flecainide & Bisoprolol

[Health2512]

Hello all

I was on 3 x 50mg flecainide

2 x 5mg Apixaban

1 x 20 Atorvastatin

I used to be on Bisoprolol as pill in pocket but I was taken off it as heart rate went to low

New Cardiologist has changed meds to

2 flecainide daily and 1 Bisoprolol 2.5

Heart rate this morning 49 ?

is this H/Rate to low?

[Trainspotter56]

I think it is common to be low if you are on bisoprolol. I'm on 1.25mg and my resting heart rate is about 45bpm. I can get a bit light headed if I stand up quickly but otherwise I feel ok

[Health2512 in reply to Trainspotter56]

Thank you so much for your thoughts.

I have decided to take 1.25 of bisoprolol half the amount prescribed.

Until I get in touch with the cardiologist.

[bean_counter27]

A heart rate of 49 isn't a problem.... unless it's a problem for you i.e. if it causes breathlessness, dizziness or lightheadedness, chest pain, confusion or memory problems, fatigue, fainting (syncope) or near-fainting, tiring easily etc.

My heart drops into 40s every night but it doesn't cause any problems for me. However, if your lower heart rate causes you problems or concerns you then you should discuss with your medical professional. If they are causing significant problems then you should do so asap.

[Health2512 in reply to bean_counter27]

Thank you for your thoughts

I am feeling not so dizzy, now I have reduced the amount of bisoprolol

[wilsond]

Mine hovers between 50 and 55

[Health2512 in reply to wilsond]

Thank you I will keep a check

On my heart rate

[secondtry]

Maybe try Biso at 1.25 with OK from cardiologist.

If there is one thing I have learned from being on here for many years is that drug therapy for AF is very individual and therefore involves some trial and error as well as your medic's favourites.

[Health2512 in reply to secondtry]

Thank you , yes we are individuals and we know how our our bodies react to the medication.

I definitely feel better on the 1.25bisoprolol rather than the 2.5. Not so dizzy.

[JOY2THEWORLD49]

Hi

You can 1/2 the 2.5mg.

Do you take your Biso.. PM or did it drop after AM dose?

I take mine PM and it does not interfere with my 'normal' low 47avg bpm heart rate.

I take Diltiazem to lower rapid AF Heart RATE. Was 156 on 10mg bisoprolol, Finally I went to private heart specialist. He introduced CCB.

AM 120mg CD Diltiazem and heart rate 60s until late afternoon then

PM Bisoprolol. The change in manufacturer has given low BP 108/62 so I 1/2 it. He agrees that I can probably stop it. So every other day 1.25 now for the next week.

See how I go.

It would be good to just have 1 pill.

cheri JOY. 75. (NZ)

[Health2512 in reply to JOY2THEWORLD49]

Thank you Joy2theworld

I think the same, we are all so different.

& yes my heart rate dropped as soon as I took the

Bisoprolol.

I will try 1.25 rather than the 2.5 prescribed amount.

[JOY2THEWORLD49 in reply to Health2512]

Great. That is not only sensible but logical.

You can always add it back.

Apparently little steps to take up or down your Bisoprolol especially when you are not taking another blocker.

cheri jOY

[BaklavaGourmet]

I was on apixaban for a year because apparently the Holter Monitor for 2 days showed AFib. I have stopped the blood thinner because it was thinning my hair, and also had red spots on face, Also I could not take supplements for arthritis because of interactions with blood thinner. Also I told cardiologist I was not going to be on blood thinner for life based on ONE episode of AFib. I had my family doctor prescribe the 2-week Holter monitor and it did not specifically show afib.

My cardiologist did say it is my decision, I will tell him at next appointment in January I have stopped Edoxaban (which he later put me on due tingling in legs) for some months now.

[Health2512 in reply to BaklavaGourmet]

Thank you for your interesting post. I am going to discuss my medication with my cardiologist.

This is such a helpful site.

[wilsond in reply to BaklavaGourmet]

The reason for being prescribed anti coagulation is based on a risk score using several medical conditions such as high blood pressure,family history,age,etc not just AF. You mention hair thinning and red spots on your face .

Different anticoagulants may work better for you. But I'd not risk going off them even though I can't take anti inflammation drugs orally for arthritis. I can use topical gels .

As your Dr said your choice but....