DOFETILIDE vs Flecainide

In the context of a code/rrt when the patient has a prolonged qtc or is on dofetilide, sotalol, etc- if they need lidocaine or amiodarone, do you steer away from amiodarone and pick lidocaine? Assuming they are both available. Do you not even ever take the qtc/sotalol into account during a code? Per

Hi r/pharmacy community, I’m a hospital pharmacist tasked with the duty of establishing dofetilide initiation guidelines for my local hospital. Wanted to reach out to see if any other fellow hospital pharmacists can provide me with a copy of their guidelines that they follow at their hospital just s

Has anyone tried Dofetilide? I had my 4th ablation back in August and it didn’t work. I am definitely over ablations at this point as all 4 have had complications. My EP recommended Dofetilide, but I have to do a 3 day hospital stay when starting. Been through plenty of drugs and they either don’t w

EP is recommending Dofetilide, but I've read several medical reviews/journals thst say people with paroxmayl afib that self corrects in less than 24 hours, shouldn't take it. I am symptomatic when it happens, as in I can feel the second it starts and it does cause chest discomfort. I am that person

I was admitted to the hospital yesterday. Turns out I’m in AFIB yet again. My EP has started me on Dofetilide. Because I’m this is twice in three months. Does anyone have any experience with this medication.

I had ohs surgery fall 2019 for mitral valve replacement. As a result “complication” I’ve had aflutter and now afib. I’ve had to be converted a few times, but since July have not responded to medications to keep it in check. They would like to try Tikosyn/Dofetilide under three day observation. The

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Background: - Several years of Paroxysmal AFIB. Not limiting but concerned about "remodeling heart." - Ablation at 65 YO, went well. Fit guy with daily exercise. - Dofetilide (Tikosyn) for a year, all good but restrained HR to zone 1 - Came off Tikosyn and developed stable flutter. Exercise H

37m 5’7 feet tall 165 pounds No medications I have paroxysmal afib with RVR with a few episodes per year. Had a very jarring experience at the ER and my primary care doctor found out about it and got very angry. Looking to see if anyone has heard of cardioversions without any sedation During an

Hey all! I had my ablation done today. I wanted to share my experience with you all since I’m a frequent poster and had major, major anxiety going into it. For context, I had a 14.7% PVC burden managed by Flecainide. Because I didn’t want to have to take Flecainide for the rest of my life, my dr an

I'm not sure what compelled me to write all of this, but I hope it will help someone. I'm sorry it's so long! TLDR: Im 33, tall, white, cis-man, scandinacian heritage, live in USA. I've experienced PVCs for years. Getting sober didn't help. Meds helped reduce how "hard" or papable the PVCs are. Elec

My first time having afib was June 2023. I went to nap after having lunch and I felt my heart beating out of rhythm. I was freaked out and checked my Apple Watch, did the EKG and it showed AFib. I didn’t believe it so I went to urgent care, they did another EKG which confirmed the afib so I had to g

47M. 6” 185lbs. Just got my ablation done - was super easy and nothing to worry about. Background: I’ve had paroxysmal afib that was diagnosed 2 years ago. Was able to keep at bay with diet/exercise for a little more than 18 months. Started getting more regular episodes and decided I wasn’t going t

Hi, EP called on Tuesday and scheduled me for SVT ablation on today (Thursday). Procedure scheduled for 11:00 am with an arrival time of 9am. I arrived at 8:40am to admissions. Signed a bunch of hospital forms and checked in by 8:55am. Nurse brought me to a room at 9:20 am. She hooked up an IV in

Yesterday I caught a QT interaction between donepezil and flecainide, and a few days beforehand a donepezil x azithromycin interaction which ended up seeing the azithro withdrawn. Donepezil has good documentation for causing Torsades des pointes with agents like amiodarone or citalopram, but I'm not

Before my ablation I read many posts and they helped me a lot so I’m sharing my experience and hope it will help others especially because my case was successful. I had an ablation for PVCs/bigeminy one month ago in a university teaching hospital where I spent my career as a nurse. I went from havin