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Anybody else on Amiodarone and Metoprolol?
87 yrs old male, 1 ablation, mitralvalve replaced, had the full maze done, and 1 bypass 35 yrs ago. Was on sotalol 80 mg 2x for 15yrs but not working lately. Was put on Metoprolol 25mg 1x and amiodarone 1x 200gm after 7 days loading of 3x 200g.
NSR returned last night, day 7 of loading, no bad effects yet.Heart Dr said last resort because ablation too risky but that is not final, depending how this new regimen works. EP wanted to desttroy my AV node and 100% pacemaker from then on. BTW I have a dual chamber pm. Feel great when in NSR work in garden, walk etc. In AF incredible loss of QoL.
How are you coping and for how long on amediodarone?
Thumper2, July 28, 2020 7:51am EST
Eugene, some folks can take amiodorone and it's OK -- for others, it is destructive to various internal organs. Have you inquired about taking Tikosyn? My husband (who is 88) has taken it for some years now, and it keeps him in NSR. It didn't work for me, but that's the way it goes, with meds! Keep us posted.
jimr15, July 30, 2020 9:05am ESTEugene and Thumper, I am a 77 year old male and I started with episodes of AFIB in 2002. I was put on Amiodorone which corrected the heart rhythm but slowed my heart rate too low. So I had a pacemaker installed to keep the resting heart rate in a safe range around 60 beats per minute, and this combination worked fine for me for about 16 years. Then the incidents of AFIB returned and some lasted several days. I got a referral to a great Electrophysiologist (who had studied at Cleveland clinic) and he first increased my Amiodarone to from 200mg once a day to 200mg twice a day. He stated that about half the population can tolerate Amiodarone without complications and side effects and the other half cannot This change controlled my AFIB for a few weeks, but not long term. So he decided i should switch to Tikosyn (Dofetilide) and he had me in the hospital for the initial four days for observation as i started on that new medicine. It worked fairly well and I have no been on this since 9/1/2028. I also take Metoprolol for my blood pressure and I have no negative side effects. I am writing this in the hope that my story will help others with AFIB to gain a better understanding of the condition and to see the remedies that worked for me. JimR
Thumper2, July 31, 2020 7:43am EST
JimR, thank you for telling us about your experiences with amiodorone, Tikosyn, and metoprolol. My husband had heard that sometimes, when one is on Tikosyn and it's working well, it is possible to stop taking it. He asked his EP about it, but the EP did not think it was a good idea (for him). Glad to hear your treatment is working for you!
Gene157, August 1, 2020 3:13pm EST
Thumper 2 and Jim15 thank you for your your detailed comeback. I could not respond sooner because on Tue my heart rate went from 50 to 120 and stayed there. After 4 hours I called the Fire Dep. and was taken to Emergency There they gave me more Amiadarone intravenously, but it did not help. After 3 hours I was moved to a room and stayed on Amiodarone for an other 24 hrs. That was horrible, I could not close my eyes w/o seeing weird images, no sleep. And out of breath, because my pacemaker comes on at low 45bpm only. That got me out of breath. Then changed to 200mg Amiodarone 2x day and my pacemaker was upped to 55bpm. In addition I was dehydrated and was given 2 liter of fluid in 12 hrs plus all I could drink. What a difference! Was now able to sleep again and felt near normal. Will see my cardi on Tuesday. Still tired, slept11 hrs last night, not a zombie anymore. Fortunately my heart is OK, ejection fraction is 55 up from 50 and out of AF.
Thumper 2, what is the dosage your husband takes?
Thumper2, August 2, 2020 11:50am EST
Gene157, my husband takes 250mcg of Tikosyn, twice a day. He also takes 25 mg of Metoprolol (in the evening, since it tends to make one sleepy).