What Medication is recommended post Cardio version to keep the heart in NSR.

[minchern]

Just had my CV last Thursday and all seemed to go ok, just wondered what medication I should be on to keep me in NSR. I'm still on Bisoprolol 5mg and Rivaroxaban. I used to take as PIP Flecainide but as I'm 59 and had one reaction to this drug my cardiologist says PIP is now not for me

[Hidden]

I think that’s really a question you need to ask your doctor. Very often a rhythm drug such as Flecainide is used as a daily maintenance dose after a cardioversion but this might not be suitable for you if you have experienced an adverse reaction to this drug. Others, such as Amiodarone can be prescribed but this drug can have severe side effects. I, and most others here are not medically trained so we are unable to suggest medication but generally drugs are not needed after a cardioversion if NSR returns with one attempt.

However, it’s also important to remember that a cardioversion is not a cure and rarely lasts for very long (although there are some exceptions). Provided it is successful, even for a short period, it does show the medics that you are more likely to respond well to further treatment such as an ablation so try not to worry too much if or when AF returns as all will not be lost……

[Mabal]

Good morning Minchern I’ve also had a successful Cardioversion about month ago now, and all is well.

I take 5mg Bisoprolol (previously on 10mg) and Apixaban.

I work full time, I have changed my diet totally and still take it easy (don’t rush around).

🤞we both stay in NSR. By the way I’m 54.

I have follow up appointment with cardiologist in Jan.

All the best

[minchern in reply to Mabal]

Hi Mabel, Tks for your comments sound like were going through our journey together. I'm going to have my first beer on Thursday after the CV but will only have the one

[Deadstick]

Hi ,I'm on Multaq (dronederone). Expensive but seems to work pretty well.

[Bolander]

I'm lucky to have a cardioversion that has kept me in NSR for several years. Initially I was on Amiodarone, but this had side effects, so this was changed to Sotalol after six months.

[minchern in reply to Bolander]

Hi Bolander, read a bit about Amiodarone and it does not read great. Will give you feedback after seeing cardiologist next few weeks. Hope like you I can go several years with just a CV that will do it for me Just hope to stay away from pneumonia which put me in AF in the first place. I think as a few of you have said lets wait for the medical specialists to advise but I do appreciate sharing what others are currently taking.

[Patient007]

You really need to talk to your Doctor for specialist advice.

[sewingscissors]

Hi Minchern,

I see you have had some sensible replies to your question. I am glad, but don’t think I can be much help, as I had an Ablation, not a cardio version. At first I had problems with Bisoprolol, as it made me so tired, but that settled down eventually and I now take it morning and lunchtime and that seems Ok. I hope you get sorted soon. All the best.

[minchern in reply to sewingscissors]

Hi Sewingscissors, Yep I to have the tiredness from Bisoprolol and take mine 5mg in the morning

[Tessybear]

Hi, After I had my first ever AF episode and cardioversion I was given Bisoprolol, warfarin, Candesartan and Flecainide. I was utterly wiped out whenever I took the flecainide, so was advised to stop taking it. Things settled down after a while.I now have it as an emergency PIP only. I have since had an ablation and hope I never have to use the PIP at all. In my experience over the years, if I have been worried about anything I get an appointment to see the cardiologist and get things sorted. Of course, that isn’t so easy nowadays due to Covid, but it is still important to try to do that , as worries can escalate. Good luck!