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1703392 tn?1307450500

Flecainide for PVCs

I went to the EP yesterday and told him that I wanted some other options in dealing with these PVCs. I stopped the metoprolol tartrate because I didn't like how it made me feel, and he mentioned that he could put me on Flecainide or a CCB. Again, my heart is structurally sound, but these PVCs are making my days and nights terrible.

He said that the Flecainide is usually well tolerated, but I've read conflicting reports on the web. Anybody else on here having success (or misery) with Flecainide?  
Best Answer
Avatar universal
I have been taking a high dose Flecainide 150 mg 2 x a day with beta blockers for a long time. I read a lot of bad about it but honestly I have never had a problem with the med. So far it has been the only med that has helped my arrhythmia`s. I have tried a lot of other meds and no more surgical treatment could be done.
I started it at home but had to have a lot of ecg`s done for the first few days to measure my QT.  
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996946 tn?1503249112
Sometimes a 2nd ablation is necessary.  My EP told me that before my first ablation in 2010.  I had problems with tachycardia and a-fib that returned and I needed a 2nd one in May of this year. Since then I haven't had any issues with either. I am so glad I went ahead and got it.  I had not been able to take Sotalol...something about my QT being long so I did pretty well on flecainide.  But who wants to take those drugs for the rest of their life?  Good luck to you!
Helpful - 0
Avatar universal
I recently saw a new EP doctor and was taken off of the Flecanide and put on Sotalol.. I am pretty intolerant of anti arrythmics.. I was told a ablation is no longer a if i would like one to help its a necessity.. I have a history of syncope lasting almost 2 years. I have passed out 15 times in this time.. I had an ILR implanted and so far the only thing they have found in AF and extremly long runs of bigeminy and trigeminy. I was advised that it is now a necessity to get the 2nd ablation... Im wondering if any one else has taken sotalol and peoples thoughts on a 2nd ablation. Thank you
Helpful - 0
Avatar universal
I had an ventricular ablation a month ago for symptomatic PVC' s. A loop recorder was also inserted to figure out why I keep passing out randomly. I went back today to see my EP doc and he put me on flecainide due to the lack of.success with the ablation. I am starting it at home. With a follow up in a month. That is all.. I have had 2 ekgs that showed long QT and have a history of hypokalemia and low magnesium.. after reading about the med I'm a little concerned...
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996946 tn?1503249112
I have a very long history with flecainide....never have had any problems with taking it for paroxsismal a-fib.  After an ablation in Sept., it was the only the only drug that kept me out of a-fib.  I was put on 400mg a day and I did have some peripheral vision issues.  After 3 months I was weaned off of it, as that is a pretty high dose.  It can affect your liver but of course you can, and should be monitored by blood labs for that. My ECG's started showing some changes and my Dr thought it would be best if I got off it.

That same Dr. advised me to use it for recent tachycardia episodes that I get every few weeks.  I take 1 ToprolXL 25mg...wait 20 min and if still in tachycardia I take 3 100mg flecainide. It works for me.  He wants me to have a "touch-up" ablation for the SVT in Sept.  I may or may not....haven't decided yet.
Helpful - 0
Avatar universal
I was put on flecanide. After being on it for a while I began shaking when I was doing purposeful activity. I was at someone's house and we were to serve out own hot soup. I had the bowl in my left hand and the ladle in my right. All of a sudden the bowl dropped into the soup and I was pouring hot soup on my hand. I couldn't pick up a cup with one hand, couldn't button a shirt easily. I had 3 specific types of symptoms. The cardiologist thought at least the shaking was coming from the flecanide and the family doctor agreed. I was taken off flecanide and the symptom decreased but they still persist and apparently caused  a permanent condition. Obviously a rare side effect (unless you are the one effected).
Helpful - 0
1701959 tn?1488551541
I have to agree that from what I have heard anti-attythmic meds,... I would not even consider unless it was a very last option. From what I understand there is as much as a risk of taking them as a benefit. Since the PVCs are benign in your case and you are just looking for them to stop for the anxiety relief, I would go in other directions.
Helpful - 0
1569985 tn?1328247482
I would not go on an anti-arrythmic unless I had no other options.   I was in the hospital 2 x in 3 months with Afib and had to be cardioverted.  I am on Norpace XR and it is helping with minimal side-effects, but it had to be monitored in the beginning.  These are are much more serious heavy-duty meds than beta blockers.  The doctor is going to take me off of it if I go a year without Afib and I would be happy to be off of it.
Helpful - 0
995271 tn?1463924259
onion should be:  opinion.
Helpful - 0
995271 tn?1463924259
Hopefully you get some direct feedback.  Have you tried the search feature?

There's a broad onion base on the use of flec for benign PVCs.  From, it's unethical to use it for a benign condition, to people using it with no issues.
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
My cardiologist requires hospitalization to test Flecainide before turning the patient lose to take on his own.  It is one of the stronger medications, much more than a beta blocker.  It may work.

That said, I have read many good and bad reports on it.  If you start it at home be prepared to go to ER if you have any of the worse side effects... I am not prepared to list them, look at the description with the med, and consider what you doctor said to do. If the doctor didn't give you any advice on what to look out for, get a new doctor.
Helpful - 0
Avatar universal

I assume you have read this article -  the warning is enough to give me pause...  http://www.nlm.nih.gov/medlineplus/druginfo/meds/a608040.html
Helpful - 0
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