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Medical Forum / General / General / January 2007

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Afib and amiodarone

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DanielB - 03 Jan 2007 05:14 GMT
First episode of AF was in early 2005. Heart converted back to NSR in 2
hrs. by itself. Was admitted to hospt. All tests were normal except for
hyperactive thyroid. Doc put me on Toprol XL 50mg. twice daily. Plus
synthroid for the thryoid. Since then have had 7 more episodes.....none
lasting more than 4 hrs. some lasting only minutes. My last episode
started in the evening and was still going when I awoke the next day.
12 hrs+. Being that AF is very uncomfortable to me and it had gone on
this long this time I called the doc and he was able to squeese me in
the next morning. After checking me out he decides to put me on
amiodarone. 200mg tablets.  2 tabs in the morning and 2 in the evening
for the first week. Then 1 tab morn. and eve. for the next week. Then 1
tab each day until ?? From what I have read about it...this schedule is
to load the body with the med. The doc told me that after the first
dose my heart should go back to NSR within 24 hrs.
After taking the first 2 tab dose my heart went back to NSR after only
4 hrs. Could this be the amiodarone working or only coincidence?
Meaning if it takes that long to load the body how could the amiodarone
work so fast? Plus am concerned with all of the side affects. Yes I
will talk to my doctor about all of this but thought I would run it
through here also.
  Am a 50 yr. old M. In good health.
Thanks, Dan.
TheAmazingGuffy@gmail.com - 03 Jan 2007 15:23 GMT
> First episode of AF was in early 2005. Heart converted back to NSR in 2
> hrs. by itself. Was admitted to hospt. All tests were normal except for
[quoted text clipped - 12 lines]
> After taking the first 2 tab dose my heart went back to NSR after only
> 4 hrs.

"Could this be the amiodarone working or only coincidence? Meaning if
it takes that long to load the body how could the amiodarone work so
fast?"
Yes, it could work that fast. You want a "load" in the body, so it is
always present, and always working.
It's like taking ibuprofin. If you take 400 mg of ibuprofin for pain,
it usually works in 30 mins to an hour. If you take 400 mg every 4
hours, it helps to manage the pain the whole time, if you take it when
needed you have to wait for it to work again. Does that make sense?

That was just an example, I'm not advocating taking that much
Ibuprofin.

"Plus am concerned with all of the side affects."
That is a hefty list of side effects. Ask your doctor if there is an
alternative medication with less side effects.

>Yes I
> will talk to my doctor about all of this but thought I would run it
> through here also.
>    Am a 50 yr. old M. In good health.
> Thanks, Dan.

Hope this helps...
 
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