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Steve, From reading here for nearly 13 years, high dose flec usually loses effectiveness over time. You triggers sound vagal. Some thoughts as a vagal afibber. - for me, ginger (organic powder spice) was helpful. There was a period when I was consuming too much calcium (I didn't know it was a problem), I started taking 300 mg flec, then added in ginger and titrated the flec to 0.by GeorgeN - AFIBBERS FORUM
QuoteElizabeth Jackie: what was the dosage of the Rhythmol that you took? I take one 150mg. at night before bed, I have for a number of years, I havn't noticed weakness. I really don't like taking those kinds of meds everyday but it is a small amount. Liz Hey Liz, If you are vagal, I recall Rythmol as having beta blocking properties and Hans recommended against it for vagalby GeorgeN - AFIBBERS FORUM
QuoteLarryG I'm not clear on the Medicare exclusion. If a retiree is on Medicare, but doesn't have the drug coverage, can the retiree purchase these meds from Canadian pharmacies without problems? Larry, I think anybody can purchase from Canada as long as you have a prescription.by GeorgeN - AFIBBERS FORUM
Hi Liz, If you are adrenergic, it might be a trigger. If you scroll down to Benadryl on this page: < it says it is acts with a "Cholinergic receptor blockade." You may recall a fellow who used to post here about Propantheline Bromide (PB ) as a treatment for his vagal afib < . Turns out that PB is also an anti-cholinergic. So if it worked to prevent vagal afib, it might havby GeorgeN - AFIBBERS FORUM
The reason it doesn't work for Medicare - its considered fraud: <by GeorgeN - AFIBBERS FORUM
Pharmacy price comparison for Eliquis <by GeorgeN - AFIBBERS FORUM
QuoteThe Anti-Fib Also for some reason my K+ is spiking high. 5.7 last year measured right before AF event, and 5.1 just 3 weeks ago, measured 2 days after an AF event. Days later these values were normal. My kidney values are like BUN sometimes are a little high, can the kidneys acutely or intermittently fail? Was your K+ measurement was from a Cardymeter? I know that K+ is very dynamic.by GeorgeN - AFIBBERS FORUM
Ben, " I would be afraid to try that right now, what does your heart rate got up to when you do those? " I would not suggest you do that. If you have an adrenergic component to your afib, a high heart rate will likely be a trigger. So Tabatas aren't on for anybody with adrenergic afib. My heart rate gets up to 160, as I recall (I don't monitor frequently). I'by GeorgeN - AFIBBERS FORUM
Ben, In my case, chronic fitness was my path to afib (primarily endurance exercise, in my case). Detraining has been part of my plan to keep afib in remission (in addition, magnesium to bowel tolerance, taurine, potassium and avoiding excess calcium - then on-demand flecainide to convert me if I go out of rhythm). I'm still very active, but I have a subjective feel of how much is too muby GeorgeN - AFIBBERS FORUM
Hi Rhonda, Yes, I've been around here since 2004. I understand your logic about a Ca channel blocker, since magnesium is considered "natures Ca channel blocker." However, at least in standard usage, a Ca channel blocker is used to control rate when in afib, not to keep a person in rhythm. I've known some adrenergic afibbers where rate control will keep their NSR rby GeorgeN - AFIBBERS FORUM
I've infrequently used a European web pharmacy, www.goldpharma,com, for 9 years to purchase flecainde. I use flec so infrequently that it typically starts to lose potency before I run out of a prescription. What I get from these guys is the brand Apocard. All the pills are individually packaged in whatever you call a foil/plastic pop out container. I like this better as the meds aren&by GeorgeN - AFIBBERS FORUM
Years ago (10-12), I recall people posting here about "Pounding Heart Syndrome" as a sing of low potassium. The only time I experienced this was my keto adaptation phase 7.5 years ago. Turns out it was mag for me at that time, not potassium I've not had it before or since. Georgeby GeorgeN - AFIBBERS FORUM
Quotewolfpack As for BMI, you can safely ignore what the government says. 6'0" and 170 lbs is actually kind of low. That's where I was when my AF started. You might actually be a little malnourished at those levels, which contributes to arrythmia. I've found that low blood sugar will trigger PACs in my case. Have to say that I was fit (doing high altitude - 14,000' - enby GeorgeN - AFIBBERS FORUM
Rhonda, As LIz says, a pacer basically puts a floor on your heart rate. Your opposition to having one may come from the old style AV node ablation for afib where a pacer was then required from then on. This is a completely different issue. From what you've described, Richard should have one. I'm pretty sure Natale would agree. Now an afib ablation from Natale might be a wise choiby GeorgeN - AFIBBERS FORUM
Quoteblueduns thanks again George. I looked up my last blood work and my level was 2.1 ( normal range 1.5-2.5 mEq/L.). so to my regular dr, it's just right in range. But I'm guessing that for us affibbers, this is too low. So what Mg level should I be shooting for if the blood values are acceptable as a rough guide. BD Serum mag is not a reliable measure. If it is low, out oby GeorgeN - AFIBBERS FORUM
Quotealexe There is always some level of variation in pulse rate but at some point it gets into the atrial fibrillation category. My dream would be not to have the level of variation and move out of the atrial fibrillation category. Alex, My experience is that in NSR, variability in heart rate - from one beat to the next - is something in the range of 0-4 BPM. In my afib beat to beat variby GeorgeN - AFIBBERS FORUM
Quotewolfpack 2g potassium? Isn't that a bit high? That would be about 20 tablets if you are using the OTC brands. Roughly 50 mEq if I did the math right. OTC stuff is not likely extended release like the prescription KCl. I took 2-4 g/day potassium for years (and as high as 8g of the bicarb) - not that I'm suggesting any this for others. I used powders (bicarb, citrate, chloride orby GeorgeN - AFIBBERS FORUM
Yep, It used to be called "Freeze Framer." It was the first beat to beat monitor I used, 12 1/2 years ago. It was not an ECG device, it had a finger plethysmograph to measure beats. It worked pretty well, though not as well as the Polar ECG straps I replaced it with (I was using it to see ectopics and afib). Also, back then the device was connected to a computer via a serial portby GeorgeN - AFIBBERS FORUM
Alex, As I recall you are in afib all the time, correct? Not sure what you are getting at. Are you saying your pulse doesn't increase when you exercise? Georgeby GeorgeN - AFIBBERS FORUM
BD, To be honest, I couldn't tell the difference between any of the forms - and I've used them all: oxide, citrate, chloride, glycinate, malate, bicarbonate, acetate & so on (they all work for me). I wouldn't get too technical about it. I know people have posted the bioavailability stuides here some years ago - I found one here: < that pretty much proves the point - theby GeorgeN - AFIBBERS FORUM
DB, Your bowel tolerance on something other than oxide should be at a higher dose (because they get absorbed out of the gut). Likely that 600 mg will cause you no issues. By the way, oxide has worked for me, though I usually use other forms. Your comment triggered a memory of a post I wrote in 2010 < It was about magnesium researcher, the late Dr. Mansmann, took 20 g/day of mag fby GeorgeN - AFIBBERS FORUM
QuoteSam You should start Magnesium right away - Mag Glyinate is best. If you can't get that right away but can get Mag Citrate use that until you get the Glycinate. The amount George takes is perfect for him but far too much for most of us. I would start with 200 mg in two doses with breakfast and tea and work up to bowel tolerance (the beginning of diarrhea) then back off a little. Potaby GeorgeN - AFIBBERS FORUM
For example I mix milk of magnesia with organic apple cider vinegar in a 2:7 ratio to make magnesium acetate. If you care, I can provide more detail. I have mixed milk of magnesia with soda water to make magnesium bicarbonate. I take magnesium glycinate tablets. I take a di-magnesium malate powder that is marketed for horses, but is the same stuff they make for humans. I have takenby GeorgeN - AFIBBERS FORUM
I take a lot of magnesium daily - 2.4 grams/day currently. I use pills, powder, liquid, whatever. How much you can take is very individual (i.e. bowel tolerance).by GeorgeN - AFIBBERS FORUM
As wolfpack says, electrolytes, especially magnesium are important. As someone who's kept afib in remission pretty well for over 12 years with magnesium to bowel tolerance, I recommend trying it. Lots of things can deplete magnesium. Also, I think this strategy also has the best chance of working for someone who has relatively little afib. Afib tends to remodel the heart, so the more youby GeorgeN - AFIBBERS FORUM
Kevin, Great report! It really points up the value of getting the best operator. You made an excellent decision!! Georgeby GeorgeN - AFIBBERS FORUM
Hi Karen, Glad you found us, sorry you had to. Alcohol can be a trigger. It is known as "holiday heart syndrom." The GP who lived across the street says it was most of the afib he saw. Alcohol & stress can deplete magnesium, and low mag is an issue for many afibbers (including me). Serum blood tests for mag are fairly worthless. Body works very hard to keep serum leveby GeorgeN - AFIBBERS FORUM
- I have never had a heart attack or suffered any heart damage. I believe I am doing what I should do in regard to heart disease--except that my exercise has trailed off since the afib started.What particular things do you think are helpful, or what studies have you seen? I don't have high BP, don't smoke or drink, not over weight, I eat well, etc. Not sure what else there could be exceby GeorgeN - AFIBBERS FORUM
Wolf, When I had mine 10 years ago, I asked for GoLytely at the suggestion of Jackie. See search here < It is electrolyte sparing as I recall. I was able to take dissolved mag, too. I asked not to have a general, but conscious sedation. All went well. I'm due for another and as I now fast 22 hours a day, and have fasted as many as 7 days, the fasting part will be no big dby GeorgeN - AFIBBERS FORUM
Gary, - I have cardiovascular disease and repaired atiral septal defect How are you addressing your cardiovascular disease? There are data that suggest reducing comorbidities can be beneficial to afib. - If the sotalol works, will heart still continue to remodel? If you are in normal rhythm, your heart should not remodel. - Should I get ablation anyway, since it is most effective whenby GeorgeN - AFIBBERS FORUM