Kardia to see if it's AFib, but always the result is "normal." The ectopics have all but stopped in recent weeks, for no reason I'm aware of.
Since seeing the cardio 5 months ago I have tried taking the 50 mg Flecainide at night only, with the goal of using the daytime dose only as a pill-in-the-pocket. It's been a month since I have needed to take a daytime dose, though I continue with the Xarelto, telling myself that if I did happen to have an undetected AFib event, I'd be protected from stroke by the Xarelto.
The reason I'm posting all this is to ask if any of it makes sense. Am I thinking like a sensible person, or are there some loopholes in my reasoning? Not asking for medical advice of course, but just open to any comments before I see the cardiologist on Wednesday. I plan to tell him what changes I've made and particularly ask for his advice re the Flecainide.
If anyone cares to comment I'll be so appreciative! Thanks!