Can I take these at the same time??

[Doggiemomma]

I always take my extended-release metoprolol with a bit of food. Two hours later (stomach supposedly empty), I take my Flecainide and lisinopril.

I wait another two hours without eating, and then have brunch.

Is it ok to take these 5, listed below, all together ***at the same time*** with brunch?

*1. magnesium glycinate

*2. Vit. D3

*3. Vit MK-7 (aka Vit. K2, aka minaquinone-7)

*4. Elderberry & Zinc gummies vitamin

* 5. Lemon bioflavonoid (seems to keep my tinnitus at bay)

At dinner, I take psyllium fiber capsules (keeps me "regular").

9:00 pm is when I take 2 more magnesium glycinate capsules.

At 11:00 pm, I take Flecainide and simvastatin.

Asking medical professionals has been of little help, and confusing, so yes, I'm now asking a-fib people what you think and if you've taken these.

Thanks for any help, input, direction, comments (nice ones of course!) etc

Doggie Momma

[jwsonoma]

Hi Doggiemomma,

I take my Flec and vitamins before breakfast in the AM. I take 1.5mg Bisoprolol and Magnesium along with Flec after dinner in the PM.

Maybe just google each thing you are taking along with "food" . I just did it and saw that Bisoprolol has several interactions including magnesium so I have to rethink when I take the mag.

Cheers

John

[Doggiemomma in reply to jwsonoma]

Thanks, John! I was told by a pharmacist to not take a beta blocker (metoprolol) with Flecainde, but my EP said it didn't matter. It's difficult to know who's got the accurate knowledge! Thank you for your Google suggestion. 👍

[Caradomben in reply to Doggiemomma]

I take flecainide and bisoprolol along with losartan amlodipine apixaban and allopurinol together in morning after breakfast with no problems . I also take lanzoprozol 30 mins before breakfast .

My cardiologist says it is gold standard to take bisoprolol (beta blocker ) and flecainide (anti arrhythmic) together . Have been given this medication regime whilst being a hospital in patient a few times .

[Doggiemomma in reply to Caradomben]

Thanks for ringing in here!

[irene75359]

I take some of the supplements you take and a few more! I have my alarm set for Apixaban for morning and evening, flecainide and bisoprolol I take as and when needed as a PiP and my supplements I take with my 'brunch', I don't eat first thing in the morning. That said, I don't notice being affected if the time I take my supplements varies.

[Doggiemomma in reply to irene75359]

Thanks for your input Irene! I want to just stack the deck as much as possible with the best time to take whatever meds and supplements.

[Hidden]

I think that the dosage that you are taking -particularly of the vitamin D and magnesium- matters a lot, as well as any potential interactions. My GP told me that too much vitamin D over a long period of time can cause calcium to build up, which can weaken the bones and damage the kidneys and heart. Her advice was that 10 mg per day is adequate, unless you have a known deficiency.. Similarly, I was advised by cardiac nurses to check with my GP before taking a magnesium taurate supplement. There is some discussion of magnesium supplements here: webmd.com/diet/supplement-g...

You could ask for some kidney and liver function tests in , say, 3 months just to check everything is ok.

[Doggiemomma in reply to Hidden]

Thank you...good input and I appreciate the link!

[waveylines in reply to Doggiemomma]

Theres a good amount of magnesium in a few nuts per days.......especially walnuts, cashews and almonds so sprinkle a few on your breakfast -you dont need loads. Doctors are pretty ignorant of vitamins and minerals as they are not trained in them. Vitamin D with MK k7 stops the calcium going anywhere else accept the bones so a good idea and you are already taking- Unless you eat a lot of dark greeens. Vitamin D accumulates in the body so its a good idea to be tested annually or three months after taking vit D supplement to boost levels. Most people only need them through the winter to top up unless you are like me and cant tolerate any direct sun....lol. You dont say how much vit D -usually written in iu's -that you are taking and what your level is. Most people in the northern hemisphere are deficient in vit D due to our sunshine levels. In general its a good idea to keep magnesium and calcium supplements away from other tablets -4 hrs. Also stick to high grade supplements.......vitamin minerals are graded, the lower the grading the less you absorb hence the wide range of price.

[Hidden in reply to Hidden]

Well when you walk outside for 20 minutes in the summer sun you get 10,000(mg MCG in? Can't over remember the the different types of mesdurments gaah sorry my brain forgets the minute but important details) Yes it can cause calcium to leech out of bones into blood and tissue so you need to also take vitamin k. Which we don't get as much of any more either. And you also need magnesium. Because the body if it doesn't have enough magnesium can also leech calcium out of bones to use for regulating your pH. So I stopped taking vitamin d until I have just git my vitamin k to go with it. At the time of my episodes I was taking a lot of vitamin d 3000 iu spray and assume I had a magnesium deficiency so I do wonder if it contributed to the situation. I didn't realise how important vitamin k2 is ...not k1 by the way I think k1 is a blood clotting vitamin so you probably need to be careful with that one.

[Doggiemomma in reply to Hidden]

Yes the sun on skin is the best way to get Vit. D. This morning, I read here (precisionnutrition.com/stop... that calcium is better absorbed in the presence of Vit D and that Vit K helps direct calcium to where it's supposed to go, and Magnesium may help convert Vit D to more metabolically active forms.🙂

[Hidden in reply to Doggiemomma]

Oh awesome. I only copped the vitamin k thing recently even though I'd read it before it didn't quite click but I didnt know that about magnesium and vit d. Speakking of which time for my magnesium...although I've just had my black pudding so maybe best leave it till later. Its a juggling act all right but I'm getting in the swing of things finally and being consistent for once in my life. The idea of the heart this returning is keeping me on track!

[waveylines in reply to Hidden]

You can also buy or make a magnesium spray that you spray on inner thighs or inner arms or tummy before bed.....shower off in the morning. You wont need to worry about separating it then.Nor eill you have the tummy issue that magnesium supplements are well known for.

[waveylines in reply to Hidden]

Lack of vit D is what causes your body to leech out calcium from your bones as too low a level of vit D means you cant absorb calcium from your diet. A good level of vit D will stop this happening. So it does need a blood test to check levels. We can only get vit D from direct sunshine onto exposed skin in the uk in the summer months.......if you can tolerate it and dont burn. There is a small amount fo vit D in food such as eggs but not sufficient to maintain levels.

[Doggiemomma in reply to waveylines]

Thanks, waveylines & gonnamakeit!

[ChadL]

Hi, I take my Flec and Metoprolol together 2 times a day always with a bit of food. I was told to take my vitamins 2-hours before or after the dose.

[Doggiemomma in reply to ChadL]

Thanks for sharing this info, Chad! I used to take them together, but as always, everyone is different as far as what works for us.

[Hidden]

Yes they all can go together... Zinc vitamin c magnesium vitamin k vit c can all go together. I take the same combo but I take magnesium throughout the day because I find if I take the full RDA 400mg at once it makes my tummy a bit twitchy. Can feel it going along. So I take that split up. And I take vital c with it...I'm sure the elderberry thing has vit c ...I would say that magnesium and zinc and vital c need a nice drink of water and vitimn d and k need a bit of fat. So that's annoying. But UT's very hard taking multiple things exactly perfectly matched with their partner and with food and water or fat...so its never perfect. But you've matched those up well I think it took me ages to work out what interacted with what. And I came to the same conclusion ..ideally I'd like to do the d and k with fat apart from the minerals but later I need to have some iron rich food and I only take vitamin c with that because minerals can prevent it absorbing ...probably I could take the d and k later as well ..but vital d later in the day makes me energized late in the evening. So I could take mine in the morning but I don't eat much in the morning and it seems better with food. Its a nightmare lol!! I also had bad tinnitus and started taking b12 sprayed under the tongue ... It helped a good deal but I still think I have some sort of infection because they're also itchy. But its a common side effect of not having enough b 12...I also got weird tickly itches all over at night only. Everything happens me at night. Lol!

[Doggiemomma in reply to Hidden]

Thanks for adding to this, gonnamakeit. For me, it would not be good to be energized in the evening! If you want, google John of Ohio, who has a regimen/protocol he uses to help control his Meniere's (tinnitus is a component). The info might be helpful.

[Hidden in reply to Doggiemomma]

Thanks i will. Mines mistly gone but honestly i think its a fungal thing the doctor here doesnt believe in the existence of an inner ear let alone acceot fungla infections of the ear canal...it seems common in the usa...but i just keep it at bay with antifungal oils and hope to find a better bloody doctor soon thanks though worth looking it up it used to drive me insane. Its only every so often now and not painful but its not nice. I have it right now just hissing away. It wont drive me crazy fir a few weeks and then ill be so cranky. Lol

[Paulbounce]

Hi Doggie.

I can't add much to the thread except to say this. I always take my flec on an empty stomach. For me this is best. IMHO two hours after eating is not long enough - I aim for 4 hours which seems to do the trick.

First thing when I get up in the morning and (at least 30 minutes - an hour is better) before my meal works well for me.

Have a great weekend.

Paul

[Doggiemomma in reply to Paulbounce]

Thanks, Paulbounce! I appreciate your input!

[Doggiemomma]

Thank you everyone for ringing in here! I usually take my magnesium glycinate twice a day to spread it out and hopefully help by having it more bioavailable. As for Vit D3, it has safflower oil in the capsules, and Vit MK-7 has olive oil in the capsules, so hopefully it's "enough" to count for taking it with a fat.

Flecainide starts dissolving as soon as I put it in my mouth, so I figured it dissolves quickly once I swallow it & that's why I thought a 2-hour window of no food before or after would be ok. I used to take it with food per my EP and a pharmacy consultation, but after reading more about Flecainide, it works better for me this way.

Thanks again!!!