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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to withdraw from Flecainide?

I have heart palpitations due to menopause. Was given 5mg propanolol morning and night. Had electro physiology studies - did not find where my heart was firing. He then started me on flecainide 50mg morning and night in conjunction with the propanolol. Now have developed burning mouth syndrome. Is it possible to slowly wean myself off the flexainide due to this side effect. Naturally will do it under medical supervision
Thu, 22 Nov 2018
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General & Family Physician 's  Response
Hello,

There are many methods for reducing your doses. Some people shave off small bits of the pill, increasing the amount shaved off until nothing is left.

Some split it into smaller pieces, taking 7/8 of a pill, then 3/4, then 5/8 and so on. This works well if the pill is large, but not so well for tiny pills.

I think my favourite method dissolves the pill in 8 teaspoons of water and consume 7 t. of the solution and step down the same as splitting the pill into pieces. This method is probably the most accurate and easy to control.

As far as time between steps, slower is usually better.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Prabhash Verma, General & Family Physician
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How to withdraw from Flecainide?

Hello, There are many methods for reducing your doses. Some people shave off small bits of the pill, increasing the amount shaved off until nothing is left. Some split it into smaller pieces, taking 7/8 of a pill, then 3/4, then 5/8 and so on. This works well if the pill is large, but not so well for tiny pills. I think my favourite method dissolves the pill in 8 teaspoons of water and consume 7 t. of the solution and step down the same as splitting the pill into pieces. This method is probably the most accurate and easy to control. As far as time between steps, slower is usually better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician