nebivolol + flecaine

[salieri]

I am a 51 year old man. After my second ever episode of fast atrial fibrillation, resolved through electric shock, my cardiologist prescribed 100mg flecaine and 2.5mg nebivolol to be taken every day. This as a preventive measure.

I have read on the medicine info notice that these two medicines should not be taken together. My cardiologist states that they are routinely prescribed together by cardiologists these days.

I have never taken any heart drug, and feel a bit concerned. Can anyone shed some light on this?

Thank you in advance.

[claytex]

I had afib for far about 12-13 years and had probably 14-15 electro cardioversions during that time.  I had a heart ablation proceedure in July of last year and it corrected the afib.  Im fine now.. but back to your question.  I  never took Nebivolol and am not familiar with it.  However, I was given Flecainide the last year that I had afib.  I was having 3-4 bouts a year with the afib then.  Flecainide is a pretty powerful medication and Im surprised that your doctor has prescribed it so early.  Flecainide can cause congestive heart failure if your heart is not strong.  It did not cause me a problem but I am in pretty good physical shape and can stay on a treadmill test for over 15 minutes... I guess it would depend on your overall situation as to whether or not you should take it.. Im no doctor but its just my gut feeling that your doctor is over medicating you. Personally I would get a second opinion.  Hope this helps...Claytex

[Carey01]

After only 2 episodes?  Do you have other concerning factors?