Brief Answer:
I would recommend as follows:

Detailed Answer:

Hello,

I would agree with the doctor recommendations on switching from Multaq to Amiodarone.

You should know that every medical decision is based on the balance between the benefits and adverse effects for each drug.

It is true that Amiodarone has more adverse effects compared to Multaq, but it is also much more effective in controlling cardiac arrhythmia, compared to Multaq .

In my opinion, this drug can help improve her situation (especially considering the fact that her situation does not seem to be stabilized Multaq).

But it is also important to periodically check her for possible adverse effects of Amiodarone, in order to maintain the situation under control.

In this regard, it would be necessary performing some tests every 3 months:

- a resting ECG
- a chest X ray study
- complete blood count
- kidney and liver function tests
- blood electrolytes
- thyroid hormone levels
- an ophthalmologist consult for possible retina depositations.

In all these tests are normal, there is nothing to worry about.

Regarding Eliquis, I would agree with her doctor recommendation, because this drug is more effective compared to Plavix in the prevention of future stroke, considering the episodes of paroxismal atrial fibrillation.

I would just recommend using a low dose (2.5mg twice daily), considering her age.

It is also important avoiding any possible accidents (falling) during this therapy, because it can lead to an increased risk of bleeding.

I remain at your disposal for any further questions, whenever you need!

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

You should know that with a normal Creatinine clearance, there is nothing to worry about!

I would recommend switching to Amiodarone and Eliquis as above mentioned.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri

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