Update on meds.: Hi, Finally, off the... - Atrial Fibrillati...

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Update on meds.

Fight-the-good-fight profile image

Hi,

Finally, off the Bisoprolol (great to feel energetic again). Now taking Nebivolol (1,25 mg ) per day….This particular BB is stabilising my heart rate between low to mid 60’s

Amlodipine (5mg) for BP which is stabilising around 122/73

At the moment, all is well. Fingers crossed 🤞 it continues…

Stay well everyone…

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Fight-the-good-fight profile image
Fight-the-good-fight
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21 Replies
BenHall1 profile image
BenHall1

....that is great news. Well done. I'm feeling better on Nebivolol even if my BP is up a bit. Can live with that.

Terrific, we generally hear good things from folk who have changed to Nebivolol…

jayjay10000 profile image
jayjay10000

Hi there iam glad that you are starting to feel much better in your self, keep strong and positive. Take care

Blearyeyed profile image
Blearyeyed

Fab news, everything feels a lot easier to cope with when you feel you have got more energy back. Take care , Bee

DevonHubby1 profile image
DevonHubby1

Great News. Wife has been on Nebivolol for 4 months now and thinks its better than the Bisoprolol and Atenol they have tried her with in the past. Shes in persistent AF so its not a cure, but it does help her function better and appears to support her dieting.

Ppiman profile image
Ppiman

From the many clinical reports and studies that I have read recently, keeping the BP down to that kind of healthy figure, whilst eating sensibly, keeping active and ensuring the waist / height ratio is inside a healthy range is the very best guard against future health.

Steve

Fight-the-good-fight profile image
Fight-the-good-fight in reply toPpiman

Steve, there are exceptions to the rule.

Due to Crohn’s disease(in remission) I have always maintained a healthy weight.

I only eat fresh produce, never ultra processed.

It is my belief - my AF and hypertension is down to genetics and stress. Hence, the need for meds.

Ppiman profile image
Ppiman in reply toFight-the-good-fight

Aha - indeed, I suspect genetics play a large role in many things. I had just been reading of the role of hypertension as a kind of precursor to many of our ills.

Bad luck with the Crohn's, it can be a very difficult illness, so thankfully you are in remission from it. A teacher friend and an ex student both struggle with it.

Steve

Fight-the-good-fight profile image
Fight-the-good-fight in reply toPpiman

Sorry to hear about your friends who struggle with Crohn’s. 12 years ago surgery and reversal surgery10 months later saved my life. I have been in remission ever since. Happy to provide any advice to your friends.

Unfortunately, hypertension runs in my family. 😩

Ppiman profile image
Ppiman in reply toFight-the-good-fight

I don't really know either of them well enough in that way, but that is very kind of you. Both have some very strong treatments, I know that.

The decision as to what is "high" regarding blood pressure has changed over time, much like blood sugar and thyroid hormone levels. I often wonder how the values are arrived at.

Steve

Fight-the-good-fight profile image
Fight-the-good-fight in reply toPpiman

Agree on the BP, they used to stipulate that “ideal blood pressure” is considered to be between 90/60 and 120/80. High Blood pressure is considered to be 140/90 or higher.

Target for people over 80 is below 150/90.

My own opinion is, people are living longer and a lot are leading unhealthy lifestyles, which contribute to higher BP.

Have our medics realised that achieving 120/80 is unrealistic in todays world; that fluctuating high BP numbers don’t matter too much unless you experience - blurred vision, chest pain, breathlessness etc-which could be detrimental if it got to that point?

I will ask the question when I visit my Cardiologist.

I would much rather not be taking meds. However, they do say high blood pressure can be one of the triggers for AF?

Cheers 😀

pusillanimous profile image
pusillanimous in reply toPpiman

AF definitely is genetic in many cases. In my family I know that besides me, my 4 sisters have it and my father had it, I have a list of genes responsible for familial AF.

Ppiman profile image
Ppiman in reply topusillanimous

I suspect "AF" is likely much like the term "headache" in the sense that it labels an event, rather than the cause of the event. In my case, no one has ever wanted to find a cause, and I suspect that applies to most people, and perhaps because it is the result of some other long term issue, even, natural ageing?

Steve

Fight-the-good-fight profile image
Fight-the-good-fight in reply toPpiman

💯

I think most of us eventually learn what triggers our own AF.

Ppiman profile image
Ppiman in reply toFight-the-good-fight

Well, in the only major study on this, if I recall, the opposite proved to be so, with the vast majority not knowing what the trigger was. In my case, aside from my gastric issues with acidity and a hiatus hernia, I genuinely have no idea.

Steve

pusillanimous profile image
pusillanimous in reply toPpiman

I think too, certain activities such as extreme sports exacerbate it if you have the genetic predisposition for it. For example, my cardiologist told me that apart from older people, his second largest affected group are canoeists - canoeing is a very popular sport in South Africa and some very tough canoe marathons are held. My son is a canoeist and a fellow canoeist who is a cardiologist, immediately identified his symptoms without further tests as AF, This was 17 years ago, my son was 36, he had an ablation, carried on normally without medication ever since and has never had a further episode. Maybe when he is older the condition will revisit him since it's in the family - who knows !

Ppiman profile image
Ppiman in reply topusillanimous

Well - that was interesting! I wonder if anyone has worked out why canoeing is so "risky"? Fascinating!

Steve

Tigger_2 profile image
Tigger_2

I'm on an emergency dose of 10-mg daily of Bisoprolol to stabilise 100 per hour PVCs.

Thankfully, I've not had too many side effects.

The trouble is that I have long since forgotten what normal feels like to judge properly.

I do get really tired sometimes and nod off. Not nice waking up with a jolt before your head hits the desk.

Being on a pacemaker as well, the PVCs are upsetting that, so I'm hoping that the long term solution might be a better pacemaker rather than the medication or surgical intervention.

Finvola profile image
Finvola

Goog news - I'm an advocate of Nebivolol which, in my case too was an immense improvement from Bisoprolol.

Qualipop profile image
Qualipop

That is good to know. Bisopralol totally knocked me out and had to be s topped. It's good to know there may be an alternative

Dodie117 profile image
Dodie117

me too. Hated bisoprolol but nebivolol seems to work for me. 1.25 mg also.

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