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Atrial Fibrillation and long-term management with medication

Heart Rhythm Conditions | Last Active: May 26, 2022 | Replies (65)
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@windyshores

@realitytest this happens to me with beta blockers. My bp and heart rate drop and I am weak, can't feel my arms, feel strange.

I will tell you two things. I use diltiazem (calcium channel blocker) but ONLY when needed. This is called the "pill in a pocket" approach.

You could also try the beta blocker ONLY when you have tachycardia.

I read once on another forum- sorry cannot cite- that beta blockers are sometimes not good for certain types of afib. Diltiazem also lowers blood pressure so when I have afib with heart rate of 180, the ER does a diltiazem drip and watches my vitals. I have only taken diltiazem three times n 5 years-while I wait for the ambulance!

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realitytest | @realitytest | May 2, 2022

Many thanks, windyshores!
Your suggestions about PRN beta blockers is certainly hopeful but I wonder if my doctor would approve it. Can I assume you are using your calcium blocker PRN with your doctor's approval?

I live in a rural, medically underserved area. I've long been unhappy about the paucity of quality medical care. May I ask what area you are in, and if you see a doctor in a highly qualified practice?

One thing I know is I'm not going to touch that Metoprolol again with a ten foot pole!

PS Is your blood pressure usually elevated?

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