Diltiazem dose for atrial fibrillation
Common Questions and Answers about Diltiazem dose for atrial fibrillation
tiazac
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.
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?
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.
I was diagnois with Atrial Fibrillation in 2007. I have been in and out the hospital for the first year. No one know what I had. I got sick at work and
the ambulance take me to Georgetown University Hospital, in the emergency room, I had several doctor's come in and did not know what
was going on with me. I had the one doctor. She request all kinds of test
to be done. This doctor to me I am having Atrial Fibrillation. I did not know
what that was.
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?
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.
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.
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.
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.
Been sailing over oceans for 23 years with my wife. No regular Doctor.
Diagnosed with Atrial Fibrillation two years ago by Triple XXX machine. Take amidiarone for arrythmia - take half the recommended dose to avoid some side effects, ie., lower pulse rate.
rarely have Arrythmia now. Take one Cozaar 50mgs daily. BP recently about 165/85. Pulse rate 37 this morning prior to medication. Usually Pulse is 39/42. Has been for years.
Athlete when young may explain low pulse to some extent.
i am 24 and am now on diltiazem lowest dose. i am very symptomatic to meds. i was on metoprolol and i had bad asthma with it. so recently i was switched. well i am a nursing student ready to graduate and am pretty fond of the heart and conduction, so i am affraid of things like clot formations and the fact that the medicine isnt stopping the flutters. if i up my dose i get very dizzy and feel like i have motion sickness like the floor is moving from under me. its really odd, anywho...
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?
Episodes of atrial fibrillation can come and go, or you may have chronic atrial fibrillation. In some people, a specific event or an underlying condition, such as a thyroid disorder, may trigger atrial fibrillation. If the condition that triggered your atrial fibrillation can be treated, you might not have any more heart rhythm problems. So, monitor and follow up with your doctor. Good luck.
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.
I was on tiazac 360mg for a couple of years for high blood pressure.I started having palpitations, skipped beats. The longer I was on it the worse it got. It finally got to where I was having some beats so strong and violent.I told my cardiologist and asked to change medication or a lower dose.He told me to go back to my family doctor who prescribed it originally. As it was 6 weeks to see him, I decided to stop the tiazac. After a few days the symptoms went away.
interesting question, anyone know?
I agree completely with the other folks. I've had 3 ablations. It zapped out my atrial flutter the first time but my atrial tachy (PSVT) kept coming back. However, they were able to improve it by miles. I still have mini-tachy times (less than a minute) and for the most part they stay around 150-160 with only occasional bursts to 198. Also have PVC's and PAC's but compared to the tachy times I used to have, I'd say I feel pretty good.
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.
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