The Heart Rhythm Society did a few randomized trials to assess the efficacy of calcium channel blockers, beta-blockers and digoxin in SVT. A comparison of verapamil, propranolol and digoxin showed equivalent efficacy in a small group of patients. However, in general calcium channel blockers and beta-blockers are preferred to digoxin. Digoxin has been around for a long time! I used Digoxin over 50 years ago for my PSVT, and my recollection was that it did little to prevent episodes.
I have been receiving treatment for arrhythmia from the VA for about 10 years now (1999). I have had the shocks, the medication Amiodarone and now a pace maker. I take 240 MG's of Diltiazem twice a day, 100 MG of Metoprolol
twice a day and one table (.125) of Digoxin a day. My last visit to the Pace Maker clinic showed that in the past 90 days it had recorded 887 instances of my heart rate going over 160 bpm's.
My husband and I would like to start trying for a baby but i'm on Betablockers for a tachycardia that no-one can find a reason for! i'm only on 1.25mg of bisoprolol, and would like to know what risks there are. I'm currently on a waiting list to see cardiology and find out what their opinion is but would like a bit of advice.
It really depends on what you need. If this has been prescribed for you, and you are uncertain about it, then you can always ask your doctor for more clarification. It really just all depends on your individual circumstances.
I took Digoxin for a number of years in reponse to an atrial fibrillation event. My new physician did not feel I needed to be on it any longer. What are the side effects of discontinuing this medication? I have been off it for several months and some odd changes in my body.
I have suffered with taking diltiazem(180 mg ER) AND metoprolol (50 mg ER) for atril fibrillation for the past two and a half years. The side effects have been debilitating.. Both drugs have the same side effects and together and one or the other or both create what I can only describe as chaotic turbulence in my chest and pain in my left arm when the second drug kicks in.. My cardiolgist now wants me to add a blood thinner (xarelto) to my meds menu.
I have some Afib and some PAC's, my doc said Digoxin and Toprol do the same thing, I chose the Digoxin.
Does anyone take the Digoxin for these conditions and it works? Which do you think is better?
Not all of us respond the same to the same medications. The indapamide worked better for you than the dilitazem so it only makes sense to stay w/the indapamide and forego the diltiazem since your doctor obviously didn't consider the indapamide and diltiazem a good combinantion.
I understand about uninsured doctor visits. We lost our family doctor of some 30 years and got a rude shock when we started doctor shopping!!! From a standard $35 office call to a $150 initial office call!!!!!
s my completely unprofessional opinion on what I know about digoxin, and I took it for a number of years as a kid for SVT. It's an old drug that's been used literally for centuries. I took it back in 1957. It's inherently toxic and if that fact was not enough to curtail its use, there's evidence that suggests the drug, even at dosages normally considered safe, can cause visual problems, serious skin rashes, and may significantly aggravate asthma.
I have been taking metoprolol and diltiazem for sixteen months and initially the medications brought the SVTs under control. Fourteen months ago I started coughing blood and experiencing chest congestion. This took my attention off any heart issues and sent me on a long search for the cause of the bleeding. After many tests and visits with various specialists I never did get the answer. The bleeding resolved itself after 10 months (last October) and has not reappeared.
Anyway, he said that I was over medicated so he lowered my dosage back down to 240 mg. of Diltiazem CD and he also put me on Enalapril 2.5 mg. Since my Diltiazem dosage was raised I have been losing weight unintentionally. Believe me I have been eating VERY well and the pounds are still dropping. I have struggled to lose weight for months and now all of a sudden I'm losing. My question is could the Diltiazem be causing me to lose weight and has this happened to anyone else?
Then I found on the internet how toxic Digoxin could be with the other medicines I was taking, and that no one
should be kept on it for very long. Since the second cardiologist removed Digoxin from my prescriptions, and I was healing and getting better, I think
I must have been under a toxic level of Digoxin causing blood in my urine and poisoning affects of awake,eyesight,cuts,etc..
I know if i was on digoxin i would look at the packaging the pharmacy gave me and go directly to the horses mouth so to speak and go onto the manufactuerers site and see what they have to say about long term effects, etc. They should tell you what the clinical studies showed, side effects and all of the pertinent information....good luck to you....
Then (like you) I went on to diltiazem for 3 days. While on this, I had some insomnia and almost felt like I was having a stroke at one point. I had facial flushing and weird body sensations. Came off that one.
Now I'm on atenolol (25 mg) and it puts me to SLEEP very easily. It's so funny that some people like you experience insomnia whereas I can barely keep my eyes awake.
I take atenolol b/c of tachycardia moreso than high BP but I do have prehypertension.
High ventricular rate leads to insufficient diastolic filling time. Digoxin slows down the conduction in the AV node and increases its refractory period, and it can reduce the ventricular rate. The arrhythmia itself is not affected, but the pumping function of the heart improves by improved filling.
The use of digoxin in heart problems during sinus rhythm was once standard.
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