![]() ![]() There are two types of calcium channel blockers, dihydropyridines and non-dihydropyridines. Calcium channel blocker diltiazem/verapamil)Ĭalcium channel blockers can be used as part of a rate or rhythm control strategy for AF. This is a condition known as Raynaud's phenomenon and is a sign that you should stop taking your beta blockers. In cold weather, wrap up warm, wear gloves and an extra pair of socks if you need to.įor some people, they experience a temporary loss of circulation in their finger and toes, making them white and painful. Cold hands and feetīeta blockers can affect the circulation and make your hands and feet cold. If you start to struggle with this, seek medical help. Light-headednessĪs beta-blockers reduce your heart rate and blood pressure they can sometimes make you feel dizzy and lightheaded. But if you do start to experience breathlessness, you must get medical help. If you do not have an underlying lung condition, it is unlikely that you would get breathlessness from beta blockers. If you have a pre-existing lung condition we may suggest you check your peak flow more often, to make there is no deterioration in your breathing. Your doctor may want you to try a small dose of the beta blocker at first to make sure that you can tolerate it. This can happen to people to have pre-existing lung conditions, including asthma or chronic obstructive pulmonary disease (COPD). Breathlessnessīeta-blockers sometimes affect the lungs and cause breathlessness. Sometimes people tolerate one beta blocker better than another and sometimes they are only able to tolerate low doses. This can occur in around one in 10 patients. The most common side effect that people experience when taking beta blockers is fatigue and tiredness. ![]() This is usually done one to two weeks after starting the medication. To make sure you are on the correct dose, we may check your heart rate and/or do an ECG after you have started taking the beta blocker. This is because you may experience your arrhythmia symptoms again if you do. You should not suddenly stop taking your beta blockers unless you have been told by your healthcare professional. Bisoprolol is the most common and is taken once a day, with doses between 2.5mg and 10mg. The dose you will need to take will depend on what kind of beta blocker we prescribe. We may also use them in combination with other anti-arrhythmic drugs such as:Ĭalcium channel blockers (diltiazem/verapamil) Sotalol has a beta blocker component to it but also works as a class III anti-arrhythmic medication.īeta blockers are usually the first line for treatment of AF regardless of it being for a rhythm or rate control strategy. Others can be used such as propranolol but are more often used to treat other conditions, such as migraines and tremors. Some beta blockers are better suited to treat heart conditions, such as carvedilol, bisoprolol, atenolol and metoprolol. There are many different types of beta blockers, but they all end with "ol". These treat AF and also other heart conditions, such as angina and following a heart attack. Calcium channel blockers (diltiazem/verapamil )īeta-blockers (bisoprolol, atenolol, carvedilol)īeta blockers work by blocking the effects of adrenaline and other related hormones on the heart to slow your heart rate down.Beta-blockers (bisoprolol, atenolol, carvedilol).These are the common medications we use to treat atrial fibrillation. This is so you can reduce your risk of stroke. You must make sure to continue your anticoagulation medication regardless of your treatment strategy for rate or rhythm control. We may also look at combining medications so that we keep your heart rate/rhythm under control. You might take your medication as and when you need it ('pill in the pocket') or we may tell you to take it on a regular basis. Medication used for this will differ for each person, their symptoms and their heart function. Antiarrhythmic medications work by helping to stabilise electrical impulses within the heart. ![]()
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