I want to thank my father went into severe Afib and was in ICU bcs he almost died. Dr. Gupta’s videos helped me when dealing. With my father’s care(which they didn’t like as they felt I was questioning them), but that questioning saved my father from getting worse! I will be forever grateful for your videos!!!!
@@bossladywesley228 he is better. He had aa cardioversion done and an additional ablation. He will be on Eliquis for the remainder of his life but he is with us. Equipping yourself with knowledge when dealing with doctors is a strong weapon. Not sure if a cardioversion has been done for you but after that was done thank god he has been in normal sinus rhythm but he had to be on amioredene after for awhile as a backup just in case it came back. Ps the medication I definitely screwed on the spelling.
Thank you Doctor. I have had paroxysmal afib since I was 20 (happened 1st on the soccer pitch). It used to come once every couple years and as I have aged, it has increased in regularity. I am now 59 and it is happening a couple times a week. I have been on Sotolol on ever increasing dosage and my cardiologist has just changed me over to flecainide with bisoprolol so see if this will be more effective. Fingers crossed 🙂
my heart hurts a few times after taking flecainde 50 since march twice a day and inget nausea and even fast heart beat metripolol addition does not help sometime i feel weak and very tired should i taje it just at night?
But the Dr. Says before you take the 1st pill go to a hospital to be monitored ? What? And to stop the pill go to a hospital for monitors What. Side Effects are so bad, my SVE. IS BETTER, but pulse goes up if this the bad pill fore me on on metoprolol Castrate 25 mg. Escondido John ---
Thank you for this video. I have been on 150mg of Flecanaide morning & night for about 10 years & have never had any problems with it. Prior to that I was on Sotalol, but often had to go to hospital for treatment. Of course I'd rather not be taking tablets, but necessary I'm sure in my case. I had arrhythmia on & off from age 22, when at 65 it became Afib. Now at 77 I face a possible valve replacement, but will take each day as it comes😃 I do love listen to your informative videos.
I was just put on this medication 50 mg morning and night. My heart is skipping a beat and the doctor thinks that this medication will work. I’m just nervous because I’ve read all the side effects.
Im 63M in other wise good health. I’m in AFIB as I type this. I’m starting my Flecinide journey today. Found I have leaky Mitral Valve so a new valve down the road is happening, just like you So I feel you. Healing zen to you!
I am 74 yo and I am starting my 4 year free of afib. I just did 30 miles on my bike. I take 50 mg Flecainide twice a day. No side effects and my resting heart rate is 50 beats per min. Thank you for all your video's the are a great source of info.
I went into Aflutter the other day, 210 was my heart rate. Scared the hell out of me. I am on Flecanaide and Eliquis. I am age 58 and this is all new to me. 😔 Thanks for this information.
Love that you are doing these videos explaining the roles and the benefits of antiarrhythmic medications in a way that patients can understand. No one is doing this on TH-cam and I commend you for taking on this role.
Thank you for the information in this video. I had cardiac ablation the end of August 2018. Prior to that an echo showed both my atria enlarged (the left "grossly" enlarged). I have been on a twice daily dose of Flecainide - 100 mg - since then. A new echo showed vth the atria now reverted to normal size. Dr Natale now wants me to stop the drug - I hope I get some years being free of paroxsymal afib, but appreciate the information for using this as a PIP.
Just started this medication today. I'm keeping my fingers crossed that it works. My AFib started about 12 years ago when I was diagnosed with Grave's disease. I had a thyroid ablation with RAI. But after I got COVID in January of 22, my AFib has increased substantially. I would go into AFib a few times a months. The last 2 weeks though, I have started going into it a few times a day. Usually brought on by ice cold beverages, eating a large meal, eating too fast or laying down flat. Wish me luck!! 😊
I'm actually doing great. The medication is working very well. I've only had 2 episodes since starting the medication, but both days I over indulged in caffeine drinks, so it was my own fault. The only downside is because I'm also on metoprolol for high blood pressure so my heart rate stays between 49 and 60. But I can live with that. Thank you for asking.
@@kirstenkk6493 Have you tried loading up on Magnesium and Potassium? I've been doing so and have not had another episode and my resting HR is down to about 51 or so, hardly goes above 70 unless I'm exerting. I'm not on Flecanide or any other drug although my doc rx'ed Eliquis. Still can't decide if I want to take it as my CHADS VASQ is 1, only for my age over 65.
Thank you for the information you’re providing us. I was on flecainide, after 4 months from the corner of my eyes I started saying things moving fast I thought maybe I’m having problem with my vision. I decided to see my optometrist but Before making an appointment I contacted my cardiologist and I mentioned the situation she asked me to stop taking it immediately it can cause hallucination. it’s a rare case she said, one in a million, just my luck!
I have AFIB but I have no symptoms. My cardiologists has me on Xerelto, Lisinapril, and Bystolic. I have an enlarged heart and a leaky heart valve. The cost of Xerelto is riduculus. Your video was very informative.
Thank you so much Man. I've been taking Flecainide (50mg twice a day) for a couple of years and I had no explanation from either my heart specialist or my GP. Now I'm much more informed. I wish I was somewhere close enough to be your patient.
Thank you for your videos ❤ I have learned so much about my Afib from you AND an understanding of my medicines! I’ve recently been having trouble with blurry vision and frequent headaches. You have brought to my attention to the drug Flecainide. I takes 100 MG 2 times a day and also take Metoprolol and Digoxin. Nock wood, I haven’t had any recurrence for the last 41/2 years. You are the only one who has given me the details of the side effects of Flecainide so I can now discuss this with my Cardiologist.
Getting ready to take 75mg. of Flecainide with small dose of Metoprolol. My Doctor explained the need to keep Flecainide in check with the Metoprolol. Your depth of explanation was a welcomed second opinion. Not a fan of Meds like these so I guess it's One Day at a Time. Note - I find everyone's comments comforting and helpful. Kind of feels like online Group Therapy .
Thank you, Dr. Gupta, for your videos. I have taken meds for high blood pressure since I was 22. Now, at 66, I apparently have persistant AFib. I take my blood pressure twice a day but about half the time my blood pressure can't be recorded because of too many Afibs. I'm looking for ways to control/stop this problem and your videos have been extremely informative--not only for AFib but also my heart in general. I always go to you first to learn about my condition,. Thank you for teaching me about my heart so I can make informed decisions for living a long healthy life.
I've used it about a dozen times to stop AFIB. It works in slightly less than an hour every time. At that time, the heart temporarily stops and restarts in a normal sinus mode. At that time I feel like I'm passing out because the heart stops. But feel relieved when the heart starts beating again in a normal sinus rhythm at a rate just above a resting rate. It takes about another hour before the heart is completely relaxed. No obvious side effects, I can drive in traffic just fine, no (additional) vision problems.
I was prescribed flecainide before my ablation, but have to say I had dreadful side effects from it in terms of heightened anxiety the likes of which I’ve never experienced before. My cardiac nurse said I would be better off it after my ablation because of the potential side effects that the excellent Dr Gupta describes here. I did indeed come off all medication after my ablation and apart from some mild episodes months apart have been fine.
Tinnitus pursatile make me more ansious..feel my heart beats all the time. Atrial fibrillation and on Flecanaide, but the filling constantly in my ears of the heart beating, some time, slow, some time to fast , make me crazy..and is supouse to be like that for the rest of my life.!!
Thank you so much for making these informative videos to help us who are affected by afib and other heart related conditions. My husband was recently diagnosed with afib and started treatments with medications. We watch your videos to try to educate ourselves. Your videos help us to understand afib and its treatments. I can't thank you enough. ❤❤❤❤😊😊😊
I found the video most useful and understand now why my Flecainide PIP has sometimes put me into flutter , but not always. I was told 300mg was the maximum dosage which is what I now take in one go on onset, previously the 100mg after onset of AF worked, then a second one after an hour and that also worked for a while then up to the 300mg. A major relief when it does work and I would give it the thumbs up!
Thank you for the information. I have been on a daily dose of 100mg Flec (50mg every 12 hours) since 2001, so 18 years with no side effects or problems. I do get the occasional AFib episode (around once per month) but I usually convert within a couple of hours, so I am assuming that the Flec is doing it's job.
Thank you Dr. Gupta. I learn so much from you and as a patient on flecainide I feel pretty confident that it is a good drug for me. I always feel that my cardiologist knows what she is doing!!!
I had 2 afib episodes about a month apart and the cardiologist at the hospital quickly gave me a 2 syringe dose of a heart pause drug. The third time I went to the hospital another cardiologist waited and watched. I chose to go to the second for a check up. I live in Texas in the US and am tired of some of the treatments that sound a little out of date. Doctors, nurses, emergency personnel always ask if I've taken an aspirin a day. Or when I call an ambulance they ALWAYS expect me to have chest pain. Research and heart studies in the US are almost always done on men. I understand it wasn't until 2016 that women were routinely included in heart attack research. So when I tell them I have other symptoms they pretty much dismiss me. And that is why I follow you. Than you, I think you are the voice of reason.
Thank you for a very informative video. I'm an AFib patient and about to undergo Cardioversion to hopefully 'fix' the condition. I'll tune in for more videos from you.
Just came across this video, and I had a poor experience with Flecainide. I had an echocardiograph that proved I had a structural normal heart but kept going into AF with repeat cardioversions (months or years apart). After one episode when I had been successfully cardioverted I was put on the tablet version of Flecainide. Months later I had another episode of AF, but at times felt very strange and after seeking medical support was found that I periodically would go into VT. Having these episodes of VT meant immediate cardioversion that returned me to normal sinus rhythm. The results of further investigation proved that it was the Flecainide that was causing the episodes of VT but only when I was in AF. Now in permanent AF being successfully rate controlled with medication and my medical records showing my allergic reaction to Flecainide.
Me too , I was not comfortable taking Flecainide but I didn’t know how to explain it to my cardiologist . My heart doing all kinds of weird beats . Luckily my cardiologist put in touch with an Electrophysiologist . Before I knew it I had an ablation . Now I’m only taking the blood thinners . No fib this past 10 months
@@QuantumOfSolace1 I take Verapamil and Digoxin for the Afib and Apixaban as a blood thinner. I've been on this medication for a number of years now and my Afib is well tolerated. Note I'm in permanent Afib and that's why I'm on these medications. The last cardioversion failed so of the choices I was given I chose medication and I'm happy with it as it doesn't stop me from doing anything I could do before, the downside is I'm on the medication for life.
Enjoy your TH-cam videos and kind personality in delivering such help to us lay people to understand more about our heart diagnosis. I was on Flecanide for only 4.5 days and stopped it. I did not do well on it. It created shortness of breath, a hard strong feeling of beating without AFib but felt awful. I also experienced intense brain fog and could not think straight. Upsetting as that is whats worse is my cardiologist seemed to think I was the only one in the world who had those symptoms and therefore it was all in my head. Honestly that is the worst feeling when a medical doctor does not believe you! Dr. Gupta I would like to know why some of us do experience side effects to medications and why the need for a medical doctor to feel its all in our heads?
Thank you for this video. Good work. What is maximum dosages of selekon zock to take safely with flecainide acetate. Your answer will be much appreciated. Thank you.
I was just told to stop taking this medication because I’m having reactions to it. I’m 27 I have had three episodes of AF once every month my heart is structurally normal and strong but sometimes I go into AF they don’t know why 🤷♂️. I think it’s all electrical or maybe stress-related
I have no comorbidities cardiologist tried to take me off sotalol and tried this and set me off real bad only problem I've only had one afib attack then 4 months after being on sotalol tried this I had really bad increased heart rate and atrial flutter stopped taking immediately and took 3 days to come right. I thiink this medication should be treated with caution there's been a lot of problems with it and the excuses they made about the people that had other problems wasn't backed up with studies on ones who hadn't had other issues. Then I'm probably a bit jaded. Love your info and appreciate it by the way.
I was getting AFib only when I exercised hard, (I'm a 70 year old competitive cyclist) I have been on Flecainide for 12 months and haven't had an AF episode since, however the side affect is that I'm not able to exercise as hard as before, my aerobic capacity has decreased quite a bit and my stamina for riding long distances has also dropped. I'm taking 100mg of Flecainide twice per day.
@@simplydebes when I did speed sessions my HR gets up to 155 (my max) but it takes a few repeats before I go into AF and then it goes up to over 200 and I start to feel quite faint, I slow down and it goes away till next sprint, it varies from session to session. On a long weekend ride we'll ride 100k and I will go into AF late in the ride on hills that I put effort into. I drop out of AF when I back off the pace. I have gone into AF with HR as low as 140. When I do go into AF I have seen my HR go as high as 219bpm. Initially when I was on Beta Blockers I would go into AF at only 105bpm, I stopped those immediately. Now I'm on Flecainide and blood thinners and I haven't had an AF episode since.
@@SuperPa Thanks for the reply. It's nice to chat with someone of similar age and quite active. What you experience shows how different AF can be. The last time I got AF it was quite warm and I think the main cause was dehydration. I'm over in Perth and we have had the hottest summer on record. At its peak 38C felt cool after a few mid 40s. This time I was able to record it on my Apple Watch and from the print out my cardiologist is thinking I might have SVT rather than AF. Although, it may start off as AF for a few seconds than go into SVT. My HR was over 160bpm but regular. (I use Pill in Pocket method of control as I only get it every couple of months). I wonder if this is happening to you? The ride was very flat and I was taking it easy. Since then I have bought a Garmin HR monitor which has been helpful. Hopefully I will do a 660km gravel ride next month but leave the racing to the young folk. I'll do 100km a day and get a good sleep each night. But riding off-road by yourself hoping that its not going to be an AF day can spoil the fun.
@@simplydebes Interesting about your summer weather, here in Brisbane it's been the mildest summer that I can remember. I ride in the cool of the mornings at around 5am. One day last August at our track training day I opted in the previous 24 hours not to take my medication, I felt strong and powerful, I was taking my turns on the front, after the 3rd turn I started to feel weird and saw my HR go from 140 to 188 (my max is 150). The immediately slowed and coasted back to where my car was, after a couple of minutes my HR returned to normal and I took my medication and continued on riding at a slower pace. In recent weeks I have greatly increased my consumption of electrolyte and I have dieted and lost 7kg, I'm down to 70kg (I'm 170cm tall), both these have given me improvement in aerobic and anaerobic capacity. Good luck with your epic ride.
@@SuperPa I was a competitive cyclist for years, did the Grafton to Inverell and raced A grade at club level. AFib has stopped me in my tracks. I was prescribed Flecainide which only converted AFib into atrial flutter. I'm so angry and full of self pity. "why me" etc. Going to the doctors again this afternoon to discuss ablation
Thank you for these really informative videos. I am three days post-ablation and am beginning heavy duty study of AF. Have had paroxysmal AF for years but, as predicted, the episodes became much longer over time and really put me down due to lowered BP (77/52 last time). Also experienced intensity of light headedness. So, after many years of this I finally decided to have the ablation performed. So far so good. Thank you again.
@@gloriamaryhaywood2217 I usually never went beyond 120. My resting rate is around 55. I was acutely affected - didn't have it all the time. The reason I finally had the ablation done was the episodes (over the years) went from a duration of 20 minutes to a day or two without stopping. That was with Flecainide and Atenolol not really able to hold it off when it came.
I was told by my doctor that flecainide won’t get me back into normal rhythm. I am currently in atrial fibrillation and the only thing that stops it is when I have a cardioversion and then it lasts for about 12 weeks and then I go back into atrial fibrillation. Are you normally take 100 mg and I’m gonna raise that on doctors advice to 200 mg but the doctor said that it won’t put me back into normal rhythm it’ll just help any views?
I take 3.75 mg of bisoprol every morning i dont know if it is helping me i have an episode every month or so sometimes every 2 or 3 months and its gone after a few hours sometimes it lasts all day,i take 1500 mg of magnesium every day 1000mg of taurine ,500mg of resveratrol ,500mg of natokinnase,1000mg of vitamin c ,little or no alcohol, a litre of water with a sandwich every day,its a constant battle ,first time it happened i ended up in hospital i wouldn't wish that on anyone im in Ireland, i would like to get off of bisoprolol and go natural,might be a mistake.
I am educating myself from your videos to live healthy! I referred your channel to my family and friends. Extremely useful. Salute you! In your busy schedules, you are making videos for social consideration
My cardiologist told me that only younger adults are eligible for the pill in the pocket. Is that true? Also he told me that i have to have not missed even one dose of my blood thinner for 4weeks before i could get a cardioversion... Is that true? This is all so confusing for me... I'm new to all this
Please help. I live in the states. A few months ago I was sent to the emergency room during a routine doctor's visit after a PA noticed fluctuation in my heart rate I was given a AK zhi and sent to the emergency room by ambulance. During my two-day stay at the hospital I was given different medications I ended up leaving with a prescription for metoprolol and Eliquis. I was referred to a Cardiologist. He he took me off the Eliquis and had me take low-dose aspirin 4 my continual AFib. After my fourth visit he let me decide whether or not I would consider a cardioversion which I did. It worked for less than a week and my heart went back into AFib. He had me start back on the blood thinner Eliquis for 6 weeks and now has taken me off of it and I am back on low dose aspirin. I'm wondering if Flecainide would work for me ? I am not diabetic nor do I have high blood pressure or any heart defects other than the actual AFib. I like my doctor very much but I am wondering why he is against me trying the flecainide. Should I get a second opinion ?
I had a very bad reaction to Flecanide which caused me to go into VTAC and phone an ambulance. My Doctor then tripled the dose and I had another attack. Both times I managed to self revert but the attacks were both debilitating and I took days to get my heart below 120. My Doc has me on Sotalol now and there's not been much change.
Back in the day, as a representative, I launched and sold encainide, which worked quite well for ventricular tachycardia. But the FDA pulled it after some adverse adverse reactions occurred from being used in inappropriate patients with less severe arrhythmias.
That's interesting. I take 50mg twice a day. They didn't say it can also stop an attack. They haven't told my anything, they just fill me up with pills and give me no advice. I wish he was my Cardiologist. I'm also on Bisoprolol. Headaches are appalling.
@@holysmoke8439 no it wasn't. It's your fault because soon as they prescribe you something get online and read as much about it as you can go in and look at reviews study the medication on Wikipedia before you take one tablet. See what pharmaceutical company makes it see how many recalls they have see what the contaminants were if they had it recalled and if it's made in China LOL good luck with that!
Thank you for the video, I have a structurally normal heart, and suffer from paroxysmal AF since 2005, I have been stuck on a waiting list for the last 2 1/2 years whilst awaiting my 3rd ablation I also have a loop recorder fitted. After a recent episode of AF I was advised to take Flecainide on a more regular basis as I've taken it as pill in the pocket normally. Once again after only one dose I have had side effects from Flecainide with headache and vision problems. I complied with the advice I was given today and took a low dose betablocker Bisoprolol of 1.25 mg along with 100 mg of Flecainide and I ended up in bradycardia all night and I felt like my whole body was vibrating and my heart was definitely not normal. Consequently I got no sleep and am extremely tired today. I don't like this drug I'm sorry. Can you explain what may have happened here?
I don’t have afib but pac and go to slow to fast within seconds. Since flecanide I’m doing great. Had echo done and ekg recently and heart is perfect. I’ve been on it for 2 years now. 50 mg twice a day
Yeah!..same as me. My af is under control but facing PAC I have been put on 100mg flacanide/day with help of a beta blocker. I am doing very good now. No more PAC.
I have been on flecainaide since 2013 after two conversions and two ablations. I seem to tolerate it well and seems like this is the only think that put me back in rhythm. Thank you for the explanation.
Hello, I would like to know if you have experienced any side effects from taking flecainaide. If you don’t mind how old are you. I am 54 and with Paroxsymal Afib. Appreciate your input. Thanks!
AFTER RECEIVING MY COVID JAB MY HEART NOW HAS AFIB AND INCREASED BEAT FROM 60 TO 80 OR MORE THIS HAS BEEN GOING ON FOR 8 MONTHS NOW .. I WONT BE GETTING THE BOOSTER AFTER MY EXPIRIENCE WITH THE JAB WHICH I DONT FEEL IS READY FOR THE PUBLIC YET..
Thank you so much for taking the time to educate us/ help us in so many ways with your videos. Question : in case of paroxysmal Afib, other that on dit ion, a normal heart no blockages etc. What do you subscribe to your patients mostly, is it Flecainide or Bisopropol ?
I had iv flecainide after a failed dc cardioversion. My heart did try to get into a normal rhythm but slipped back after a few hours. 40 minutes of slow motion conscious fainting. The worst experience of my life! Love the videos - really helpful and informative.
Very interesting ! I've been on flecainide for years , I'm 78 very active and been wondering about how it works my heart rate on this drug is in the mid 40s I was worried about being so low ..... But it doesn't seem to bother me , just get a bit winded on my hikes 🤣thanks for the info 👍
Even wiki says only using this for severe arrhythmias as a last resort. not atrial fibrillation. I’ve never seen so many fluoride atoms on any molecule. Flecanide binds to lung tissue and causes interstitial lung disease (5 references in wiki) The way I read it it causes bbb. Your reasoning seems to be if you are really healthy and only have parox afib, this drug won’t kill you hence you should take it. The trial you mention may be this paper: Mortality and Morbidity in Patients Receiving Encainide, Flecainide, or Placebo - The Cardiac Arrhythmia Suppression Trial, 1991 I don’t see anything wrong here: the flecanide patients had 3x to 4x more deaths, from arrhythmia and heart attacks, than placebo.
Can I ask why you need it after 2 ablations? I have also had 2 ablatiins, but now wake up with erratic heart, Cardiologist suggests scaring is causing nighttime arrythmia now, so now getting diagnosed flecainide
Does anyone here, after going on Flecainide, have periodic quick sensations of tightening? I would love to know if anyone else can relate to this. Ty!!
Thank you sir! I am 40 and have had 1 afib attack a year since I was 19 and never did anything about it till now, I saw your vid on Ablation and thankfully have chosen this route instead as a treatment. I’ll see how it works for me when I get a attack (or hopefully not) as I’m on 25ml of metropolol daily and feels like it helps.
Thank you for the information. Doesn’t seem like most GPs take AF seriously enough……. If I had been prescribed flecainide when I was experiencing severe af attacks maybe I wouldn’t have gone on to have ventricular fibrillation. I’m not sure if sone GPs understand how debilitating and difficult it is to live a normal life when suffering from af. Thankfully 🤞. Having one had 2 heart procedures(ablations). I now have a much better quality of life. Keep saying this on these blogs. If you have persistent af. Push for a 7 day heart monitor because it was only after this, I was sent to a cardiologist My heart rate went down to 30 then rapidly up to 140. Take care 🌈💜
Dr Sanjay, is Afib same with Mobitz1 or 2? My Dr said I have Mobitz1 which I get everytime im nervous or excited, but then gets normal everytime I accept death is just part of being alive. Wasnt like this before until i got full nervousness in 2021 for some weird reason. Been to neuro, cardio, gastro , ortho, optha, uro, ent, endocrino, and now psych. Still getting this annoying thuds when im anxious. I suspect some antibiotics triggered it. Some people i talk to git the same after the vaxx. Hope everyone gets the proper meds needed and the reassurance from you Dr Sanjay is more than an electrical impulse needed so peoples lives and thoughts stay in rhythm. Thank you in advance for your inputs.
It depends on how stubborn your AFIB is. I was diagnosed in 2019 and we tried flecainide as well as other medications, none of which worked. Next it was a cardioversion, which did not take. At that point we did a medication cardioversion using amiodarone. That worked but it is extremely toxic and not a long term solution. As a result, several years later, the AFIB returned. We tried tripling the flecainide, which did not work, so we did another cardioversion, which has worked thus far. If the AFIB comes back, then we're doing a heart ablation.
I had Flecainide for paroxysmal afib. It virtually cured me for about 3 years. I started to notice dizziness and strange heart episodes other than afib though. Turns out I was getting Broad Complex Arrhythmia due to the Flecainide. Put on Bisoprolol afterwards and went on to have ablation.
I have been dianosed with supraventricular tachycardia. only happens once ever month or two. my heart rate is mainly controlled by atenolol. although if i take a few steps it does speed up a bit. my doctor just prescribed me flecainide 50 mg once daily. im so scared to take it. i keep putting off starting it. is this medicine the right kind for SVT?
I am going to try this. I have many different arrhythmia. Beta blockers stopped working and diltiazam is not working well. I have intermittent pvcs, svts, and afib. Going for a stress test before I begin. Do you think this drug could be helpful?
I want to thank my father went into severe Afib and was in ICU bcs he almost died. Dr. Gupta’s videos helped me when dealing. With my father’s care(which they didn’t like as they felt I was questioning them), but that questioning saved my father from getting worse! I will be forever grateful for your videos!!!!
How is your father? Afib person myself looking for solutions
@@bossladywesley228 he is better. He had aa cardioversion done and an additional ablation. He will be on Eliquis for the remainder of his life but he is with us. Equipping yourself with knowledge when dealing with doctors is a strong weapon. Not sure if a cardioversion has been done for you but after that was done thank god he has been in normal sinus rhythm but he had to be on amioredene after for awhile as a backup just in case it came back. Ps the medication I definitely screwed on the spelling.
I learned a lot, Dr. Gupta. Thank you!
Thank you Doctor. I have had paroxysmal afib since I was 20 (happened 1st on the soccer pitch). It used to come once every couple years and as I have aged, it has increased in regularity. I am now 59 and it is happening a couple times a week. I have been on Sotolol on ever increasing dosage and my cardiologist has just changed me over to flecainide with bisoprolol so see if this will be more effective. Fingers crossed 🙂
Fantastic video you must be a great Doctor .
All of your videos are Excellent+ Thank You.
my heart hurts a few times after taking flecainde 50 since march twice a day and inget nausea and even fast heart beat metripolol addition does not help sometime i feel weak and very tired should i taje it just at night?
But the Dr. Says before you take the 1st pill go to a hospital to be monitored ? What? And to stop the pill go to a hospital for monitors What. Side Effects are so bad, my SVE. IS BETTER, but pulse goes up if this the bad pill fore me on on metoprolol Castrate 25 mg.
Escondido John ---
This is what happened to me sent it crazy on 50 mg BD
Thank you for this video. I have been on 150mg of Flecanaide morning & night for about 10 years & have never had any problems with it. Prior to that I was on Sotalol, but often had to go to hospital for treatment. Of course I'd rather not be taking tablets, but necessary I'm sure in my case. I had arrhythmia on & off from age 22, when at 65 it became Afib. Now at 77 I face a possible valve replacement, but will take each day as it comes😃
I do love listen to your informative videos.
I was just put on this medication 50 mg morning and night. My heart is skipping a beat and the doctor thinks that this medication will work. I’m just nervous because I’ve read all the side effects.
Im 63M in other wise good health.
I’m in AFIB as I type this. I’m starting my Flecinide journey today. Found I have leaky Mitral Valve so a new valve down the road is happening, just like you So I feel you.
Healing zen to you!
I am 74 yo and I am starting my 4 year free of afib. I just did 30 miles on my bike. I take 50 mg Flecainide twice a day. No side effects and my resting heart rate is 50
beats per min. Thank you for all your video's the are a great source of info.
Was you afib permanent or paroxsymal? Thanks!
Ben exactly the same here
What does 50mg in the am and in the pm feel like?? I am doing the same but feel nothing new.
Ben, did you have an ablation or did the meds bring you back to nsr?
Having similar results at higher dosage
I went into Aflutter the other day, 210 was my heart rate. Scared the hell out of me. I am on Flecanaide and Eliquis. I am age 58 and this is all new to me. 😔
Thanks for this information.
Love that you are doing these videos explaining the roles and the benefits of antiarrhythmic medications in a way that patients can understand. No one is doing this on TH-cam and I commend you for taking on this role.
Amen! This man is a jewel.
Thank you for the information in this video. I had cardiac ablation the end of August 2018. Prior to that an echo showed both my atria enlarged (the left "grossly" enlarged). I have been on a twice daily dose of Flecainide - 100 mg - since then. A new echo showed vth the atria now reverted to normal size.
Dr Natale now wants me to stop the drug - I hope I get some years being free of paroxsymal afib, but appreciate the information for using this as a PIP.
Bless you!
I go into AFib about once a year then get electrically cardioverted.
It's so so good to hear you've been cured thanks to ablation.
I had ablation (pulmonary vein antrum isolation) to fix A-fib at NYU Langone Heart Rhythm Center in 2005. I haven’t had A-fib since then.
Just started this medication today. I'm keeping my fingers crossed that it works. My AFib started about 12 years ago when I was diagnosed with Grave's disease. I had a thyroid ablation with RAI. But after I got COVID in January of 22, my AFib has increased substantially. I would go into AFib a few times a months. The last 2 weeks though, I have started going into it a few times a day. Usually brought on by ice cold beverages, eating a large meal, eating too fast or laying down flat. Wish me luck!! 😊
How are you doing now?
Did you ever get the ablation?
I'm actually doing great. The medication is working very well. I've only had 2 episodes since starting the medication, but both days I over indulged in caffeine drinks, so it was my own fault. The only downside is because I'm also on metoprolol for high blood pressure so my heart rate stays between 49 and 60. But I can live with that. Thank you for asking.
@@kirstenkk6493 did you get the ablation or just medication? And what 2 medications are you on ?
@@kirstenkk6493 Have you tried loading up on Magnesium and Potassium? I've been doing so and have not had another episode and my resting HR is down to about 51 or so, hardly goes above 70 unless I'm exerting. I'm not on Flecanide or any other drug although my doc rx'ed Eliquis. Still can't decide if I want to take it as my CHADS VASQ is 1, only for my age over 65.
Thank you for the information you’re providing us. I was on flecainide, after 4 months from the corner of my eyes I started saying things moving fast I thought maybe I’m having problem with my vision. I decided to see my optometrist but Before making an appointment I contacted my cardiologist and I mentioned the situation she asked me to stop taking it immediately it can cause hallucination. it’s a rare case she said, one in a million, just my luck!
I have AFIB but I have no symptoms. My cardiologists has me on Xerelto, Lisinapril, and Bystolic. I have an enlarged heart and a leaky heart valve. The cost of Xerelto is riduculus. Your video was very informative.
Yes Xarelto without Medicare D is $4,000 for 90 day supply. Had to pay $400 (instead of $120) last week because of the "donut hole".
Thank you so much Man. I've been taking Flecainide (50mg twice a day) for a couple of years and I had no explanation from either my heart specialist or my GP. Now I'm much more informed. I wish I was somewhere close enough to be your patient.
You told me more about flecainide than my own Dr. Did. Thanks for your time sir.
Nonsense.
Thank you for your videos ❤ I have learned so much about my Afib from you AND an understanding of my medicines! I’ve recently been having trouble with blurry vision and frequent headaches. You have brought to my attention to the drug Flecainide. I takes 100 MG 2 times a day and also take Metoprolol and Digoxin. Nock wood, I haven’t had any recurrence for the last 41/2 years. You are the only one who has given me the details of the side effects of Flecainide so I can now discuss this with my Cardiologist.
Getting ready to take 75mg. of Flecainide with small dose of Metoprolol. My Doctor explained the need to keep Flecainide in check with the Metoprolol. Your depth of explanation was a welcomed second opinion. Not a fan of Meds like these so I guess it's One Day at a Time. Note - I find everyone's comments comforting and helpful. Kind of feels like online Group Therapy .
Thank you, Dr. Gupta, for your videos. I have taken meds for high blood pressure since I was 22. Now, at 66, I apparently have persistant AFib. I take my blood pressure twice a day but about half the time my blood pressure can't be recorded because of too many Afibs. I'm looking for ways to control/stop this problem and your videos have been extremely informative--not only for AFib but also my heart in general. I always go to you first to learn about my condition,. Thank you for teaching me about my heart so I can make informed decisions for living a long healthy life.
That's ridiculous apparently what you're doing IS NOT WORKING. TAKE MEDS,
I've used it about a dozen times to stop AFIB. It works in slightly less than an hour every time. At that time, the heart temporarily stops and restarts in a normal sinus mode. At that time I feel like I'm passing out because the heart stops. But feel relieved when the heart starts beating again in a normal sinus rhythm at a rate just above a resting rate. It takes about another hour before the heart is completely relaxed. No obvious side effects, I can drive in traffic just fine, no (additional) vision problems.
It stops? I can't find any info supporting this. I'm not calling you a liar, I'm just trying to educate myself before I start taking this medication
heart stopping ! - that sounds scary ,
There's a BETTER MED...TYCOSIN
Had two cardioversions never stopped my heart it just shocked it back into its original rhythm no side effects for me,,,,,
I was prescribed flecainide before my ablation, but have to say I had dreadful side effects from it in terms of heightened anxiety the likes of which I’ve never experienced before. My cardiac nurse said I would be better off it after my ablation because of the potential side effects that the excellent Dr Gupta describes here.
I did indeed come off all medication after my ablation and apart from some mild episodes months apart have been fine.
Was the ablation successful? I had it done and it lasted about 3 months, then afib returned.
Tinnitus pursatile make me more ansious..feel my heart beats all the time. Atrial fibrillation and on Flecanaide, but the filling constantly in my ears of the heart beating, some time, slow, some time to fast , make me crazy..and is supouse to be like that for the rest of my life.!!
@Miguel Thanks!!
I have the same thing!
Thank you so much for making these informative videos to help us who are affected by afib and other heart related conditions. My husband was recently diagnosed with afib and started treatments with medications. We watch your videos to try to educate ourselves. Your videos help us to understand afib and its treatments. I can't thank you enough. ❤❤❤❤😊😊😊
I have taken it for years. Thank you for the explanation of the second drug. I was MUCH happier with Flec alone.
I found the video most useful and understand now why my Flecainide PIP has sometimes put me into flutter , but not always. I was told 300mg was the maximum dosage which is what I now take in one go on onset, previously the 100mg after onset of AF worked, then a second one after an hour and that also worked for a while then up to the 300mg. A major relief when it does work and I would give it the thumbs up!
Can you do a video on other medications, such as Metoprolol ER Succinate? I love your videos!
Thank you for the information. I have been on a daily dose of 100mg Flec (50mg every 12 hours) since 2001, so 18 years with no side effects or problems. I do get the occasional AFib episode (around once per month) but I usually convert within a couple of hours, so I am assuming that the Flec is doing it's job.
Nicee
Have you ever had an Ablation ?
I just started it and have been up all night after the night time dose
Thank you Dr. Gupta. I learn so much from you and as a patient on flecainide I feel pretty confident that it is a good drug for me. I always feel that my cardiologist knows what she is doing!!!
Clear exposition , well done. Lung may be affected by chronic flecainide use. Worth mentioning
Could you PLEASE speak more about ATRIAL FLUTTER, perhaps a complete session about it and how to control it without APIXABAN or ablation.
I had 2 afib episodes about a month apart and the cardiologist at the hospital quickly gave me a 2 syringe dose of a heart pause drug. The third time I went to the hospital another cardiologist waited and watched. I chose to go to the second for a check up. I live in Texas in the US and am tired of some of the treatments that sound a little out of date. Doctors, nurses, emergency personnel always ask if I've taken an aspirin a day. Or when I call an ambulance they ALWAYS expect me to have chest pain. Research and heart studies in the US are almost always done on men. I understand it wasn't until 2016 that women were routinely included in heart attack research. So when I tell them I have other symptoms they pretty much dismiss me. And that is why I follow you. Than you, I think you are the voice of reason.
Do you have more videos on the other anti arrhythmic medications? Please let me know.
Thank you for a very informative video. I'm an AFib patient and about to undergo Cardioversion to hopefully 'fix' the condition. I'll tune in for more videos from you.
Edwin Gary how did your Cardiversion help you?
Thank you for the explanation. Informative as always.
Just came across this video, and I had a poor experience with Flecainide. I had an echocardiograph that proved I had a structural normal heart but kept going into AF with repeat cardioversions (months or years apart). After one episode when I had been successfully cardioverted I was put on the tablet version of Flecainide. Months later I had another episode of AF, but at times felt very strange and after seeking medical support was found that I periodically would go into VT. Having these episodes of VT meant immediate cardioversion that returned me to normal sinus rhythm. The results of further investigation proved that it was the Flecainide that was causing the episodes of VT but only when I was in AF. Now in permanent AF being successfully rate controlled with medication and my medical records showing my allergic reaction to Flecainide.
Me too , I was not comfortable taking Flecainide but I didn’t know how to explain it to my cardiologist . My heart doing all kinds of weird beats . Luckily my cardiologist put in touch with an Electrophysiologist . Before I knew it I had an ablation . Now I’m only taking the blood thinners . No fib this past 10 months
What is the other medication you are using in place of Flecainide?
@@QuantumOfSolace1 I take Verapamil and Digoxin for the Afib and Apixaban as a blood thinner. I've been on this medication for a number of years now and my Afib is well tolerated. Note I'm in permanent Afib and that's why I'm on these medications. The last cardioversion failed so of the choices I was given I chose medication and I'm happy with it as it doesn't stop me from doing anything I could do before, the downside is I'm on the medication for life.
Enjoy your TH-cam videos and kind personality in delivering such help to us lay people to understand more about our heart diagnosis.
I was on Flecanide for only 4.5 days and stopped it. I did not do well on it. It created shortness of breath, a hard strong feeling of beating without AFib but felt awful. I also experienced intense brain fog and could not think straight. Upsetting as that is whats worse is my cardiologist seemed to think I was the only one in the world who had those symptoms and therefore it was all in my head. Honestly that is the worst feeling when a medical doctor does not believe you! Dr. Gupta I would like to know why some of us do experience side effects to medications and why the need for a medical doctor to feel its all in our heads?
My cardiologist sounds like yours too. I'm asking for medication for afib .he said I don't need it .dizziness, shortness of breath. Low energy
@@saturninocantillon7548 have you been diagnosed with afib?
Thank you for this video. Good work. What is maximum dosages of selekon zock to take safely with flecainide acetate. Your answer will be much appreciated. Thank you.
I was just told to stop taking this medication because I’m having reactions to it. I’m 27 I have had three episodes of AF once every month my heart is structurally normal and strong but sometimes I go into AF they don’t know why 🤷♂️. I think it’s all electrical or maybe stress-related
I have no comorbidities cardiologist tried to take me off sotalol and tried this and set me off real bad only problem I've only had one afib attack then 4 months after being on sotalol tried this I had really bad increased heart rate and atrial flutter stopped taking immediately and took 3 days to come right. I thiink this medication should be treated with caution there's been a lot of problems with it and the excuses they made about the people that had other problems wasn't backed up with studies on ones who hadn't had other issues. Then I'm probably a bit jaded. Love your info and appreciate it by the way.
Can you stop taking this drug? Haven't had an episode since Sept 2017. Thank you..appreciate your channel
I was getting AFib only when I exercised hard, (I'm a 70 year old competitive cyclist) I have been on Flecainide for 12 months and haven't had an AF episode since, however the side affect is that I'm not able to exercise as hard as before, my aerobic capacity has decreased quite a bit and my stamina for riding long distances has also dropped. I'm taking 100mg of Flecainide twice per day.
Interesting! Im 68 yrs and ultra distance cyclist with paroxysmal AF. When you say exercise hard, what HR put you into AF?
@@simplydebes when I did speed sessions my HR gets up to 155 (my max) but it takes a few repeats before I go into AF and then it goes up to over 200 and I start to feel quite faint, I slow down and it goes away till next sprint, it varies from session to session. On a long weekend ride we'll ride 100k and I will go into AF late in the ride on hills that I put effort into. I drop out of AF when I back off the pace. I have gone into AF with HR as low as 140. When I do go into AF I have seen my HR go as high as 219bpm. Initially when I was on Beta Blockers I would go into AF at only 105bpm, I stopped those immediately.
Now I'm on Flecainide and blood thinners and I haven't had an AF episode since.
@@SuperPa Thanks for the reply. It's nice to chat with someone of similar age and quite active. What you experience shows how different AF can be. The last time I got AF it was quite warm and I think the main cause was dehydration. I'm over in Perth and we have had the hottest summer on record. At its peak 38C felt cool after a few mid 40s. This time I was able to record it on my Apple Watch and from the print out my cardiologist is thinking I might have SVT rather than AF. Although, it may start off as AF for a few seconds than go into SVT. My HR was over 160bpm but regular. (I use Pill in Pocket method of control as I only get it every couple of months). I wonder if this is happening to you? The ride was very flat and I was taking it easy. Since then I have bought a Garmin HR monitor which has been helpful.
Hopefully I will do a 660km gravel ride next month but leave the racing to the young folk. I'll do 100km a day and get a good sleep each night. But riding off-road by yourself hoping that its not going to be an AF day can spoil the fun.
@@simplydebes Interesting about your summer weather, here in Brisbane it's been the mildest summer that I can remember. I ride in the cool of the mornings at around 5am. One day last August at our track training day I opted in the previous 24 hours not to take my medication, I felt strong and powerful, I was taking my turns on the front, after the 3rd turn I started to feel weird and saw my HR go from 140 to 188 (my max is 150). The immediately slowed and coasted back to where my car was, after a couple of minutes my HR returned to normal and I took my medication and continued on riding at a slower pace. In recent weeks I have greatly increased my consumption of electrolyte and I have dieted and lost 7kg, I'm down to 70kg (I'm 170cm tall), both these have given me improvement in aerobic and anaerobic capacity.
Good luck with your epic ride.
@@SuperPa I was a competitive cyclist for years, did the Grafton to Inverell and raced A grade at club level. AFib has stopped me in my tracks. I was prescribed Flecainide which only converted AFib into atrial flutter. I'm so angry and full of self pity. "why me" etc. Going to the doctors again this afternoon to discuss ablation
Thank you for these really informative videos. I am three days post-ablation and am beginning heavy duty study of AF. Have had paroxysmal AF for years but, as predicted, the episodes became much longer over time and really put me down due to lowered BP (77/52 last time). Also experienced intensity of light headedness. So, after many years of this I finally decided to have the ablation performed. So far so good. Thank you again.
May I ask if you always had low blood pressure, or just when you went into Afib?🤔
@@gloriamaryhaywood2217 Just when I went into A fib...Pulse was in the low 100's.
@@Rogijimbex One more question, please. When you went into AFib what was your usual heart rate? Mine was around 160 beats per minute.
@@gloriamaryhaywood2217 I usually never went beyond 120. My resting rate is around 55. I was acutely affected - didn't have it all the time. The reason I finally had the ablation done was the episodes (over the years) went from a duration of 20 minutes to a day or two without stopping. That was with Flecainide and Atenolol not really able to hold it off when it came.
Rocky beck , how are you doing 1 year later?
So reassuring, thank you. Your videos are immensely helpful .
I was told by my doctor that flecainide won’t get me back into normal rhythm. I am currently in atrial fibrillation and the only thing that stops it is when I have a cardioversion and then it lasts for about 12 weeks and then I go back into atrial fibrillation. Are you normally take 100 mg and I’m gonna raise that on doctors advice to 200 mg but the doctor said that it won’t put me back into normal rhythm it’ll just help any views?
I take 3.75 mg of bisoprol every morning i dont know if it is helping me i have an episode every month or so sometimes every 2 or 3 months and its gone after a few hours sometimes it lasts all day,i take 1500 mg of magnesium every day 1000mg of taurine ,500mg of resveratrol ,500mg of natokinnase,1000mg of vitamin c ,little or no alcohol, a litre of water with a sandwich every day,its a constant battle ,first time it happened i ended up in hospital i wouldn't wish that on anyone im in Ireland, i would like to get off of bisoprolol and go natural,might be a mistake.
Great video, do you think it is safe to take the weight loss drugs wegovy while taking flecainide, rivaoxaban, bisoprobol?
I am educating myself from your videos to live healthy! I referred your channel to my family and friends. Extremely useful.
Salute you! In your busy schedules, you are making videos for social consideration
My cardiologist told me that only younger adults are eligible for the pill in the pocket. Is that true?
Also he told me that i have to have not missed even one dose of my blood thinner for 4weeks before i could get a cardioversion... Is that true?
This is all so confusing for me... I'm new to all this
Do Flecainide works for PAC or PVC ? Or its just work for Afib?
Please help. I live in the states. A few months ago I was sent to the emergency room during a routine doctor's visit after a PA noticed fluctuation in my heart rate I was given a AK zhi and sent to the emergency room by ambulance. During my two-day stay at the hospital I was given different medications I ended up leaving with a prescription for metoprolol and Eliquis. I was referred to a Cardiologist. He he took me off the Eliquis and had me take low-dose aspirin 4 my continual AFib. After my fourth visit he let me decide whether or not I would consider a cardioversion which I did. It worked for less than a week and my heart went back into AFib. He had me start back on the blood thinner Eliquis for 6 weeks and now has taken me off of it and I am back on low dose aspirin. I'm wondering if Flecainide would work for me ? I am not diabetic nor do I have high blood pressure or any heart defects other than the actual AFib. I like my doctor very much but I am wondering why he is against me trying the flecainide. Should I get a second opinion ?
My doctor wants to put me on flacinide for my pvcs cause beta blockers and ccbs aren't helping I'm scared asf to try it 😢
Can I use flecanide with metoprolol..
As patients some times have heart rate 125/minute..But control ed well by metoprolol
I had a very bad reaction to Flecanide which caused me to go into VTAC and phone an ambulance. My Doctor then tripled the dose and I had another attack. Both times I managed to self revert but the attacks were both debilitating and I took days to get my heart below 120. My Doc has me on Sotalol now and there's not been much change.
Back in the day, as a representative, I launched and sold encainide, which worked quite well for ventricular tachycardia. But the FDA pulled it after some adverse adverse reactions occurred from being used in inappropriate patients with less severe arrhythmias.
I really wish you were my Doctor. You are so knowledgeable.
Is an athlete's heart with dilated left atrium considered a "structurally normal" heart?
Very informative and your lecture is good and clear understanding
That's interesting. I take 50mg twice a day. They didn't say it can also stop an attack. They haven't told my anything, they just fill me up with pills and give me no advice. I wish he was my Cardiologist. I'm also on Bisoprolol. Headaches are appalling.
I was on it. Then issue happened started Zoloft have not looked back.
Do as much research about medications on the heart and your condition is possible and that will spark questions it's not all the doctor's fault
@@reggiepalmer6157 in that case it was
@@holysmoke8439 no it wasn't. It's your fault because soon as they prescribe you something get online and read as much about it as you can go in and look at reviews study the medication on Wikipedia before you take one tablet. See what pharmaceutical company makes it see how many recalls they have see what the contaminants were if they had it recalled and if it's made in China LOL good luck with that!
Doctors dont tell you this shit much
Very helpful info. You are a great teacher! Thank you!
How commonly are people taking a beta blocker with the Flecainide?
Is it ok to have a flecainide in your pocket if you already take 2x 50 mg a day?
Doctor just switched me from metropolol to flecanide. Metropolol lowered my HR too much. Tonight I take the first dose
How is it working for you?
Thank you for the video, I have a structurally normal heart, and suffer from paroxysmal AF since 2005, I have been stuck on a waiting list for the last 2 1/2 years whilst awaiting my 3rd ablation I also have a loop recorder fitted. After a recent episode of AF I was advised to take Flecainide on a more regular basis as I've taken it as pill in the pocket normally. Once again after only one dose I have had side effects from Flecainide with headache and vision problems. I complied with the advice I was given today and took a low dose betablocker Bisoprolol of 1.25 mg along with 100 mg of Flecainide and I ended up in bradycardia all night and I felt like my whole body was vibrating and my heart was definitely not normal. Consequently I got no sleep and am extremely tired today. I don't like this drug I'm sorry. Can you explain what may have happened here?
I don’t have afib but pac and go to slow to fast within seconds. Since flecanide I’m doing great. Had echo done and ekg recently and heart is perfect. I’ve been on it for 2 years now. 50 mg twice a day
Yeah!..same as me. My af is under control but facing PAC I have been put on 100mg flacanide/day with help of a beta blocker. I am doing very good now. No more PAC.
I have been on flecainaide since 2013 after two conversions and two ablations. I seem to tolerate it well and seems like this is the only think that put me back in rhythm. Thank you for the explanation.
Hello, I would like to know if you have experienced any side effects from taking flecainaide. If you don’t mind how old are you. I am 54 and with Paroxsymal Afib. Appreciate your input. Thanks!
Dizziness, short of breath, swelling, constipation. Just a bad drug for me. Doesn't help my afib or aflutter either. Sadly.
Im 81
@@junebrown2260 my goodness!You don't look 81 in that picture!!!!!
Can flecainide be given after amiodarone infusion.?
AFTER RECEIVING MY COVID JAB MY HEART NOW HAS AFIB AND INCREASED BEAT FROM 60 TO 80 OR MORE THIS HAS BEEN GOING ON FOR 8 MONTHS NOW .. I WONT BE GETTING THE BOOSTER AFTER MY EXPIRIENCE WITH THE JAB WHICH I DONT FEEL IS READY FOR THE PUBLIC YET..
Thank you so much for taking the time to educate us/ help us in so many ways with your videos. Question : in case of paroxysmal Afib, other that on dit ion, a normal heart no blockages etc. What do you subscribe to your patients mostly, is it Flecainide or Bisopropol ?
I had iv flecainide after a failed dc cardioversion. My heart did try to get into a normal rhythm but slipped back after a few hours. 40 minutes of slow motion conscious fainting. The worst experience of my life!
Love the videos - really helpful and informative.
u take Medicaid ..lol just got it hope it works cause next stop is ablation or pacemaker
Had Flecanide 3 times IV in A&E to correct AF . Now carry pill in the pocket
Hi, you say flecainide daily 50 to 100 mg I have been given a daily dose of 200mg is this safe?
I really enjoy hearing your talks thank you - very bright.
Español quiero la explicación
Very grateful for your videos!
Hi
As you told its good for perfect shaped heart what if one of heart chamber is large in volume/size plz guide me
I like this guy, wish he did a few more videos
Thank you! May I ask - what if flecainide failed to work on one occasion - does it mean it's no longer reliable?
Thank you so much for the care and concern and your time. I was on this drug but did not work for me after a while. Appreciate you!
Very interesting ! I've been on flecainide for years , I'm 78 very active and been wondering about how it works my heart rate on this drug is in the mid 40s I was worried about being so low ..... But it doesn't seem to bother me , just get a bit winded on my hikes 🤣thanks for the info 👍
Even wiki says only using this for severe arrhythmias as a last resort. not atrial fibrillation. I’ve never seen so many fluoride atoms on any molecule.
Flecanide binds to lung tissue and causes interstitial lung disease (5 references in wiki)
The way I read it it causes bbb.
Your reasoning seems to be if you are really healthy and only have parox afib, this drug won’t kill you hence you should take it.
The trial you mention may be this paper:
Mortality and Morbidity in Patients Receiving Encainide, Flecainide, or Placebo - The Cardiac Arrhythmia Suppression Trial, 1991
I don’t see anything wrong here: the flecanide patients had 3x to 4x more deaths, from arrhythmia and heart attacks, than placebo.
I take this medicine twice daily after having two Heart ablation, and I'm doing well so far, thanks for the information
Can I ask why you need it after 2 ablations? I have also had 2 ablatiins, but now wake up with erratic heart, Cardiologist suggests scaring is causing nighttime arrythmia now, so now getting diagnosed flecainide
Does anyone here, after going on Flecainide, have periodic quick sensations of tightening? I would love to know if anyone else can relate to this. Ty!!
Thank you sir! I am 40 and have had 1 afib attack a year since I was 19 and never did anything about it till now, I saw your vid on Ablation and thankfully have chosen this route instead as a treatment. I’ll see how it works for me when I get a attack (or hopefully not) as I’m on 25ml of metropolol daily and feels like it helps.
Any updates?
Thank you for the information. Doesn’t seem like most GPs take AF seriously enough……. If I had been prescribed flecainide when I was experiencing severe af attacks maybe I wouldn’t have gone on to have ventricular fibrillation. I’m not sure if sone GPs understand how debilitating and difficult it is to live a normal life when suffering from af. Thankfully 🤞. Having one had 2 heart procedures(ablations). I now have a much better quality of life. Keep saying this on these blogs. If you have persistent af. Push for a 7 day heart monitor because it was only after this, I was sent to a cardiologist My heart rate went down to 30 then rapidly up to 140. Take care 🌈💜
love your work great public service thank you!
Dr Sanjay, is Afib same with Mobitz1 or 2? My Dr said I have Mobitz1 which I get everytime im nervous or excited, but then gets normal everytime I accept death is just part of being alive. Wasnt like this before until i got full nervousness in 2021 for some weird reason. Been to neuro, cardio, gastro , ortho, optha, uro, ent, endocrino, and now psych. Still getting this annoying thuds when im anxious. I suspect some antibiotics triggered it. Some people i talk to git the same after the vaxx. Hope everyone gets the proper meds needed and the reassurance from you Dr Sanjay is more than an electrical impulse needed so peoples lives and thoughts stay in rhythm. Thank you in advance for your inputs.
I stopped my AFIB with taurine 3000mil and L Arginine 300 mil. Saw it in a clinical trial!
Is it still working for you? 😊
Thanks, Know I know why I have Bisoprolol!
It depends on how stubborn your AFIB is. I was diagnosed in 2019 and we tried flecainide as well as other medications, none of which worked. Next it was a cardioversion, which did not take. At that point we did a medication cardioversion using amiodarone. That worked but it is extremely toxic and not a long term solution. As a result, several years later, the AFIB returned. We tried tripling the flecainide, which did not work, so we did another cardioversion, which has worked thus far. If the AFIB comes back, then we're doing a heart ablation.
Hello Dr Gupta! Hows it going sir! Thank you for sharing. Very informative! God Bless! Appreciate you so much!
great video
I had Flecainide for paroxysmal afib. It virtually cured me for about 3 years. I started to notice dizziness and strange heart episodes other than afib though. Turns out I was getting Broad Complex Arrhythmia due to the Flecainide. Put on Bisoprolol afterwards and went on to have ablation.
I have been dianosed with supraventricular tachycardia. only happens once ever month or two. my heart rate is mainly controlled by atenolol. although if i take a few steps it does speed up a bit. my doctor just prescribed me flecainide 50 mg once daily. im so scared to take it. i keep putting off starting it. is this medicine the right kind for SVT?
Great info
I am going to try this. I have many different arrhythmia. Beta blockers stopped working and diltiazam is not working well. I have intermittent pvcs, svts, and afib. Going for a stress test before I begin. Do you think this drug could be helpful?
flécaine & témérit la cata pour moi!