Initial flecainide Procedure

[sandscier]

I have not started flecainide yet.  My cariologist has recommended it for me to help with my A-Fib.  I am in good health otherwise with no other problems.  I have filled the prescription which I am supposed to take at home for 5 or 6 days (no event monitor) then go in for a cardioversion (stop and restart heart).  I don't see this methodology mentioned in any of the other posts.  Has anyone else been treated this way?

[DeltaDawn23]

I have heard of this.  One person on this message board on meds (including Flecainide) for 1-1/2 years, then electro-converted.  I don't think they really stop your heart -- the voltage just readjusts it.  I've had it done twice, tho not my favorite thing, way better than being in Afib with 180 heart rate.  I was on Atenolol (beta blocker) for 7 years that controlled my Afib.  Now added Norpace CR (antiarrythmic).  I took it for one week at home, then went in, had an ekg and was put on a 30 event monitor.  The reasoning is any side effects will show up after a week.  Then a 3 months appt with another ekg.  So far, so good.  No Afib for 6 months, minimal side effects.  I am taking Coumadin tho.  Have you had a Chas 2 assessment for stroke risk?  I am assuming you are now in Afib -- if so you should be on some kind of a blood thinner even if it's just asprin.  Good luck.

[sandscier]

Thanks.  I don't intend to start the flecainide until I know for sure what to expect and the best way to handle it.  Doing the cardioversion after being on the drug seems to be a bit of a different wrinkle.  Hope your treatment works.

[Jerry_NJ]

I have had several "restarts", obviously none were permanent. I was always on atrial run with a medication fist.

The first time I took just a beta blocker Toprol 50 MG.
The second time (about a year later) I was on Propafenone 220 mg three times a day.
The third time (about 3 years later) I was Rythmol SR 425 MG twice a day. I was on a monitor when I started this medication.

My cardiologist required hospitalization for start-up on Flecainide, and stronger medications.   I have never used Flecainide.

I have read of others starting Flecainide "at home".