AF Association
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Alcohol

Can a person drink while on apixaban ramapril and bisoprolol

60 Replies
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Naughty Vonnie!! Alcohol is one of the few things which is really not good for AF although some say if taken in moderation it does not effect them. Most people claim it is there worst trigger! As far as the medication is concerned, best to read the accompanying leaflets.......

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Haven't drank since Christmas Dor miss it at times though As I like going out with girls from work

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So do I, but my wife wont let me.....😉

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Whathe drink or go out with the girls lol

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Naughty, naughty 😂

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Won't let you drink? or go out with girls? LOL. Sorry. Couldn't resist. At least girls are a safe alternative to AF triggers!-or not.....

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Hi Vonnie :-) I no longer drink alcohol though I love wine. First it is 'empty calories' so can put on unwanted weight and it is best not to be overweight with AF and secondly I try to avoid increasing the risk of falls now I am on Apixaban. I had one fall and bruised really badly.

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Thanks for advice I haven't drank since Christmas

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If you have AF why would you risk drinking? Never mind the meds.

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Was only asking I have only known 3weeks not

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Just backing up flapjack,

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Right

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Prior to surgery I had the occasional drink with no issues. Listen to your body. I think most things in moderation are okay. I have not had any post ablation as my body isn’t even processing food well.

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Sorry to hear that .Hope all gets better with your food processing

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I am the black sheep of the AF family and have been known to have a Spritzer on occasion.

Di

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Hi Di

So there are some black sheep in the FA family then

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Yes, I have the odd glass of wine with no problems

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Me too. In moderation it does not seem to affect me. I had ablation in 2013 and am on apixaban, statin but no other AF meds.

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And I have a Guinness on St Patrick's Day and on my birthday. That's it! I don't really like it but someone in the US has to keep the old traditions going!😂😇

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I don't blame you, only live once. I had an ablation 3 months ago and have the odd beer or glass of wine :)

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Every family needs a black sheep! 😊

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I figure when you get to 74 you just have to go with the flow!!

Di

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Well I hope I'm like you at your age .Just diagnosed with FA so still not use to all the dos and donts

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You'll settle in when you and your doc find the best treatment plan for you. I'm starting my 8th year and doing fine. But it took about 1-2 years to figure out the best meds, treatments for me. You'll get there. In the beginning it's a 'trial and error' journey.

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Thank you Still waiting to see doctor at the hospital Apparently new appointment system put it and now a back log

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I'm 74 and going with the flow is fun.

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You will find it has a mind of its own. One day something will trigger an episode the next something different entirely. As I say, go with the flow we are all different.

Di

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I certainly hope so ! I'm on apixaban, ramapril and nebivolol and still enjoy my drinking. Provided it's not to excess and doesn't trigger any heart problems then don't worry about it. But obviously if it does, then cut it back/out.

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Guess it's a risk you have to try to see if it does effect you

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Define excess? I've just been diagnosed and am trying to work out how I can get down to 21 units a week. I used to do that on a Friday, which is probably how I got here!

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You can do it I haven't drank since Christmas and I love my jd

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I think anything greater than 14 units is defined as excess by the medical profession ... and probably your heart !

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I'm with you, Stodge. There is no doubt my misspent youth in tavernes has brought me to this...lol

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It’s the hardest part for me. I am coping with it.

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My Cardiologist says "everything in moderation".

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I take apixaban and a variety of other medications for cardiomyopathy, high blood pressure, Parkinson's disease, etc. -- a total of 7 different meds a day, all of which have undesirable effects (please don't call them "side effects") as well as (I hope) desirable effects. I simply treat alcohol as an eighth med which, like all the others has unwanted effects as well as desirable ones. I'm 79, btw, and gave myself permission to add a drug I like to the seven I don't. ;-)

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Hi thanks for reply Just worried it may restart symptoms of af

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If you are worried - then don't do it.

I go out once a week of a night time with my wife to meet friends. I have learnt that if my stomach is light on food and that I also drink standing up, (as opposed to sitting down), I can generally drink 3 pints of average strength beer without problems. However if I have stodged up to soak up the alcohol, it is a different story, as my stomach/heart etc is trying to process too much for it to handle.

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I had a few drinks on Apixaban and bisoprolol without issue. No idea about ramapril.

I've cut down alcohol massively since being diagnosed with AF, but enjoy a tipple every now and again. If it doesn't trigger your AF then I don't see the harm (in moderation). What's the point of living if you can't feel alive?

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Everyone is different, and until you try it you won't know how you react. For some, alcohol is a potent trigger for their AF, but not for me. I am on bisoprolol and apixaban, I know nothing about ramapril. So far, I have had three sessions of AF lasting an average of 7 hours each in the last year. However, I drink, sometimes to excess, without any repercussions. I have found that I can tolerate less alcohol since I've been on bisoprolol, and I only drink occasionally for social events and such, but I do enjoy it!

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I've been on apixiban, bisoprolol and atorvastation since my minor stroke last Nov caused by AF. maybe my excess drinking for many years caused the AF, or maybe my endurance athlete background did? - who knows as I don't have other risk factors bar some excess "timber" (also an ex-rugby player which may count there). I've certainly not stopped drinking since the drugs started and since my (currently successful) CV giving me back a NSR, I've not dropped back into AF. I have cut my drinking down but not not cut it out, as I have found excess makes me feel more shite in the mornings than it used to do maybe the drugs are causing that. I probably am more wary now though of what my heart is doing and conscious not to have too much booze.

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Aw thanks for message back Glad all is going well .I'm 3 weeks intof my diagnosis of AF and so worry about things

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When I was first diagnosed the medics said to avoid alcohol,as it was considered a major trigger,so I gave it up for several years.It wasn't until my 60th birthday I had a few wines,and not only did I enjoy it,but no unwanted effects....These days if Im out to dinner,or a special event I will enjoy 2 or 3 glasses.I spent half my life as a worry bean, so I reckon if it feels good...do it!!!!!

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Exactly All I do is worry at moment I'm 3weeks into knowing what is wrong with me

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Vonnie :-) I had to wait 6 months not knowing what was wrong with me, I saw a GP about my strange episodes in October and had an appointment to approve tests the following May. All that time my episodes were increasing and I now know I was at risk of a stroke because I wasn't receiving any medication. You are on Apixaban while you wait so try not to be anxious :-)

Another reason I don't drink is there is a growing body of thought that the main contributor to AF could be inflammation caused by many things including our diet and hormones released when we are stressed which are meant to come into play occasionally as part of the flight or fight response but in the modern world are in use all to often.

Most of us have to take mixture of medication for AF there is little choice but I try not to add to the chemical cocktail by eating a diet of unprocessed food and that includes alcohol.

It is however up to each person to decide what is best for them, I hope to give my body the best possible chance to fight AF.

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I’m the same 8 weeks in and worrya lot....had my first night away from home last night and that in itself was a big feat in case I ended up with af, but of course it was a big worry that never happened as the meds seem to have stabilized me at the moment.....I had two glasses of wine in the restaurant....very tentatively I add, and lots of water ....and I woke up fine.....I have had no alcohol, at all since this began except half of beer. I think I will have a glass or two if I go out to eat from now on, which is every couple of weeks I do miss it, but I am pleased the steady weight I have lost in not having it so that’s a big bonus and I will continue I hope on this path.....and must help the blood pressure I’m sure....I think as everyone says it’s all about individual body effects......I was told by my cardio that white wine is worse has anyone been told this?

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I do regularly and not had a problem it is heavy drinking that is bad. Too big a meal and alcohol together affect my AF.

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I still drink. Less than I did before still quite often. Live your life.

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Hi That's what I want to do

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you are at an early part of discovering what all of this means. When I was in a similar position I stepped back and waited for discussions with the EP/Cardiologist.

Once I had medication in place, and a plan of action for each AF episode, it was then I started cautiously testing my reaction to things like alcohol, exercise etc. The idea being that if anything caused AF, I would have to let it go.

good luck.

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Thank you I didn't say I was or wanted to drink Was just asking Haven't actually drank since Christmas when I had no symptoms

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My heart specialist said “ no problem if its in moderation” never do more than very moderate!

I had a sudden episode after a small glass of red wine

I was then told it was perhaps the sulfites ( can be more of those in canned drinks etc) might be though

I did some research and thought it could be it puts me at risk by putting my blood pressure up

So gave myself strict instructions to drop the four stone I had regained, much helped by beta blockers ( oh and no medication actually works on me either)

Have now dropped one and a half stone, helped by disastrous hospital infections! after third1 ablation

Shall certainly experiment with non sulfite wine ( moderately ) when weight/ fitness target is reached

But that s just me we are all different!

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How can alcohol be a trigger for AF when it’s (the AF) permanent. For goodness sake, don’t let the condition control your life. I enjoy alcohol in moderation and it appears not to affect me adversely. On Bisoprolol by the way.

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Mycallc, that is a very good point especially for those of us with permanent AF, perhaps someone would like to reply to it? Most of the comments against drinking alcohol are from folk who worry it triggers an attack, which is a fair point, but for those of us who have permanent AF this doesn’t apply, surely? In my case drinking beer does push my heart rate up but so do other things and the following day it comes down to low 60s when resting. I only drink alcohol one day a week, although what I did find when I drank more than that on holiday my right leg began to swell so I cut it out.

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I do not drink any alcohol because I am concerned it will upset the good work in setting my pulse in sinus rhythm that the cardioversion and the Amiaderone has done. With Amiaderone we have to have the liver and thyroid checked every 6 months.Obviously alcohol is not good for the liver. There are also comments in the press that alcohol may be responsible for various types of cancer.

I heard on the radio the other day that the flora in our gut / intestines, those little bacteria helping with the digestion of our food have milions of their own DNA. So it said by providing a very varied balanced diet sending in as many fruits and vegetables, berries and so on, this pleases the 'flora' and makes you much healthier as a result. This is probably better than alcohol and there are other ways to relax, such as a bit of exercise, as they recommend 30 minutes walking five times a week. Boring, but you get use to it and can make it more interesting out in beautiful countryside for example.

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Hi vonnieruth I still have a couple of gin and tonics on a weekend and I have been ok !!!

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I find if I drink white wine I'm ok, and most spirits in small moderation, but I cant drink Turkish raki, triggers it straight away, you have to find what suits you.

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Don't think I want to risk getting those real bad palpitations again It was a experience I have never had before and sure was not nice

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I drink on these tablets and had no ill effects i feel it’s a personal descion I’ve had horrendous AFs just walking from one room to another and only once after having a glass of red wine

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I REALLY believe alcohol brought on my 2nd need for ablation. That and 5,000 ft elevation, normally sea level.

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