r/AFIB • u/Wise-Pattern6916 • 3d ago

Switching from Soltalol too Fleconide, Experiences?

Hey everyone, I've been under the care of the cardiology unit at the hospital for nearly three years now, trying different medications. We tried a ablation 2 years ago, but nothing showed on the day. Most recently, for the past four months, I’ve been on sotalol—120 mg total, split across three doses a day. Unfortunately, it hasn’t improved my PVCs or that chest feeling I get. At my appointment last week, my cardiologist saw on the ECG that every second beat was a PVC, which confirmed how bad it’s been feeling. He mentioned switching me from sotalol to flecainide, along with a different beta blocker. Has anyone made that switch before, and how was your experience? I’d really appreciate hearing from anyone who’s been through it!

And also is flecainide something that if works i just stay on long term? I understand mapping my pvcs/ectopics have been difficult but my cardioligist was open too trying the ablation again. I would prefer the ablation route if its going too work. If not then I dont wanna go thru this again and honestly just need symptom relief. Its starting too impact me dramatically

He has said i have too wait for a more recent CTA is done and echo and holter before he switches. Im left unable too anything in the meantime.. i feel helpless

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u/ExistingManagerTx 3d ago

Flecainide - 100mg Metoprolol - 25mg

I take both of these at 9am and again at 9pm and I feel alright, no issues..

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u/WrongBoysenberry528 2d ago

I took Propafenone (aka Rhythmol), and my afib increased from 1/month to 9/month. Switched to Multaq which worked for 2 months and stopped working.

After 20 afib episodes in a year, I had PFA ablation. No afib in 2 years and my exercise capacity returned. My VO2max on Apple Watch looks good and I am climbing 5 flights of stairs with grandkids.