Can anyone recommend a med to use to correct afib after cardio version

Posted by benedict66066 @benedict66066, 14 hours ago

Has anyone had success with a medicine that helped correct afib after cardio version only lasted one week?

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I've had one cardio version and was immediately put on a six month course of amiodarone. It has a long list of side effects and not everyone tolerates it. I remained free of AF for 14 years afterwards,

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A cardiologist who knows your case and any limitations or other drugs that may contraindicate would be the person to ask. For some it's amiodarone right away, for others Multaq or Tikosyn might work well and not offer so much potential for toxicity as amiodarone can....not 'will'.....can. Tikosyn needs a hospital admission for at least 48 hours while they load your system initially. So does amiodarone.

Flecainide might be trialed, but it's not as powerful, and it is contraindicated for those with CHF....chronic heart failure, which some arrhythmia patients develop in time.

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Just wanted to add my two cents since I went through something similar. My afib came back about 10 days after my first cardioversion, and my EP ended up switching me from flecainide to sotalol. It's another option worth asking about besides the ones already mentioned - it's a beta blocker with antiarrhythmic properties, so it can help with rate control too, but it also needs monitoring for QT prolongation, so you'd likely need an ECG check before and during dosing.

What gloaming said is spot on though, so much depends on your specific heart function, other conditions, and what meds you're already on. My cardiologist actually ran an echo before deciding what to try next, just to rule out any structural issues that would knock certain drugs off the table.

Hope you find something that works for you. It's frustrating when the first attempt doesn't hold.

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