Starting flecainide 50 mg bid

[yzmd]

I have been on flecainide 50 mg in am & 50 mg in pm for afib, and 12.5 metoprolol succinate. Since my resting heart rate is 55 & have no problems with ventricles is it usual for low dose metoprol to be taken with bradycardia.

[mjames1]

Beta blockers like Metoprolol are often taken with Flecainide for additional safety for their nodal blocking function. 12.5 is a low dose, probably because of your bradycardia, but if concerned about your heart rate, speak to your doctor.

Jim

[secondtry]

My HR is similar and my cardiologist prescribed Flecainide 200mgs/day with no accompanying drug. I was 60yo now 70yo no problems. He added this year that the older you get the less chance of a rapidHR breakthrough. BUT this is a less common approach so please do check with your own trusted medic.

[JOY2THEWORLD49]

Hi

Be careful of any Metroprolol. Why because at 187avge H/R Day after stroke uncontrolled Rapid and Persistent AF.

Also at night I had pauses x 2 seconds. Monitored on the 24-monitor.

It made me breathless and fatigued. Any exertion left me sweating and I had to stop walking.

I made sure this time it was banned to give it to me.

My experience of the stuff.

Bisoprolol another BB Beta Blocker which stops Adrenaline entering the heart muscles, does not interfere with airways and is more preferred for AFers I was told by Heart Specialist.

Take care.

cheers Joy 74. (NZ)

[Squeak3]

I take the same flec as you and normal resting HR is low 60s. Both low dose Metop and Bisop put my HR into the 40s so I only take betas as a PIP when I know that I am going to encounter a stressfull situation. I have much more exercise stamina without them. Was not recommended by my EP by the way. He wants daily maintenance. My choice.

[Pollywaffle10]

I have been on metoprolol 25mg am/pm with one Flecainide in the evening for BP and paroxsysmal afib, Following ablation in 2013. Medication has been unchanged and I have not had an episode of AFib for three years. Don’t have any problems with breathlessness am 83 and no problems walking quickly on a daily basis. Everyone reacts differently to drugs so be guided by your Dr, if you don’t feel supported get a second opinion.