Im recently diagnosed with A-Fib and am sheduled for an electro-cardioversion next week (after 4 weeks warfarin therapy). The cardiologist wants to start me on Sotalol 3 days before on an outpatient basis. I've read where Sotalol should only be started in a closely monitored hospital setting for 3 days. (WebMD, NIH.gov, others..), and tells me this is common practice.
I would appreciate hraing from others on Sotalol as to how their dosage was started..
I have been taken off Warfarin, prescribed after surgery. I possess 14 2.5mg tablets. What is the safest way for me to dispose of them?
s been a struggle for him to maintain an INR of 2.5; his current dosing is 17.5 mg daily, and alternating 20mg every other day. Even with that dosing it's hard to keep his INR up. We are very careful with his diet and he basically eats no green leafy vegi. We have noticed since the addtition of the 20 mg every other day that his memory is fading quickly.
s been a struggle for him to maintain an INR of 2.5; his current dosing is 17.5 mg daily, and alternating 20mg every other day. Even with that dosing it's hard to keep his INR up. We are very careful with his diet and he basically eats no green leafy vegi. We have noticed since the addtition of the 20 mg every other day that his memory is fading quickly.
Can you take what with it?
In general, patients on heparin should not experiment with supplements without their doctor's approval. Supplements can be great, but they aren't as exact in their dosing as a drug like heparin, and doctors don't know much about them.
The protocol guidelines are aspirin and plavix for year or a little longer if the implant was DES. Drug enduced stents have propensity to form a clot when compared to bare metal stents.
After a year the consensus is to continue aspirin (81mg is OK), and unless there is a special need for an additional anti-platelet medication the plavix should be discontinued based on the risk of uncontrolled bleeding, etc. is greater than any benefit.
continue warfarin therapy, withhold warfarin therapy for a period of time before and after the procedure, or temporarily withhold warfarin therapy and also provide a "heparin bridge" during the perioperative period. Which management option to follow is primarily determined by the characteristics of the patient and by the nature of the procedure.
I takes 5mg/7.5mg warfarin alt day and 75mg ecosprin (daily).But now i m taking 7mg warf everyday with 75mg ecosprin. so anybody kindly advise me for keep myself fit.
i drinks alcohol every alternate day and smoke 2/3 cigarate (Daily), i was a regular sports person last 15yrs, but now days i only walk2/3 km. And i am a short temper person, i often angry on my child and wife, my anger lavel is very very high, i scared if i ll do something wrong with my son and wife.
heparin is used because it acts immediately. Warfarin might be given, but it takes a day or two to begin working.
But heparin is given by injection or instead usually by IV, so it's not practical except when the patient is in the hospital. Warfarin is oral.
IV is better because the dose that is delivered to the bloodstream is more sure. Injecting heparin into the body can results in variable dosing, depending on the nature of where the heparin is injected (e.g.
Really u give me the uk guidelines page 6 french guidelines i dont lie to u guys evzrybody knows that 6 weeks is conclusive on France it wrotten black on white page 6 and that is the french guidelines.
- why a clot should form in my heart when the muscles were damaged six years back and considering that I am on aspirin+clopidogrel which too have anti clotting function.
- warfarin may be slightly better as compared to aspirin+ clopidogrel, but in my case with no AF, does it makes sense getting into this risky business of conatantly monitoring of INR and fear of bleeding.
- I have seen on net some other drugs in market which are equally good as warfarin with lower risk of bleeding.
If your cardiologist says you should be on anti-coagulants (in my case, for life) then insist upon Pradaxa (dabigatran). It will be a bit of a battle (I see you live in UK as do I) but it will be worth it to avoid Warfarin.
NB Warfarin costs pennies but dabigatran is around £2.50 a day for the NHS hence the reluctance....
We use the FDA and CDC approved testing guidelines. Freedome health is in the UK and have different guidelines. Dr.Hook and Dr.HHH have real world testing experience and are confident to give other time lines on testing.
Unknown. Warfarin metabolism normally occurs through the cytochrome P450 (CYP450) isoenzyme system, with excretion occurring in the urine as inactive metabolites. It is postulated that large doses of acetaminophen may "exhaust" the capability of the CYP450 system to metabolize warfarin. Additionally, DARVOCET-N 100 TABLETS may reduce functional factor VII.
Management: Monitor coagulation status and adjust the dosage of COUMADIN 4MG TABLETS (BLUE) accordingly.
Been doing some more research, and it looks like the UK is adjusting their PEPSE guidelines. Is that where you source your information? Again, I am not looking to start a fight, I am just trying to understand your information sources.
Thanks.
I do hope that the treatment guidelines she was referring to were ILADS treatment guidelines. The IDSA guidelines leave way too many people sick.
) for dosing guidelines, but be sure to check with a licensed physician. Also check ilads (dot) com for Dr Burrascano's treatment guidelines. There may be useful information there. Also did you try searching something like "lyme disease iv rocephin dose"? Checking with an MD is important before proceeding with any such treatment. No one here is medically trained to my knowledge.
I was diagnosed with AF 9 months ago. Went on Warfarin and then had a failed cardioversion. Went on Amiodarione and had a 2nd failed cardioversion. Was taken off the Warfarin and Amiodarone and told my AF is permanent and ablation unlikely to work either. Half the time I feel kind of OK ... then I get a few 'bad days' when I feel so dizzy and faint with mild tinnitus in both ears and edema in both feet/ankles. I just lie on bed most of the time until it passes.
Recommended
