Diltiazem dosage for atrial fibrillation
Common Questions and Answers about Diltiazem dosage for atrial fibrillation
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Then, cardiologist kept me on oral dosage for 2 months. I was also very concerned about the safety profile for this medication and spent a lot of time researching it. Fortunately, I did not experience any of the side effects. However, I was also otherwise healthy and 39 years old. There are a series of blood tests that can be used to monitor some (not all) of the safety concerns.
Although I said not to tolerate Verapamil, a doctor gave me another calcium blocker, Diltiazem, when I had atrial fibrillation. When I came home, I had to decrease the daily dose to half and then stop using it totally. Diltiazem made me weak (possibly low BP or pulse) and the rhythm became very variable. Doctors should be careful when prescribing calcium channel blockers.
By the way, my pulse pressure (in sinus rhythm) can vary between 14 and 130. What does this mean? Is this normal?
My otherwise healthy 86 yo. mom was diagnised with Atrial Fibrillation and was admitted to the hospital for seven days. She is otherwise very healthy and was only on Hyzaar for blood pressure prior.
She was told her heart was strong and showed minimal damage, chest Xray proved negative, stress test was passed with exceptional results, but was kept hospitalized until her heart rate stopped spiking. She is now on 5.0 mill.
How do you know that you are having a PVC vs a PAC vs ..... whatever??
I know my heart beat becomes strong, erratic, thumping. If I am near my oximeter I can see the HR jump around all over the place. I don't always have my oximeter w/me so can't always see what my HR is but I can sure FEEL what is going on.
While the episodes are still short, maybe 10-15 minutes or even less, maybe 5 minutes sometimes, they are increasing in frequency - and in discomfort.
I could handle the fatigue and muscle aches but the chest pain and SOB did me in. Recently I was on Diltiazem for awhile. Was tired a bit, had headaches the first couple of weeks but overall it wasn't a bad med. I can't take beta blockers because of asthma. The Diltiazem was helpful in easing some of my tachy times and got rid of my chest pains.
Flecainide and Dilt are a common combination for management of symptomatic atrial fibrillation in patients with normal healthy hearts. It's an effective regimen that you will have to stay on. There is no way to cure atrial fibrillation with medications, however, there is an ablation procedure which is indicated in those who can't tolerate medications. There is about a 75% chance of curing atrial fibrillation with this procedure. You have to stay on the ASA for life.
Hi ! I have been taking Flecainide 100mg twice daily for 9 years for Paroxysmal Atrial Fibrillation. Since taking it I have noticed a small amount of hair loss each time I wash my hair but I still have my hair - it hasn't thinned or anything. I did notice fatigue for a while after starting the drug but I think once my body got used to it that passed. Hope all goes well for you.
(2) is an ablation a viable option for vagally mediated atrial fibrillation? (3) are there any tests that can be performed to check the function of the vagus nerve? (4) Should I also see a neurologist, and if so are there any subspecialties to look for that focus on the vagus nerve?
I should note that I am seeing my electrophysiologist this week, and I am scheduled to see a gastroenterologist sometime soon. I am on diltiazem, but I only take as needed to convert out of AFib.
Does 80 mg of sotalol twice a day help prevent Atrial Fibrillation ? I've had one per year over the past five years while on that dosage. Since I've been taken off the sotalol by a new cardiologist, I've had one AF episode every month for the last 3 months. Should I restart the intake of the sotalol? I'm really pissed off at my new cardiologist. Can you help me?
I have fairly consistent AFib and am an extremely active cyclist, xc skier and hiker (68 years old-AFib for about 10 years). I am on Tikosyn, Diovan, Coumadin, and Diltiazem. Will a two-lead Pacemaker have any effect on my activity levels? How will the Pacemaker affect the AFib? I barely notice the AFib when exercising, but a try on a beta blocker kept my heartrate so low I couldn't ride my bike. Is there any advantage to getting the Pacemaker now vs waiting?
He also put me on Diltiazem ER, with instructions to take three 30mg diltiazem fast acting, 30 minutes apart for an episode (which I just had this evening).........I add a 7.5 mg Tranxene, and that seems to help end it.......I'm nort an anxious person, but it's my opinion that my brain just automatically goes into that state when my heart is beating that fast and erratic.........
I am one year older than you, so I do not stand a a proof of living into 80 years, but I can say I have suffered from atrial fibrillation and other heart problems for about 15 years and following my medical advice has helped sustain my life that long.
Happy to hear that the ablation worked for you. Do you know what the SVT was? (e.g., Atrial Flutter, Atrial Fibrillation, single focus atrial tachycardia?
It is possible my memory is just failing me, but at the moment at least I have no idea what those letter stand for (would guess Atrial Tachycardia for the AT part... still not helpful for me).
Again, not anything I can directly relate to but it seems to me reasonable that discuss "start gerding up what food I ate at eveing meal or at nite." with at least you primary care doctor.. are you being treated for "gerd"?
I have been in atrial fibrillation for about a year .I have been asking to come off these pills for that long and the doctors ignore my wishes.
Now I am in the UK and I tell a two different pharmacies my problem. I think metropolol and diltiazem should not be combined they are contraindicated and make me feel awful. I had no afib symptoms before these pills. They make me feel worse than I ever felt in my life.
Hi,
What about trying propranolol (inderal)
http://en.wikipedia.org/wiki/Inderal
I use it for mitral valve arrhythias (fibrillation) to reduce rate though I have a minor side effect (Raynaud's disease). or Lowpressor http://blood-pressure.emedtv.com/lopressor/lowpressor.html
http://www.pdrhealth.com/drugs/rx/rx-mono.aspx?contentFileName=Lop1235.html&contentName=Lopressor&contentId=315
Do you have blue fingers, LBBB, atrial enlargement or other?
A year and 1/2 ago my heart was in atrial fibrillation and after it went back into normal sinus rhythm I was placed on 100 milligrams of atenolol and one lose dose aspirin per day in the A.M. Although my heart pretty much stays in rhythm I have not been feeling well lately. I feel light headed tired, have minor pressure in my chest and my heartrate is now in the low 50's.
The success rate, therefore, for curing atrial fibrillation in your case, is relatively low with a third ablation. Of course, I don't know where you had the previous two procedures done. It is possible, that the ablation was incomplete and if that were the case one could study you again and see whether or not the veins are isolated.
Speaking of HR, what is the reason that you see an electrophysiologist? Atrial fibrillation? and are you feeling poorly when your heart rate is 40s?
I would say that if your HR needed to be a little faster than 40s, then adjust metoprolol or diltiazem as your had done, but then increase the enalapril and/or telmisartan to treat the blood pressure.
On the original question of taking 100 mcg of Synthroid one day and 88mcg the next - yes, people do it, but personally I take a very dim view of doing that. If we assume for a moment that your ideal dose is actually 94 mcg, then that means you are taking too much one day and not enough the next. The way the body reacts to process too much is not the same as for too little - so you have to assume that your body can shift gears quickly every 24 hours to handle this situation.
Is there any way of distinguishing between ventricular and atrial fibrillation from the symptoms? The holter does not catch the arrhythmia due to sporadic episodes.
I used Propafenone (not sure about the spelling either) for a number of years to keep me out of atrial fibrillation following electrocardio conversion. I was in my late 50s to mid 60s and while I had to be converted a few more times the drug seemed to extend my periods of normal sinus rhythm and I was still a runner and working 60 hours a week - I did not have any side effect problems.
The propafenone is a generic and not very expensive, and I have used the patent covered Ryhtmol as well.
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