Stress has been known to cause irregular heartbeats. In stressful situations, your
body releases
adrenaline
, a hormone that causes an increase in heart rate. And adrenaline can interfere
with the electrical system of the heart. This isn't good for someone with atrial
filbrillation (AFib), a condition in which the heart's electrical system is already
not working the way it should.
Try looking at the different aspects of your life—home, work, social relationships—to
identify sources of stress. This can be the first step toward reducing it.
*MULTAQ is not indicated to reduce stress.
Exercise every day.
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Exercise reduces adrenaline. And exercise doesn't have to be strenuous to be beneficial.
It can be as simple as a walk out to the mailbox. In fact, one recent study showed
that the incidence of atrial fibrillation (AFib) was 22 percent lower for those
who walked 5 to 11 blocks per week compared to those walked fewer than 5 blocks
per week.
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Be sure to talk to your doctor before starting any exercise program.
Practice breathing.
Breathing exercises help relax the body and focus the mind. Try taking a little
time every day to sit in a chair and practice deep, regular breathing.
Get plenty of sleep.
Sleeping is as important to our health as food, water, and air. It gives the body
an opportunity to recharge. To help get a good night's sleep, check your bedroom
for ways to make your room more comfortable. It could be something as simple as
a better pillow, or getting heavier curtains to block streetlights and noise.
Avoid smoking and drinking alcohol.
We all know that smoking is bad for your health. Smoking raises blood pressure,
which increases the risk of stroke. Alcohol can also make AFib worse. So it's recommended
that you do not smoke or drink alcohol when you have AFib.
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‡
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Maximum benefit is $30 off, per prescription on up to 12 prescriptions
for the lifetime of the program (up to $360), depending on your out of pocket costs.
Sanofi-aventis U.S. reserves the right to rescind, revoke, or amend this offer without
notice. Certain restrictions apply. See details on savings card.
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Important Safety Information for MULTAQ
Who should not take MULTAQ?
Do not take MULTAQ if you have symptoms of heart failure which have recently
worsened or if you have severe heart failure. People with these conditions who take
MULTAQ have an increased chance of dying.
Do not take MULTAQ if you have a type of atrial fibrillation (AFib) called permanent
AFib. You should not take MULTAQ if you are in AFib and your doctor
is not planning to change you back into normal rhythm.
When should I call the doctor?
Call your doctor immediately if you're taking MULTAQ and have any signs and symptoms
of heart failure. These may include shortness of breath or wheezing at rest; wheezing,
chest tightness, or coughing up frothy sputum at rest, nighttime, or after minor
exercise; trouble sleeping or waking up at night or using more pillows to prop yourself
at night because of breathing problems; weight gain; or foot or leg swelling.
Call your doctor right away if you notice that your heartbeat or pulse is irregular.
This is a sign that you are in AFib.
What other serious risks should I discuss with my doctor?
MULTAQ may cause liver problems, including life-threatening liver failure. Tell
your doctor right away if you are taking MULTAQ and develop any of these signs and
symptoms of liver problems: loss of appetite; nausea; vomiting; fever; feeling unwell;
unusual tiredness; itching; yellowing of the skin or the whites of the eyes; unusual
darkening of the urine; right upper stomach area pain or discomfort.
An additional serious side effect is a slowed heartbeat.
Who else shouldn't take MULTAQ?
You should not take MULTAQ if you have severe liver problems or if you had liver
problems after using amiodarone.
You should not take MULTAQ if you are breastfeeding, pregnant, or plan to become
pregnant as it is not known if it may pass to or harm your baby. Women who may become
pregnant should use effective birth control while taking MULTAQ. Talk to your doctor
about the best birth control methods for you.
Are there any medications I should avoid while taking MULTAQ?
MULTAQ can interact with certain medications. Do not use the following medications
with MULTAQ:
- Nefazodone
- Ritonavir
- Ketoconazole
- Itraconazole
- Voriconazole
- Telithromycin
- Clarithromycin
- Cyclosporine
Are there other medicines that would be harmful when taken with MULTAQ?
The following medicines can lead to a dangerous abnormal heart rhythm if taken with
MULTAQ:
- Phenothiazines
- Tricyclic antidepressants
- Certain medicines used to treat an abnormal heart rhythm or fast heartbeat
- Certain antibiotics
Is it OK to take a diuretic ("water pill") while on MULTAQ?
Your potassium levels should be within the normal range prior to and while taking
MULTAQ. Tell your doctor about any diuretic medications ("water pills") you are
taking as some can lower the level of potassium or magnesium in your blood.
What are the most common side effects?
The most common side effects when taking MULTAQ include stomach problems such as
diarrhea, nausea, vomiting, stomach area pain, and indigestion; feeling tired and
weak; skin problems such as redness, rash, and itching. Tell your doctor about any
side effect that bothers you or that does not go away.
Are there other things I should avoid while taking MULTAQ?
Do not drink grapefruit juice while taking MULTAQ, as this can increase the likelihood
that you will have a side effect of MULTAQ.
What else should I tell my doctor?
Tell your doctor about all medications, vitamins, and herbal remedies (including
St. John's Wort) you take to help avoid serious drug interactions.
Will I need any tests while I'm on MULTAQ?
Your doctor will monitor your heart rhythm regularly to make sure your heartbeat
keeps a normal rhythm. Your doctor may perform certain tests, such as heart exams
and blood tests, while you're taking MULTAQ.
Full Prescribing Information Including boxed WARNING
MULTAQ Medication Guide (English)
Remember, your doctor is the single best source of
information regarding your health. Please consult your doctor if you have any questions
about your health or your medicine.
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