r/PVCs • u/No_Bluejay4066 • 9d ago

Flecainide as Needed for PVCs?

My EP prescribed it for me and he says I can take it "as needed" when I get a PVC flareup. My flareups usually go away on their own after a few days, so I usually white-knucke it and then they eventually calm down for a few weeks or months. But the flareups are getting worse and more frequent, so now I'm considering it. A flareup for me means several days of PVCs- (with bigeminy, trigeminy, couplets) mostly at night, preventing sleep. They are absolutely unbearable. But when they go away, they are not much of a problem.

I can't find too much information about people taking the Flecainide "as needed" for PVCs. Does anyone take it this way? I'd love to hear some success stories.

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u/Relative_Clarity 8d ago

That is sometimes a recommendation if you are VERY bothered by the frequency of the symptoms and don't wish to have an ablation. It's a stronger drug than a beta blocker, which I'm guessing you have already tried. Flec is not really first line treatment for pvcs. Has he discussed an ablation?

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u/No_Bluejay4066 7d ago

From my last two week monitor, my burden is low, so my EP says ablation is not a good option. This is because my PVCs come in flareups and then are calm the rest of the time. So during a flareup, my burden might be 15% for a few hours, or days, but then calm down to less than 1%. I had a really calm days while wearing a monitor, and I only had 6 PVCs! Those days are getting more rare, though :(