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Cardioversion for for A-fib done. Suggested to take miltaq and coumadin. When should I visit my doctor next?

Hi, thanks-- I have had my second cardioversion for my A-fib and, from what I can tell myself, I think my correct rhythum is back, which I keep checking with a stethoscope. I am still taking coumadin. I had only been diagnosed less than a year ago. However I am taking, per my cardiologist s RX, 400 mg of Multaq twice a day. I m not scheduled to be checked again not until July!! Do you think this is normal to still be taking Multaq and only being seen every six months?
Asked On : Mon, 25 Mar 2013
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Cardiologist 's  Response
A- fib can occur any time , so you have to take multaq tablet for long term.
but you have to check in every 2 month to rule out can adverse effect of this medicine.
you are taking coumadin tab for prevention of thrombo-embolic event - you should go for PT/INR test every month to adjust its dose.
Answered: Tue, 26 Mar 2013
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Internal Medicine Specialist Dr. Maruti Karale's  Response

Thanks for writing to us.
Multaq contains dronedarone, a heart rate controlling drug.In atrial fibrillation heart rate should be maintained below 75 hence you need to continue it for long term.

In atrial fibrillation due to risk of blood clotting coumadin should also be continued for long term.

Coumadin is anticoagulant which makes blood thin and prevents it from clotting.

You need to monitor PT/INR every monthly to maintain PT/INR in therapeutic range of 2-3.It requires strict monitoring as it has very narrow therapeutic range and other drugs and food can alter its metabolism.

Hope this could help you.

Wish you good health.
Answered: Sat, 30 Mar 2013
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