Flecanaide for Pill in a Pocket February 20, 2021 10:37PM |
Registered: 4 years ago Posts: 108 |
Re: Flecanaide for Pill in a Pocket February 20, 2021 11:50PM |
Registered: 11 years ago Posts: 4,324 |
Re: Flecanaide for Pill in a Pocket February 21, 2021 02:57AM |
Registered: 10 years ago Posts: 2,604 |
Re: Flecanaide for Pill in a Pocket February 21, 2021 03:02AM |
Registered: 10 years ago Posts: 2,604 |
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LaniB
There was no discussion about pros and cons of the Pill in a Pocket Flec. I just asked if I could try it, and the NP Rx'd it.
Re: Flecanaide for Pill in a Pocket February 21, 2021 07:55AM |
Registered: 10 years ago Posts: 1,100 |
Re: Flecanaide for Pill in a Pocket February 21, 2021 04:01PM |
Registered: 10 years ago Posts: 2,604 |
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The Anti-Fib
The time to go to the Hospital for Electrocardioversion, is if you can't convert on your own, or it looks that way. Also by the time you went to the Hospital ER Room, even if they agreed to convert you, it would probably take 4-5 hours.
Re: Flecanaide for Pill in a Pocket February 21, 2021 08:11PM |
Registered: 6 years ago Posts: 197 |
Re: Flecanaide for Pill in a Pocket February 22, 2021 04:46AM |
Registered: 10 years ago Posts: 1,100 |
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susan.d
The time to go to the Hospital for Electrocardioversion, is if you can't convert on your own, or it looks that way. Also by the time you went to the Hospital ER Room, even if they agreed to convert you, it would probably take 4-5 hours.
I never waited that long. Before my first ablation I was a frequent ecv’er at the ER. I would be wheeled from the front to the triage and on the way I was greeted by all the nurses who saw me the previous week or two. Then a doctor or two would greet me and say out loud “get the crash cart ready because we are doing an ecv!!” It ran smoothly and I was in and out. After my second ablation i chose an ER further away because I really like my NP. Now each flutter/AF/SVT can reach up to 244 hr. In December my heart couldn’t catch up with the tachycardia and I got a type 2 MI.
I do try to wait a bit to try to self convert but I am so darn symptomatic and flutter is harder to go away on its own. Last week’s flutter was my absolute worst. Heart rate was 170s, BP dropped to 80/50 and I had angina (same as my MI), dripping sweat and nausea that I was concerned I could possible aspirate once sedated for the ECV and I was very dizzy. That was my fastest record to get ecv. They rushed to put on the pads and I don’t remember being knocked out with a sedative or even waiting for the anesthesiologist. I just woke up in surprise with a 49 pulse.
I blame my flecainide overdose for all of this. Before the PIP experience with 16 year history of afib, I never had this high tachycardia during an afib episode and I waited it out and mostly self converted within an hour tops. Everyone is different but I wanted to share my perspective.
Re: Flecanaide for Pill in a Pocket February 22, 2021 05:37AM |
Registered: 10 years ago Posts: 2,604 |
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vanlith
For about 3.5 years i swallowed 2x150 mg Propaf. pills and converted on ave. in 3 hours but after my 1st unsuc. ablation the times were getting longer and sometimes no conversion at all and if i did not convert by around 8-10 hours i went into a horrible flutter around 150-160 beats that would last maybe 2 days no matter how many more propaf. i took.
Re: Flecanaide for Pill in a Pocket February 22, 2021 08:09PM |
Registered: 6 years ago Posts: 197 |
Re: Flecanaide for Pill in a Pocket February 22, 2021 09:28PM |
Registered: 11 years ago Posts: 4,324 |
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vanlith
Susan Flec. i suspect is much stronger than Propafenone as you can take as much as 300mg (2 pills) every 8 hours= 900 mg. in 24 hours.
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vanlith
...before of course my chewing miracle was discovered.
Re: Flecanaide for Pill in a Pocket February 22, 2021 10:43PM |
Registered: 10 years ago Posts: 2,604 |
Re: Flecanaide for Pill in a Pocket February 23, 2021 12:03AM |
Registered: 6 years ago Posts: 197 |
Re: Flecanaide for Pill in a Pocket February 23, 2021 12:37AM |
Registered: 10 years ago Posts: 2,604 |
Re: Flecanaide for Pill in a Pocket February 23, 2021 01:55AM |
Registered: 11 years ago Posts: 4,324 |
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susan.d
Immediate time release or extended release? The maximum dosage differs from instant release 900mg after a 3-4 day ramp to maximum strength —to 425 mg every 12 hours maximum (am I right George?) for extended release with a 5 day ramp to maximum dose.
Re: Flecanaide for Pill in a Pocket February 23, 2021 02:57AM |
Registered: 10 years ago Posts: 2,604 |
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GeorgeN
I know for daily use of flec, you want to build up to a steady state serum level. This is a function of the 1/2 life of the drug (stated as 12 hours, but surely differs for the individual) and how much you are taking..