Meds and Afib? what will I take that will work?

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    • #67954
      Barbf
      Participant

      Hi,new here, newly (officially) diagnosed 58 year old woman. Always assumed AD/HD, because my son has it bad-he’s grown-etc etc. Irony, I am a therapist and one of my jobs is testing adults for AD/HD with the TOVA. Anyway, in the spring I went to a diet doctor and got diet pills for a few months and boy was that an eye opener!!! mild stimulant, a whole different brain. so I got myself tested, and surprise, not, I have it in spades, toddled off to my doc and she prescribed Adderoll. In between going off the diet pill, and getting the Dx, I developed A-fib and had to have my heart shocked back into rhythm.

      A day after picking up the meds, my doc calls and says, “wait don’t take it!, we need to check with your cardiologist.” So of course I took it. and loved it. for two days. heaven. And they called me and said the cardiologist says I can’t have stimulants. 🙁 FFFFFFFFFF

      Now what? Does anything else actually work?

    • #67968
      Penny Williams
      Keymaster

      There are non-stimulant treatments that may help you.

      Straterra and Intuniv are the most common.

      Strattera: ADHD Medication FAQ

      Intuniv: Answers to Your ADHD Medication Questions

      Although Wellbutrin is also used quite often when a patient doesn’t do well with stimulants.

      Penny
      ADDitude Community Moderator, Author & Mentor on Parenting ADHD, Mom to teen w/ ADHD, LDs, and autism

    • #68025
      Barbf
      Participant

      Yes, thank you for that I have read about alternatives. I’m hoping that someone has personal experience with doing well on stimulants and being taken off for heart health.

    • #104958
      klt316
      Participant

      I know this is an old post, but I am also 50ish and have been on Adderall for years… developed AFIB… so no more Adderall! While we’re dealing with the AFIB, I’m really really struggling with focus… I mentioned the non-amphetamine drugs to my primary care physician and will be meeting him to discuss further… has anyone in a similar situation with AFIB had any luck with Strattera or the like? Thanks! – KLT

    • #136147
      ckendrick
      Participant

      This was posted a year ago and I was wondering if you were able to try a non-stimulant and if so, if you had any luck with it? I seem to be in the same boat.

      • This reply was modified 11 months, 3 weeks ago by ckendrick.
    • #136150
      Barbf
      Participant

      Hey, yeah, I’m taking Welbutrin now. It helps, about half as much as stimulants. so, bummer that, but I’ll take what I can get.
      good luck.
      Barbf

      • #136151
        quietlylost
        Participant

        I was on Wellbutrin for a while and it helped for sure, but we changed due to other side effects.

        If you’ve been stable from a cardiac perspective for a while, it may be time to readdress the issue with your doctor. From the research I’ve read there are really no significant impacts on cardiac conditions with the stimulants. Of course you’d want to monitor it closely and work with your providers, but if you feel that your current med regimen isn’t optimized it may be an opportunity to advocate for a change.

        Some docs will still be too cautious, but in those cases asking them about research or have them review “Up To Date” which is a doctor clinical guidelines resource.

        Here’s an excerpt from Up To Date:

        Although there had been concerns of serious adverse cardiac effects, stimulant therapy does not appear to increase the risk of sudden unexpected cardiac death or other serious cardiac complications (eg, myocardial infarction or stroke) in patients without underlying cardiac disease. (See ‘Risk of sudden unexpected deaths’ above.)

        Stimulant medications are known to have modest cardiovascular (CV) effects including small elevations in heart rate (3 to 10 beats per minute), systolic blood pressure (3 to 8 mmHg), and diastolic blood pressure (2 to 14 mmHg). (See ‘Known cardiac effects’ above.)

        Based upon the available evidence, we agree with the approach outlined by the American Academy of Pediatrics and the American Heart Association for a careful pretreatment evaluation including a comprehensive CV-focused patient history, family history, and physical examination. If the history and examination are not suggestive of cardiac disease, pharmacotherapy can be initiated or continued without additional evaluation. (See ‘Cardiac evaluation’ above.)

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