Flecanide, Bisoprolol & Rivoroxaban Morning doses

[tom0985]

Bisoprolol & Riviroxaban I understand have to be take with food but from what I understand flecanide has to be taken 1 hour before food or on an empty stomach. How does other take their doses in the morning to make it work for them. At moment I take Bis and Riv with breakfast and then wait till 10:30-11 to take flecanide…. Would of ideally like to take all 3 at same time but not sure this is possible

[Paulbounce]

Tom - flec works best on an empty stomach - very important IMO. Could you take it as soon as you wake up and wait an hour before eating ?

Paul

[tom0985 in reply to Paulbounce]

Thanks Paul - thanks for that. I could take it when I wake up 7am ish I was just thinking where it says 12 hours later for second tablet I’m very unlikely to have an empty stomach at 7pm! Could I leave the 2nd dose till 9pm or is 12hiur gap also important?

[Paulbounce in reply to tom0985]

In an ideal world the 12 hours gap is important. I know what I did but I won't post it here.

Could you maybe eat later in the evening after your second dose or earlier in the day allowing time for your food to be digested ?

Paul

[SuziElley in reply to tom0985]

My second dose is more than twelve hours after my first one, but seems to work alright.

[tom0985 in reply to SuziElley]

Thanks Suzi that’s good to know. How have you found it? Has it kept AF at bay for a long amount of time for you?

[SuziElley in reply to tom0985]

Hi TomI have a slightly different arrhythmia from AF, atrial tachycardia with ventricular and supraventricular ectopics. Very similar symptoms though and was originally diagnosed with AF. It took two or three months to settle on it but now I seem pretty stable. Low HR and low BP but at least it’s mostly steady now. All the best with yours. Just take the morning dose when you wake up. I think that’s the most important one. On the rare occasion I’ve forgotten I have noticed a difference so worth sticking to.

[wilsond]

I.e morning doses 7 am brekkie about 8 ish same at night

[tom0985 in reply to wilsond]

Thank you - does tea/coffee have to wait to breakfast time or can that be had with flec. Sorry for silly question

[Shrek1974]

Hi Tom0985,I had this exact issue last year & kept forgetting the Rivaroxaban as a result - 12hour shiftwork causing vastly varied mealtimes contributed to the problems too. I had a chat with my Nurse Practitioner to explain my issues & she switched me to Apixaban which can be taken with or without food. I take all 3 meds together twice a day now & haven’t missed a med since.

Good luck & stay strong 💪

Steve

[tom0985 in reply to Shrek1974]

Thanks for the feedback Steve, want to keep with flecanide as it is working, just gotta get in to a routine. Hope your doing well with yours

[Shrek1974 in reply to tom0985]

Absolutely happy with the Flecainide, thanks. I meant the Rivaroxaban was switched to Apixaban, so I now take that with Bisoprolol & Flecainide twice a day. Only the Flecainide has restrictions so the other two can be taken alongside it. It’s been working out a treat & I no longer forget any. Best of luck

Steve

[tom0985 in reply to Shrek1974]

Oh thanks that makes sense. So bisoprolol can be taken without food also?

[Shrek1974 in reply to tom0985]

As far as I’m aware, yes. It’s been given to me in hospital without food & I’ve been taking it without food for over a year now (since taking Flec) without an issue. Been taking it for nearly 3years in total without considering food - I rarely eat breakfast and took Riv in the evening with food (& Bis), so 50:50 thereabouts also without a problem. 👍

[Elli86 in reply to tom0985]

Hello mate.

I’ve never taken bisoprolol with food. Started taking it in morning but found that was better energy-wise if I took it literally right before I go to sleep 👍

[tom0985 in reply to Elli86]

Hello mate,

Intresting point as I have been struggling with a lull during the afternoon and emotions messing about with me a bit so maybe evening might help negate some of that. Always thought it was a morning tablet

[Elli86 in reply to tom0985]

No I found much better at night mate 100%. Quite a few other people on here have found the same as well. Used to sap me of all energy if I took in the morning. Theoretically first 8/9 hours while tablet is at strongest you are asleep. Works for me atleast 👍

[tom0985 in reply to Elli86]

Thanks - I’ll see how I get on with this lower dose then look to make change of neccesary

[Elli86 in reply to tom0985]

Good luck 👍 hope your ticker is kept in check with lower dose 🤞

[Elli86 in reply to Elli86]

Also forgot to say when I was taking flec as pip I literally took it whenever an attack came on so chances are this would have been on empty stomach also. Can’t remember what time of day I was taking flec when I had to take daily or if on empty stomach 🤔 think my brain has blocked this time out as it was so bad for me 🤣

Good luck anyway mate 👍

[SuziElley]

Hi TomI take my flecainide as soon as I wake up in the morning. That way I know I’ve got at least an hour before food. I then take my other meds with breakfast. The evening dose of flecainide I take when I go to bed, so we’ll after my last meal of the day.

[Bagrat]

I have been on flecainide for 10 years. I have investigated the flec should be taken on an empty stomach with various pharmacists. In the early years 3 diff pharmacists (including hosp pharmacy) said it didn't matter. I take my flec at 6.30am 2 hours before breakfast and 6pm (seconds before by evening meal!)Last meds check at pharmacy I asked yet again re flec and he said " does it work?" I said yes and he said " that's fine then".

I feel the empty stomach direction may be more important if used as a pill in pocket.

[tom0985 in reply to Bagrat]

Thanks Bagrat - intresting how you say 2nd one seconds before dinner. I always thought that was considered with food but I guess if it works for you then great. Hope your af is doing well with flecanide

[Bagrat in reply to tom0985]

yes I would say that too. I went for the 12 hours in the end!!!

[mikelocke]

I’ve been on flecainide for about 15 years and to be honest I’ve never worried about the state of my stomach before taking it. I’m on 200mgs a day.

As I am cynical about how effective a time release pill is over 24 hours , I take two 100 mgm, one in the morning and one in the late afternoon.

Seems to work fine for me.

[tom0985]

Thanks Mike - nice to hear a view where flexibility works find. I hope Flecanide has been doing the trick for 15 years for you

[songbird74]

I take flec as pill in the pocket as soon as afib starts which is usually about an hour after eating and it works within twenty mins

[tom0985]

Thanks So gbird, hope that is working well for you. Do you have many episodes of AF and what to you have/use to keep it away when it’s not there?