Of these, we prefer flecainide or propafenone … Antiarrhythmic drugs to maintain sinus rhythm in patients with atrial fibrillation: Recommendations View in … Should I ask my doctor for a pill in the pocket to stop the event or let it stop on let's own. Is the pill in the pocket better for my heart?My doc suggested I try Fleacinide (Flec for short on this forum) as PiPHe said I could go up to maximum of 2 x 100mg but only in bad cases but normally 1 x 100mg should suffice.Tried both, neither ever worked for me. only thing that reduced (but not stopped) the events was 2 x 100mg Flec per day continuously.Two PVIs and 6 Months later I am "cured" so no more Flec needed . Atrial fibrillation (AF) is the most common sustained arrhythmia and is associated with substantial morbidity and impairment of quality of life. Although it is recommended in current medical guidelines as first-line therapy for patients without structural heart disease, the use of flecainide has been curtailed since the completion of the Cardiac Arrhythmia Suppression Trial. Intermittent self-administration of oral flecainide for the acute termination of recent-onset AF, termed “pill-in-a-pocket,” has a Class IIA designation. My day usually goes much as it would anyway as AF doesn't bother me too much but perhaps I would do better to zap it. Or nowadays they can burn points in a larger circle around both PVs (a bit like spot welding with ultrasonic pulse to keep the energy levels in check - if you have ever seem a solar cell manufacturing with aluminium strip bonding - its the same physics)They don't want to use too much heat (energy) because that area is very close to your esophagus and thus can cause untold damage if overheated.Hence you take a proton blocker pill for a while after treatment to avoid any ulcers forming from the heating. Despite this favorable profile, flecainide is underutilized, likely due to a perceived risk of ventricular proarrhythmia, a concern that has not been borne out in patients without underlying structural heart disease. They can't really weld like crazy that close to the esophagus for fear of damage.So; either too careful and the treatment is not successful on first attempt or too enthusiastic and you end up with secondary damage. However, my heart seems to be doing well enough and its long term health is not at the top of my list of priorities.I've just started taking Flecainide as a pill in the pocket and am amazed at how quickly I revert toPreliminary research the \\\"pill-in-the-pocket\\\" use of anticoagulant for people with AF. The longest episode was 24 hours. Is the pill in the pocket better for my heart? If this is a constant for you? The Authors' reply: We thank Drs Anusionwu and Wali1 for their interest in our paper2 regarding ‘pill-in-the-pocket’ treatment of recent-onset atrial fibrillation (AF). Flecainide is also moderately effective and, with the exception of amiodarone, equivalent to other AADs for the chronic suppression of paroxysmal and persistent AF. Why not go for PVI treatment? Does it work for you and what...and he has suggested I try Bisoprolol as a pill in the pocket as he said it doesn't take BP down...I have paroxysmal AF, recurred after 4 year gap, 3 episodes of 4...Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. In clinical trials and real-world use, flecainide has proven to be more effective than other AADs for the acute termination of recent onset AF. Chronic administration of oral flecainide has a Class IA recommendation in current guidelines from the United States 7 and EU 8 for the suppression of AF in patients without structural heart disease with recurrent paroxysmal or persistent AF.

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