Thank you all!

[Spj57]

Firstly I would like to thank all of you who were so kind and answered my fears about my upcoming ablation. I'm so much happier about it now😊 Especially since I just came out of another tiring 28 hour episode! Sorry to ask yet another question but I was wondering if amiodarone was routinely prescribed during recovery or are you able to continue with previous meds ie bisoprolol (I know I will stay on edoxaban)? Many thanks, once again x

[BobD Volunteer]

All EPs are different. Some want you to stop antiarrhythmic drugs right away whilst others continue on them for three months or so to alllow the heart to recover peacefully. Amiodaraone being the last resort drug would be unusual from my experience.

[localad]

I was on bisoprolol then sotalol then amiodarone during 3 years of constant PAF, before ablation.

Anticoagulant was aspirin then edoxaban.

Immediately after my 3rd and finally successful ablation, the amiodarone was stopped.

After 2 years NSR my edoxaban was stopped (my choice, agreed by EP, )

4th year of NSR now. (2 blips of AF during 2 covid bouts 2 years apart, each time stopped by 1 dose of sotalol)

72 now, no meds.

[Ppiman]

I think each doctor has his own recipe for keeping the heart calm after an ablation (although there are NICE guidelines, no doubt).

I was told to stop all drugs after my ablation for atrial flutter but, bang, I then had an episode of awful AF within days! 5mg bisoprolol fixed it, though.

Steve

[Buzby62]

I doubt very much that you will be prescribed this post ablation as a new drug. As Bob says it’s a last resort drug when they can’t get the arrhythmia under control.

I was on Bisoprolol and Apixaban and stayed on them post ablation until my 3 month review. See my bio by clicking on my badge.

Best wishes

[Sixtychick]

I had my ablation in September last year and was kept on my Sotalol and Edoxaban until I had my follow - up appointment in February. Then I was told to come off the Sotalol, which I am now doing, but very very slowly, 20 mg at a time. I’m now down to 20mg in the morning and 40 mg at night, and I will keep reducing it like that until I am off it altogether, hopefully with no problems. Having been on it for quite a long time, I am a bit worried about stopping it, but so far, so good. I have to stay on Edoxaban for life though.

[WorkingLass]

Hi, I was diagnosed with paroxysmal AF in September 2022 when I finally managed to get to the hospital during an episode. I was started on bisoprolol but when I was getting more frequent episodes, it was changed to sotolol, however, I was still getting several episodes, some requiring hospital admissions following cardioversion in A&E, and the consultant decided to commence me on amiodorone until I had my ablation, which I finally got on 1st June last year. I was told that they don’t like to put younger people on it because of the side effects, at 55 (as I was then), I was considered young!! The consultant kept me on the amiodorone for two months following the ablation, stating that I was likely to still have some episodes during the first two weeks recovery, which I did. I’ve now completely stopped the amiodarone, although I am still on apixaban, and I’ve not had an episode in over a year. Currently awaiting my 3 month review, which should have been September last year, and I’ve finally got an appointment for this September after 2 previous cancellations in July and August!! 🙄