Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
My cardiologist just gave me a prescription for Pradaxa today, and was very much in favor of it. It sounds good. The only thing he said is there is no drug to "counteract" it, so in an emergancy you have to wait it out but since it's
only active for 12 rather than 24 hrs (like coumadin) it helps. He also said a small %of people get stomach irriations.
I'd like to hear from others on the forum.
I always took Pradaxa with my morning and evening meals. I took Pradaxa for about 2 months. I stopped Pradaxa about a month now, and am now on 81 mg of aspirin.
Good luck, stay positive and best wishes!
"Patients receiving Pradaxa had more heart attacks than those taking warfarin, but the absolute difference was small, the authors stated. Also, Pradaxa patients had higher rates of gastrointestinal bleeding."
and
"It's premature to say that a drug like dabigatran will take the place of warfarin," Dr. Bernard Gersh, a professor of medicine at the Mayo Clinic College of Medicine in Rochester, Minn., said at the time of last November's conference. "There will be a lot of discussion about cost and convenience. It's a twice-daily dose and there are some questions about a possible higher rate of heart attack. I don't think this is truly resolved yet, but I think we can say that for the first time we have seen a drug that certainly has the potential to be an alternative to warfarin, and maybe even superior."
Since I have gastro problems, GERD, it was an easy choice to make. I chose Warfarin....like you said Pradaxa hasn't been around long enough yet to know all the potential side effects.
The risk with Pradaxa is that it is NOT as easy to provide a FAST treatment to stop bleeding, if that becomes an issue, as others have written.
I took the jantoven (coumadin) after the Pradaxa and I am now taking 162 of aspirin. I'm not sure which of these drugs is responsible for the terrible stomach issues I've developed and now I need an endoscopy to check out my esophagus and stomach.
I think that it is much easier for doctors to prescribe Pradaxa and they prefer having less time spent monitoring the levels--just imagine if you were them: you need an extra nurse to test levels, and you need to spend time addressing these levels, rather than on patients with other very important issues. That's my take on it all.
The doctor gave me a Savings Card, which is good for a year, to obtain a monthly prescription for $30. Two of my other friends,who were put on Pradaxa, also were given the card. The pharmacy said said Boehringer Ingelheim was promoting it. You should ask your doctor.
It really is important to stay in the hour window to get the best results, so my doctor says. Some times I just grab a couple slices of bread. Hope that helps!