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Hi, Male; 61 Years Old, 5.7ft , 152lbs. Can I

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Posted on Sat, 29 Feb 2020
Question: Hi, male; 61 years old, 5.7ft , 152lbs.
Can I stop Tembocor medication ( for prevention of paroxysmal AF due to recurrent painless thyroiditis) ?
Total thyroidectomy was done 5 days ago.
Tembocor medication ; 1T bid/ day. ( and synthroid 150 mcq/day.)
My cardiologist want to continue Tembocor medication. I am anxiety of side effect .
1. no Tembocor medication ( abrupt stopping or tapering) 2. pill in the pocket 3. continous Tembocor medication

2016.Aug ; First paroxysmal AF due to thyrotoxicosis (hashimoto; ? painless thyroiditis) was returned to normal within 2days
by medication . (TFT; T3 3.3 free T4; 3.7 TSH < 0.01)
* Ecocardiography ; chest discomfort, A-fib c RVR(sinus conversion)
1) No RWMA
2) normal sized cardiac chambers with normal global LV systolic function
3) pseudonormalization of LV filling pattern(E/E’ ; 11)
LVEF 75% LVEDD/ESD 51/30mm LAVI 24ml/m2 LA-AP 34mm
* Neck U.Sono ; Hx; R/O hashimoto’S Thyroiditis
IMP; diffuse thyroid disease without suspicious focal lesion
* cardiologist medication; Rytmonorm ; 120ds, Dilatrend ; 1 year and 4 months
* endocrinologist; ; hyperthyroid ( 4Ms) - hypothyroid (1 year ; synthroid med 50 mcq/day) - euthyroid.
2019.oct. ; second attack of thyrotoxicosis-induced paroxysmal AF.
returned to normal within 2days . ( medication; Tembocor + Dilatrend)
Now, Tembocor 1T bid ( no Dilatrend because of slow pulse rate under 50)
2020 . Feb 04 total thyroidectomy to prevent recurrent thyrotoxicosis- induced paroxysmal AF.
doctor
Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Should be continued

Detailed Answer:
Hello Sir

After going through the detailed medical query raised by you I can understand your concern for your health and well-being but I would like to tell you that it’s advisable that you should follow your cardiologist advice as your other cardiac parameters like echo cardiography and ejection fraction are alright.

Tembocor contains flecainide which is a potent antiarryhtmic there by helps preventing Arrhythmias there by preventing AF related complications.

Are you facing any issues having this medication?

Kind Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Bhanu Partap (6 hours later)
I have read a article that no medica
-tion is possible after total
thyroidectomy in not- severe secondary PAF.
There were no palpitation between
two secondary attacks .
I read that Tembocor has a lot of
Side effects.
I have no problem with Tembocor
medication.
doctor
Answered by Dr. Bhanu Partap (12 hours later)
Brief Answer:
Hello again

Detailed Answer:
Yes, if thyroid has been identified as the cause for paroxysmal af and no episodes happened there after then the Med can be stopped after discussing with your treating cardiologist.

But still it’s advisable to keep the pill with you in case of a sudden episode.

Kind Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4731 Questions

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Hi, Male; 61 Years Old, 5.7ft , 152lbs. Can I

Brief Answer: Should be continued Detailed Answer: Hello Sir After going through the detailed medical query raised by you I can understand your concern for your health and well-being but I would like to tell you that it’s advisable that you should follow your cardiologist advice as your other cardiac parameters like echo cardiography and ejection fraction are alright. Tembocor contains flecainide which is a potent antiarryhtmic there by helps preventing Arrhythmias there by preventing AF related complications. Are you facing any issues having this medication? Kind Regards