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Would love to hear opinions

Heart Rhythm Conditions | Last Active: 5 hours ago | Replies (7)

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Profile picture for gloaming @gloaming

We need some elucidation.

What is the loading dose?

Why was THE most powerful anti-arrhythmic drug prescribed and at such a high dose?

Have you had the post-ablation Holter assessment? What were the results communicated to you?

For a physician to prescribe amiodarone, you would have to have clear indications of arrhythmia. So, WERE you in arrhythmia or just feeling blaaah?

It seems odd to me, but I don't know your case or history. I don't know what the amiodarone is meant to forestall. Usually in a blanking period with a cranky heart the patient is put on a maintenance dose of diltiazem, metoprolol, propafenone, and/or flecainide (a blocker/rate control plus an AAR like propafenone or flec) However, I was never given any of those post ablation, only amiodarone, and only because my heart went haywire at the six day mark post ablation. I was loaded at 800 mg for a week (400 BID), and then maintained at 400 daily (200 BID) for five weeks. After that, I was to do a two-week taper with one 200 mg tablet taken some time during the day.

I don't understand why the need for you to take a 'loading dose' for an entire month. Seems excessive, but I am untrained, unqualified, and don't know you.

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Replies to "We need some elucidation. What is the loading dose? Why was THE most powerful anti-arrhythmic drug..."

@gloaming loading dose is 200 mg twice a day. I was only prescribed the drug when I called and complained about fatigue 3 weeks post ablation. My doctor went on vacation and I still have not spoken to him. Everything is being decided through a PA and the cardiologist who did my recent cardioversion. I don't see my actual doctor for four weeks. I had an ablation in 2022 that lasted four years. It was with heat. This one was the new one l, the pulse field ablation. I'm just going to follow orders and pray my heart listens to the medicine.