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Re: need some advice

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Hi Sydney,

I would suggest making an appointment with a reproductive

endocrinologist if you haven't already. I think they might be able to

advise you the best way to go since you do want to have children. I

don't know where you are located but possibly someone on the list can

recommend someone in your area.

R.

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Sydney, I've read a lot about the problem too and, if you want to get pregnant,

myo seems like the best way to go. Many people have had successful pregnancies

with fibroids, but there is an increased risk (not sure what the statistics are)

of problems and the fibroids can grow, right along with the baby. If I could go

back and have mine removed when I was younger, I certainly would have done it.

You're at your most fertile in your 20's, so if children are very important to

you, that should be a consideration.

Good luck!

Deb

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  • 1 year later...

Barb wrote:

<<My EP is talking about changing my meds and has mentioned Dofetilide

and I believe Flecainide but since at present I am experiencing no side

effects from my meds, I am reluctant to change.>>

Barb,

One " side effect " is the failure of BetaPace to adequately control your

afib. Sotalol, flecainide, and dofetilide EACH have a different

mechanism of action, so if sotalol isn't working, trying one of the

others seems reasonable to me. Flecainide can be started out of hospital

because serious side effects are rare and it does not require close

monitoring of kidney function and blood levels. (Dofetilide requires

hospitalization). Flecainide is also available at any pharmacy as a

generic. (Dofetilide is available at only one pharmacy in the US, so it

must be ordered by mail.) Flecainide is one of the first line drugs in

the standard matrix for treating AF. That matrix reserves dofetilide for

more difficult to treat cases.

Myself I have just started flecainide and have not had afib since then,

but it has been just over a week (but I was having afib twice a week

before starting flecainide).

Generally speaking, my heart is much less irritable and I have

experienced no side effects (I'm taking 100 mg BID, a middle of the road

dose).

- OU alum in MI

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Barb wrote:

<<My EP is talking about changing my meds and has mentioned Dofetilide

and I believe Flecainide but since at present I am experiencing no side

effects from my meds, I am reluctant to change.>>

Barb,

One " side effect " is the failure of BetaPace to adequately control your

afib. Sotalol, flecainide, and dofetilide EACH have a different

mechanism of action, so if sotalol isn't working, trying one of the

others seems reasonable to me. Flecainide can be started out of hospital

because serious side effects are rare and it does not require close

monitoring of kidney function and blood levels. (Dofetilide requires

hospitalization). Flecainide is also available at any pharmacy as a

generic. (Dofetilide is available at only one pharmacy in the US, so it

must be ordered by mail.) Flecainide is one of the first line drugs in

the standard matrix for treating AF. That matrix reserves dofetilide for

more difficult to treat cases.

Myself I have just started flecainide and have not had afib since then,

but it has been just over a week (but I was having afib twice a week

before starting flecainide).

Generally speaking, my heart is much less irritable and I have

experienced no side effects (I'm taking 100 mg BID, a middle of the road

dose).

- OU alum in MI

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