What are the most common tablets for atrial fibrillation (AF)
ECG showing AF
Here are the top 10 most common drugs for atrial fibrillation (AF). There are tow main groups. Most people will be on both.
Drugs to thin the blood (anticoagulants)
These are given to prevent strokes.
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Warfarin: A vitamin K antagonist used for long-term anticoagulation to prevent stroke and systemic embolism in AF patients.
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Apixaban: A direct oral anticoagulant (DOAC) that inhibits factor Xa, used for stroke prevention in AF patients.
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Rivaroxaban: Another DOAC that inhibits factor Xa, used for stroke prevention in AF patients.
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Dabigatran: Another DOAC that inhibits thrombin, used for stroke prevention in AF patients.
Drugs to control the AF
These are given to control the AF and/or and slow down heart (if necessary).
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Beta blockers (e.g. Metoprolol, Bisoprolol): Used for rate control in AF, these medications slow the heart rate and reduce symptoms.
- Sotalol: A beta blocker with anti-arrhythmic properties, used for rhythm control in AF.
- Verapamil: A calcium channel blocker used for rate control in AF, particularly in patients who cannot tolerate beta blockers.
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Digoxin: A cardiac glycoside used for rate control in AF, particularly in patients with heart failure.
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Amiodarone: An anti-arrhythmic medication used for rhythm control in AF, often used in patients with severe symptoms or those who have failed other treatments.
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Flecainide: A class IC anti-arrhythmic medication used for rhythm control in AF, often used in patients with paroxysmal AF.
When managing AF, it’s crucial to consider the individual patient’s needs, including their thromboembolic risk, symptoms, and comorbidities. The choice of medication will depend on these factors, as well as the patient’s response to treatment.
Summary
We have described the top 10 most common drugs for atrial fibrillation (AF). We hope it has been helpful.
