You appear to have had similar issue 6 years ago, where your episodes became more frequent . Presumably things settled down back then, noting you are still using flecainide as PIP, still paroxysmal etc.
What do you mean by more frequently? What was "normal" for you and how has it changed?
Is your PIP still working okay i.e. ends episodes?
Have you been unwell lately? Other illnesses, including Covid can trigger episodes or a series of episodes. Covid seemingly triggered an increase in my episodes over the ensuing months before it settled back down. My cardiologist said it was quite common and other members have noted other illnesses can have same effect.
Unless you can identify any temporary circumstances that indicates the increase in events might also be temporary then you should see an EP to discuss.
I see my cardiologist annually or more frequently, if there's a reason to. It pays to be proactive with AF as avoiding episodes and/or reducing their impacts is better for your heart's long term health.
If you are still able to ... see EP ... pick up your story from where you left off. Why not phone his Secretary and seek guidance. If that fails see GP. It maybe that your original prescription is no longer appropriate.
Hopefully it’s just a temporary change, but in any case a good opportunity to link in with an EP for a check up and to have your questions answered. Good luck
Personally I'd be seeking a consult with a good EP to set my mind at rest. Something has changed in your system. See if you can find out what it might be. Have a think about what's changed recently in your life, lifestyle or in other health conditions. Be a detective. That will help in your consult too.
I’m pretty similar. AF seems always to increase. I would say what to do depends upon the effect AF has on your well being. I paid £200 a fortnight ago to see a specialist as the NHS is over full here. It was very worthwhile and I feel much more reassured.
If you haven’t had an echo ultrasound heart scan for a long time, I would say that would be worth asking your GP about. I think family doctors in the UK are a very valuable resource as they see many sufferers from AF.
When this happened to me I was told to take Flecainide regularly, at first 50mg twice daily and after I still had occasional episodes it was increased to 100mg twice daily. It works as I haven’t had an episode now for well over a year and sometime before that episode which must have occurred at the time it seems I was infected with covid with no other symptoms but a positive test! It does seem to increase the fatigue I have and messes up my digestion but still alive and brain still functioning and I’m fortunate to have my husband to look after me and do the things I am no longer able to manage. Do hope you get a regime that works for you as we know we are all different.
Hi super sue, do you take anything else other than pp. I have verapamil as pp but also have a regular med for af. So i take 120mg diltiazem slow release plus 40mg verapamil when required.Apparently i may have to increase the diltiazem as my use of the pp has increased a lot lately. Yes go and get it sorted if you are becoming uncomfortable and concerned. All the best. Colin
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