Forgot to take my Flecainide - no adverse reaction

[secondtry]

I usually take 200mgs/day Flecainide, the only drug I take. Yesterday for the 3rd time in 7 years I forgot to take one of x2 100gms.

On the first occasion I was very worried and even cancelled an overseas business trip due to start the same day. The second time also very concerned, yesterday just uneasy! In case it helps anybody (and we all can react differently of course), I forgot my 6am dose, so missed it out altogether and took my next usual dose early at 2pm (gap 22hrs), then went back to 6am and 4pm the next day. So I guess the half-life of the pills helped me out a bit. No adverse reaction is a big relief but does get you wondering do you need it at all; however until at least Covid is under control and the NHS has dealt with the backlog, I don't think it would be a good idea to try reducing the dose.

[wilsond]

I did the same last year,and it made me wonder too about the need for daily dose as opposed to pill in pocket again. My gp agreed to lower the dose and see.

I had one lengthy run of AF and flutter during that long ,very hot ,weather we had and it was upped again alongside higher Bisoprolol dose .( I remained on higher flec until recently but soon dropped biso back down as heart rate was in lower 40s one day my BP was 60/40 and I thought ...enough!!)

After Christmas I have been gradually reducing flec again with gps advice and support.

Our reasoning is this ;

If I take Max 300 a day as I was ,there is no where to go if I need to increase. On 200 I can add a pill in pocket in response to the much rarer episodes that I get now,with even rarer ( fast) AF .

Also if I don't need as much to stay stable,why take it?

He said a missed dose or even two is not likely to cause major response as it's a cumulative drug,like most BP drugs.

This if course is my own experience and I'm not advocating anyone to follow suit indepently.

Kind regards

[KMRobbo]

Pre ablation, one of the few time I forgot to take my evening flec I woke up straight into fast rate high fib and ended up in hospital overnight as the extra flec I took did not cardiovert me. Not medically trained but if you are paroxysmal then I expect that missing a pill may not matter as you were not destined to have an attack at that time anyway. So I would not assume that you are no longer at risk of AFib attacks at all from missing 3 tablets at 3 different times.

My issue , which may be different to yours, and the reason I was not on flecainide PIP, was that once I was in high rate AFIB it was very difficult to get me out of it. That got worse as my afib progressed. AFIB begets AFIB.

[robster68]

I have, for reasons I won't bore you with, missed Flecanaide doses on occassions. Never had an adverse reaction either. I'm on 100mg x2 daily also. As you say, can affect individuals differently and to reduce full time is definitely advisable to seek advice of gp/Arrhythmia Nurse/Cardiologist.

Good luck