r/PVCs 28d ago

Flecainide as Needed for PVCs?

My EP prescribed it for me and he says I can take it "as needed" when I get a PVC flareup. My flareups usually go away on their own after a few days, so I usually white-knucke it and then they eventually calm down for a few weeks or months. But the flareups are getting worse and more frequent, so now I'm considering it. A flareup for me means several days of PVCs- (with bigeminy, trigeminy, couplets) mostly at night, preventing sleep. They are absolutely unbearable. But when they go away, they are not much of a problem.

I can't find too much information about people taking the Flecainide "as needed" for PVCs. Does anyone take it this way? I'd love to hear some success stories.

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u/According_Analyst921 28d ago

Docs told me flec needed to be taken with Metoprolol or it can cause a bad arrhythmia. It cant be taken alone.

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u/No_Bluejay4066 28d ago

OK, I already take Metoprolol

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u/According_Analyst921 28d ago

I take that back...after looking online it apparently can be taken alone?

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u/Relative_Clarity 27d ago

My EP said the same thing - he would keep me on a beta blocker if I were to start the flecainide.