Long QT

Posted by jdtaxgeorgetownlaw7 @jdtaxgeorgetownlaw7, Feb 15 6:08pm

Has anyone taken Nadolol together with
Mexiletine and reduced their prolongation interval?

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@jdtaxgeorgetownlaw7
Not taking Nadolol but I am taking Mexiletine. The Mexiletine was prescribed to lower PVCs and episodes of tachacardia and it worked.

REPLY

Hello fellow Long QT,
This is a tricky question. The short answer is no, those meds will not shorten your QT. But the goal is to stay alive and healthy, not to "fix the electrocardiogram." What your cardiac conduction looks like on the ECG on meds is far less important than you feeling healthy and strong with no fainting or worse cardiac episodes. If the QT prolongation is not familial (inherited), it might be due to an electrolyte disturbance or a drug interaction (meds like, e.g., zofran and reglan are known to prolong the QT along with the long list I'm sure you are aware of). If you fix the electrolytes and remove the offending drug, you may find the QT shortens in these "acquired long QT" folks, but in the congenital form, meds are for protection not visual "cure" of the QT prolongation. That's not the cure; the focus of doctors should be on YOU. Just my 2 cents. Well wishes.

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