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i`m male 51 and have had random episodes of AF for at least 15 years, each episode not normally lasting more than 24 hours. When i was first diagnosed with AF i was advised to cut out all the usuals, caffine, alchohol , keep myself hydrated etc..i did all this but AF episodes still randomly occured . At first i was put on sotalol but that didnt work. i was then put on flecinide and my symptoms did improve but overtime they gradually got worse again . i was then added Bisoprolol to the Flecinide and this made a big difference. Over a few years i started to notice that my symptons would return soon after the pharmacy had inrtroduced a different brand of meds. I mentioned this to my GP but he quickly dismissed my observations as he said all the brands had the same amount of the active ingridient. My pharmacy was more understanding. Over time i worked out which certain brand worked best .I also have the same problem with both the medications . At the moment everything is good but last week my pharmacy informed me the brand of bisoprolol that works fine for me is no longer available. i know from past expeiriences that when i have changed over to a different brand then my episodes of AF will return.
At the moment i have 28 days supply of the good one but from past experiences i know what is coming.
I read recently that all meds have the same amount of the active ingredient but they allow a 20% margin .As in the past when i change to a new brand i`m now expecting the sympoms of AF to return. If they do return then im going to go back to my GP and ask him to slightly increase the Bisoprolol to compensate for the 20% magin because if it`s true it could be the loss in 20% that`s making the difference.
I`m no expert but i cannot think of any another reason why changing over to a new brand would make the Af return.
i would also like to add my expeirence with Gluten and AF with the hope it may help someone. Even though i`m on meds i have still been having random episodes of AF. After having three episodes in one week I decided to trace my diet back and i realised that wheat was major trigger and so was cheese. So as an experiment i whent on a gluten free diet. I have to say i have never felt so good and my symptons vastley improved. I,m fully aware without the medication i`m certain i would go into AF. Since i`ve cut out wheat my symptoms have 90% improved .I used to drink beer but i had to stop because it was triggering the AF but now since Ive realised it was the wheat in the beer that was triggering the AF i can now drink cider or red wine with no AF, all within moderation of course. I mentioned this to my GP but he quickly dissed my wheat observation as he said he`d never heared of the wheat connection before. . In the past going out for meals or takeaways would have trigger AF but now since gluten free my episodes have stopped . Most places can accomadate Gluten free Indian food is normally gluten free apart fom the nan bread.
When i look back to my teens i did have random episodes of a fast heart rate and that was diagnosed as panick attacks.
Looking back now i`m convinced it was the wheat intolerence that was triggering the fast heart rate because im not an anxious person. The upshot is i,m now on flecinide and bisoprolol,. i keep myself hydrated, i have no caffine not even decaf , no cheese, im also on a gluten free diet and i have to say it has took me years of AF episodes to get to this stage. I do get episodes but they mainly happen after i have let my my guard down against the triggers mentioned.
I hope my obsevations that i have had over the years will also help someone with the same condition
john.. good luck.
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