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NDRUSS
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Posted 2 Years, 4 Months ago Linkback
I have my first appointment with my new Cardiologist this week. I am just curious, which would have more or any effect on slow pulse rate (
Brady) , 25 mg Metoprolol twice a day ( I had been up as high as 100mg twice a day 6 months ago for Hypertension and PVC suppression, with little problem ) and or Flecainide 150MG twice a day for A-Fib?

I have no A-Fib episodes at all now, and I am wondering if I should suggest to the Doctor ( or rather ask him) if reducing the amount of
Flecainide would allow my resting HR to pick up a bit until the more normal for me mid 50s to low 60s?
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NDRUSS
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Posted 2 Years, 4 Months ago Linkback
Thanks for the information . I guess I suspected that the Flecainide was possibly the cause in my case, since reductions of the Metoprolol so far have had very little effect.
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simbloke
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Posted 2 Years, 4 Months ago Linkback
You are very welcome, Bob
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simbloke
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Posted 2 Years, 4 Months ago Linkback
Sounds like it is the flecainide that is the primary thing slowing your heart rate down since the metoprolol was not doing it at substantially higher doses.

However, it may be worth switching you from metoprolol to a different class of antihypertensive (ACE inhibitor perhaps) to still see if that will give the desired effect of raising your heart rate some without decreasing what is presumably keeping you out of afib.
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