Flecainide: Hi folks, I've been on Flecainide... - AF Association

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Flecainide

TennysonBear
TennysonBear
54 Replies

Hi folks, I've been on Flecainide for a few years now with only one complaint! It starts to dissolve immediately and tastes horrid. Occasionally, because it reacts this way, it stays in your throat and it burns really badly and stays like this for ages. Happened to me this morning - is it only me?

54 Replies
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Tako2009

Nope - happens to me too!!

Feels like it sticks in your throat forever sometimes.

Sorry I don’t have any advice as I haven’t yet found a way of avoiding this although I do think it helps to have had a drink first to lubricate the throat.

Keep well, Liz

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TennysonBear

Thanks Liz. That's a sensible idea! I take one of these first thing with water but never have a drink first so I'll do that in future. It's still burning my throat now. Good luck! Debbie.

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Hoski

Yes, I have the same issue. I even changed pharmacy’s hoping a different brand would be better, it wasn’t. I take a drink of water before I try to swallow flec then follow flec with a lot more water. It’s nasty.

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TennysonBear
TennysonBear
in reply to Hoski

Thanks Hoski, glad it's not just me but sorry it's you!

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Finvola

Me too and I also drink water before taking the meds. I find brands differ too - one tab is so rough that it always sticks. I now get Activas (spelling?) and it is easier to take.

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TennysonBear

Every brand seems the same to me but I'll definitely have a drink first now. Thanks Finvola!

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jeanjeannie50

My sister told me that she puts the tablet in her mouth along with some water, then swishes it around before swallowing. Helps it slide down better.

Finvola I always use the Actavis brand for any tablets I take, the fillers in their pills don't affect me like other makes do.

Jean

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TennysonBear

Thanks Jean, good advice!

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Finvola

I suspected one brand I once had seemed to be less effective so it could have been the fillers.

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TennysonBear

I'm never sure if any brand is different from another - I just take what they give me. But it'll be after a drink in future!

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dedeottie

Happens to me too and is tastes foul. X

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TennysonBear

You'd think they could do something to make it less revolting! x

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Thomas45

I assumed it was meant to be a revolting taste as a warning to those who shouldn't take it. I took it for about twelve years. Never had any problems or burning but occasionally took it dry when I had no access to liquid. In those cases my tongue went numb.

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TennysonBear

Thanks for your reply. I guess everyone responds differently - I couldn't take it without a drink!

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Tudee

Oh dear, it sound most unpleasant, I take the Actavis brand of Flec with no trouble at all, I think I could swallow a brick and not notice too much, oh but the magnesiun Taurate,......not so easy.

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TennysonBear
TennysonBear
in reply to Tudee

I've just looked in the cupboard - the brand I'm taking just now is Milpharm but I've got a box of Actavis - I must take more notice which brand I'm taking. I've never taken magnesium taurate, is that bad too?

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Tudee
Tudee
in reply to TennysonBear

If they were all labeled ‘jelly Babies’ I would have no trouble at all would you? Best of luck T bear.

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TennysonBear
TennysonBear
in reply to Tudee

I love jelly babies! x

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Angie06

I once took a flecainide by mistake when I should have had a baby aspirin (both look the same) which i dissolved in water and tried to drink. I only knew because if the foul taste! I always follow mine with a cup of tea/ coffee and don't usually notice the taste unless it sticks.

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TennysonBear

That must have been a shock! I put out my husband's pills at the same time and one of those is a baby aspirin - I wouldn't fancy swallowing one of those whole either!

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Bagrat

I am terrible at swallowing pills but luckily have had no trouble with flecainide. I know some people are very good at taking it on an empty stomach and someone on here has nausea when taking it with food. I take one before breakfast but to get the 12 hour ( ish) gap, take my second with evening meal. The reason for this ramble is, I've had patients who coat some tablets with butter or icecream as the only way to swallow and I can't imagine such a small amount needed would affect efficacy.

I've asked three pharmacists over the years about the empty stomach advice and all looked it up and said it doesn't matter and the third one said "does it work " when I said yes, he said well just carry on then.

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TennysonBear
TennysonBear
in reply to Bagrat

Yes, I was given instructions to take it on an empty stomach due to nausea etc but now I take it when I wake in the morning and again around teatime. It doesn't seem to make any difference to me whether I've eaten or not. Thanks!

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wilsond
wilsond
in reply to Bagrat

'Does it work?' Sums up a lot!!!haha

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MarinaT

I tend to lubricate my throat with a gulp of milk first. If I don't I find the taste awful.

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TennysonBear

This morning I had water before it and was fine. Thanks Marina!

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sleeksheep
sleeksheep
in reply to MarinaT

You shouldnt use milk with flecainide as it reduces its absorption.

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MarinaT
MarinaT
in reply to sleeksheep

Thank you, I wasn't aware of that.

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Hidden
Hidden

A wise nursing colleague of mine advised me years ago never to put pills on your tongue as they often taste horrible & make you gag, but at the front of the pocket under your tongue keeping your tongue back, then filter the water through your teeth ( so you don’t lose the pills back in the glass haha!). Knock your head back & voila! Pills down with no taste or gag. May take a few tries to get technique right. I take Flecainide & wouldn’t know what it tastes like! Happy pill popping x

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TennysonBear
TennysonBear
in reply to Hidden

Ha ha! However would someone discover that trick! Not sure whether I could manage that but thanks all the same Archie! x

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browng

I also used to suffer from pills lodge in the throat so I take a different approach in that I spilt the tablet between my front teeth just as I take a large drink of water and as previously said move my head back as I gulp. It appears that the smaller pieces of pill are more easily washed down that way and by moving the head back opens up a large passage for everything to travel through.

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TennysonBear
TennysonBear
in reply to browng

I certainly need to teach myself how to do this. My next dose is at teatime - I'll give it a go. Thanks!

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wilsond

Someone told me to give my dad his horrible tasting tablets in a spoon of yoghurt...worked well

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TennysonBear

Another good idea - I'm certainly getting lots of tips here.

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dmack4646

Have no problem with any brand - and if I get an attack I crunch three in my mouth - don’t care about taste want rid of AFIB asap

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TennysonBear

Well if I was in that position I might do it but I just take 50mg twice a day every day. I can taste them now just thinking about what you do!

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ILowe

I suffer from an inability to swallow pills easily. They often get stuck at the back of my throat. I have been known to take them at the beginning of a big meal, and cough them out at the end.

For this reason, I am especially concerned about any drug inside a capsule. The contents are likely to be corrosive until they arrive at the stomach. I have refused the capsule, slow release form of flecainide.

However, I do not mind the taste at all, and will happily crunch it and swallow with some bread and milk. This is far less damaging to the throat etc than a lump which gets stuck and slowly corrodes.

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TennysonBear
TennysonBear
in reply to ILowe

Thanks for your reply. Fortunately I can swallow anything else as I take some pretty big capsules for nerve pain but it's these horrid little ones that just get stuck.

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oyster

The second method described in this study works well for me (the lean forward method)

health.harvard.edu/blog/two...

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TennysonBear
TennysonBear
in reply to oyster

I've just had a look. I didn't realise so many people had problems taking pills. The lean forward method seems a bit odd in that the pill and water would have to go uphill so to speak but I'll try with just some water first. I always drink from a bottle when I take them so I'll try the first method too. Thanks for that oyster.

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icklebud99

No its not only you. I have always had problems swallowing pills so I trained myself to pop some food in my mouth, say a bit of a biscuit or anything really, chew it as normal and sip some water if its dry, and just as I am about to swallow, throw in the pills and the whole lot go down as if it was just the biscuit. I've tricked the brain into thinking its a normal swallow. Hope this makes sense but I can now swallow up to 6 pills at once. Good luck. Give it a try with a small pill to start.

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TennysonBear

Thanks for that. I have to take a lot of pills each day so I have plenty to practise with!

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JudyMarieC

I was so glad to see your post and the many replies. I've been on Flecainide for about 18 months and have had the same problem several times with it dissolving too soon. The burning in my throat that it causes lasts for hours. I've recently made sure to take a drink of water before I take the pill as others have suggested. So far, it's been working. Good luck, Judy

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TennysonBear

Thanks Judy! I had some water before I took the Flecainide this morning and it was fine. Like you say, the burning lasts for hours. I was sucking Strepsils yesterday but nothing helped!

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AnneWorner

Not only throat burning, but irritates the stomach lining too.

I have finally solved this problem for myself at least. I put the tablet(s) in a gelatin capsule. I swallow that with an 8 oz glass of water; wait 20 minutes then eat. Now there is no more throat irritation, tummy irritation nor nausea (which I attribute to the stomach lining being irritated.)

Hope this might help you.

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TennysonBear

Now that's a good system - I don't have any problem with capsules so I could do that. Thanks Anne.

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123Abc123

I started taking flecainide yesterday and agree that taking it with water leaves a pretty disgusting taste. I usually swallow my pills with a mouthful of food, that works.

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TennysonBear

As a new user of Flecainide I hope it works for you as it does for me. I've just got in the habit of taking my morning dose first thing, before my breakfast but, as I take other pills with my breakfast, maybe I will take the Flecainide then as well. Thanks for your advice.

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Auriculaire

If the pill is small you could try putting it into an empty capsule shell. You can buy these in various sizes on ebay and probably on Amazon. I find capsules easier to swallow than pills . Edit - Sorry I did not see the reply above with same advice!

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TennysonBear

I didn't know you could buy these empty shells - what a brilliant idea. I'll have a look. Thanks.

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vonski

Have you tried maybe taking it in a spoon of fruit puree?

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TennysonBear
TennysonBear
in reply to vonski

Thanks for your reply. I think I'm going to try taking it with my breakfast tomorrow.

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drumlady

I have persistent AFIB, cardioversion did not work (only for a few minutes), now scheduled for Ablation late December, on Eliquis, beta blockers....My EP has not suggested Flecainide....why do you take that....when Cardioversion or Ablation is not done or because neither worked. I'm 77 yrs. old, diagnosed year ago.

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TennysonBear

Thanks for your reply. I have had paroxysmal af for a few years and have been on Flecainide and Nebivolol for most of that time. One is for the rhythm, one is for the rate. I had an ablation in September this year, nearly ten weeks ago. I don't have any symptoms now but I have an implanted loop recorder and I have been informed that I have had several episodes of af since the ablation so I have to stay on my meds, including Rivaroxaban.

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