From New Zealand.
I’m a new member here (first post) and came across this site via Google.
As you’ve already guessed, we get this beastly PAF south of the equator too.
I’m a 66 year old male and was first diagnosed with PAF in 1996.
Back then attacks were regular and the doctors tried Atenolol and then Sotalol, finally biting the bullet and putting me on 200mg Amiodarone daily in 2004, after I wound up in Hospital three times in two weeks. In my case Atenolol and Sotalol could best be described as useless.
Now, I still get PAF but not on a regular basis. Most of these attacks take place at about
3am in the morning and I just wake up with the little bird flapping around in my chest.
But here’s the bit that might help someone else.
A very young doctor from Edinburgh was over here working in the local hospital when I had one of these attacks. She prescribed a drug called Metoprolol 47.5mg and that returned the heart to Sinus Rhythm in about
2 hours. Since then (2005) I’ve taken 22.75mg daily and if I feel the heart start to run like an old V8 with a carburettor full of water, I take another.
Now most of the Cardiologists I’ve seen over here look down their nose at me when I tell them this is the best drug by far when it comes to returning the heart from AF to Sinus. One young fellow even scorned it for being “old” but I assured him that I didn’t care how old the drug was, if it worked then that will do me.
So there you are, in short Atenolol and Sotalol were no help to me.
Amiodarone works well, but can be toxic and CAN have some undesirable side effects although, so far, it hasn’t with me and really I think they and I had run out of options.
But try Metoprolol if you Cardiologist doesn’t laugh you out of his surgery.