Bisoporol

[Myflowers2]

Does bisoporol stop flutters and ectopic beats ?

[maurice2]

I've taken it when i've had a lot of fluttering going on and it has seemed to help getting the heart rate a bit more steady (also lowers pulse rate) but i don't like the side effects (general apathy with me) so I only tend to take it at night.

That said, I mostly ignore the fluttering these days as I'm exercising well and mostly in sinus rythm when I'm active. But it's there if it does get on my nerves or stops me dropping off to sleep.

[secondtry in reply to maurice2]

Thanks good to know, enjoy your Sunday.

[JOY2THEWORLD49]

Hi

Bisoprolol controls my BP and not that great on Heart Rate.

It was a CCB Diltiazem which acts as a control for H.Rate and therefore brought heart rate down to 60s Day at rest and leaves my heart rate at 47avg at Night my normal. Diltiazem 120mg CD seems to have a 1/2 life .

This would bring down my etopics which I don't feel.

cherio JOY. 75. (NZ)

[Ppiman]

It doesn't for me. I have tried 2.5mg and now 1.25mg daily. Perhaps a higher dose might help, but my heart rate is sometimes already too low to allow that (well below 50bpm). From tomorrow, I am going to try another drug called flecainide to see if that will help. My own palpitations can be truly hard going and really are more symptomatic than the AF I also get, now quite regularly. How do you feel with yours?

Steve

[Vonnegut in reply to Ppiman]

Do hope the Flecainide works as well for you as it has done for me since I’ve been on 100mg twice daily. It might have side effects but it keeps my heart in order and may well do the same for yours.

[Ppiman in reply to Vonnegut]

Thanks again for your two kind posts! I corrected a typo in the above post too!

Steve

[Vonnegut in reply to Ppiman]

And I just changed “in” to “on” which is what I thought I had written.

[Ppiman in reply to Vonnegut]

I was an English teacher and educational writer, too, before retiring so I have no excuse except inattentiveness!

Steve

[Vonnegut in reply to Ppiman]

We are all human!

[Ppiman in reply to Vonnegut]

Well - maybe all teachers will soon be robots as "AI" takes over! Argh - grave new world!!

Steve

[Vonnegut in reply to Ppiman]

Truly terrible and perhaps babies will be grown in bottles etc!

[Vonnegut]

No! It reduces the rate at which the heart beats and even the lowest dose reduced my heart rate too much!!

[Ppiman in reply to Vonnegut]

Similar here as I’ve developed some bradycardia (you did mean bisoprolol?).

Steve

[Vonnegut in reply to Ppiman]

That’s it! The lowest dose of 1.25mg brought my heart rate down to the low 40s and until I pointed out to the doc that I was very sensitive to drugs she had wanted me to take the 2.5 mg daily, that the hospital had just given me to take when I had an episode!! She didn’t even arrange a follow-up appointment but the pharmacist took my number and told me to be in touch if I had problems before he rang me so I popped in after three days, he took my pulse and told me to stop taking it straight away and a different doc at the surgery agreed but they didn’t suggest anything else! That’s how I came to consult an EP privately and discovered about having a Kardia and a smart phone so I could use it and then Flecainide which he prescribed after I’d sent a reading of my heart in AF and how my life has changed since- including “meeting” all you lovely people on here!

[Ppiman in reply to Vonnegut]

I think GPs have in mind that bisoprolol is a safe drug generally and offers health benefits to the heart in many people. Flecainide is - in comparison - a risky drug (as are all anti-arrhythmics).

I coped pulse-wise in 2019 when I had atrial flutter with even 10mg, but bradycardia is much more frequent now so even 2.5mg was hard going. I used tocfind bisoprolol gave me a weird chest ache, though.

Steve

[Vonnegut in reply to Ppiman]

Tennis too exciting to reply now!

[Tapanac]

bisoprolol is a rate control, others like flecainide is a rhythm control

Unfortunately I don’t believe bisoprolol the rate control would stop flutters snd ectopics it’s the rhythm control drugs which would do that

[Ppiman in reply to Tapanac]

It certainly does nothing for mine. I start flecainide tomorrow and hope for some useful effects as today, and especially since about 4.00pm, I would say ectopics / AF has been persistent (but at normal rates, thankfully).

Steve

[Tapanac in reply to Ppiman]

I have to say flecainide was my miracle drug for about 8 years, but after the covid jab and then covid which messed up my afib/tachycardia I was 5+ weeks of misery with heart jumping all over the place. It was so much better for the last couple of months, but then I had a telephone call from my EP and he said according to the monitor on my pacemaker I was now in permanent afib and therefore to stop the flecainide. I was reluctant to stop suddenly having been taking it for so long that I weaned off them snd the last couple of days none at all. Fingers crossed 🤞 so far ok but I never trust afib or tachycardia. Although with the pacemaker which I had inserted last September at least I don’t keep feeling faint snd ill with my heart rate going too low if it wasn't in tachycardia!

So I do hope the flecainide works well for you. Suspect you will start and hopefully stay on 50mgs morning and night

All the best

Pat

[Ppiman in reply to Tapanac]

Hi Pat - that's right, 50mg bd. The EP cardiologist gave me the option of an ablation (a year's wait likely but I am down for that), flecainide, or a PM to allow higher doses of bisoprolol than I can currently cope with. The offer of a PM was a shock as this was out of the blue. I can't quite work out this option as would higher doses of bisoprolol help? I should have asked but the call was mostly to report on the results my recent cardiac MRI and it was such a relief that it was normal that all questions left my head (often happens, try as I might).

I seem to have lots of ectopic beats, often persistent, coming from the atrium, maybe left and right (flutter might be back, ablated in 2019) along with AF now and then, often for bursts as well as for hours, but these days at a lower rate which I cope with well.

Steve

[Tapanac in reply to Ppiman]

I had the pacemaker because I kept going faint when my heart rate wasn’t in tachycardia or Afib. It made such a difference to me, but my bisoprolol wasn’t raised. I was still kept on 1.25 in the morning. My EP did suggest taking it to 2.5 but after my first check up it was left at 1.25

I was given the option of the pacemaker or a left sided radio frequency ablation if I was prepared for the 14 pages of risks!!! In the end my EP decided for me. Pacemaker. However when I went into permanent Afib, he did say the offer of the ablation was still on the cards, but I’m 80 and wasn’t sure if I should. That's when he stopped the flecainide as it wasn’t helping any more

So that’s my story so far, I just hope your story goes well

[Ppiman in reply to Tapanac]

Let's hope. I take heart (!) from an elderly friend, now 90, who copes well with permanent AF (at a normal heart rate); also, my son's colleague, after five ablations now is back with both flutter and AF but coping well.

Steve

[mikelocke]

It's interesting how everyone has a different story about the same medication. I'm beginning to think that you have to find what suits you and go with the qualified recommendations.

Weigh up what you read here very cautiously.

For example....I've been on the so called "risky" flecainide every day for over twenty years and I'm still here at 81 and going strong...OK strongish.

I started on Bisolprolol after running back into ectopics two years ago. Have been in NSR eversince, it stopped the ectopics immediately and no side effects. I'm a fan of it.