Understanding Your Atrial Fibrillation Medications

A Comprehensive Guide to AFib Treatment

Cardiology

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Last updated: Mar 24, 2025

Introduction

Atrial fibrillation (AFib) medications play a crucial role in managing your heart rhythm and preventing complications. This guide will help you understand your medication regimen.

Types of AFib Medications

1. Anticoagulants (Blood Thinners)

  • Warfarin (Coumadin®)
  • Direct Oral Anticoagulants (DOACs):
    • Apixaban (Eliquis®)
    • Rivaroxaban (Xarelto®)
    • Dabigatran (Pradaxa®)

2. Rate Control Medications

  • Beta Blockers:
    • Metoprolol
    • Carvedilol
  • Calcium Channel Blockers:
    • Diltiazem
    • Verapamil
  • Digoxin

3. Rhythm Control Medications

  • Antiarrhythmics:
    • Amiodarone
    • Flecainide
    • Propafenone

Important Medication Guidelines

Taking Your Medications

  • Take medications at the same time each day
  • Never skip doses
  • Keep a medication diary
  • Store medications properly

Monitoring Requirements

  • Regular INR testing (for warfarin)
  • Kidney function tests
  • Liver function tests
  • Heart rhythm monitoring

Warning Signs

  • Unusual bleeding or bruising
  • Severe dizziness
  • Heart rhythm changes
  • Shortness of breath

Follow-up Care

  • Regular cardiology appointments
  • Blood tests as scheduled
  • Medication adjustments as needed

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