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Rochedale Family Practice

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Atrial fibrillation (AF): medicines, monitoring and follow-up

A practical guide after an atrial fibrillation diagnosis, covering medicines, symptom monitoring and urgent warning signs.

Atrial fibrillation treatment is individual. Do not start, stop or change blood-thinning, heart-rate or heart-rhythm medicines without clinical advice.

At a glance

  • Know the name, purpose and dose of each medicine and take it as prescribed.
  • Record significant symptoms and any pulse or blood-pressure readings requested by your clinician.
  • Keep follow-up, blood tests and referrals current.

Managing atrial fibrillation

  • Ask what heart-rate or symptom changes should trigger a call or urgent review in your individual plan.
  • Take anticoagulants at the prescribed time and seek advice about missed doses rather than doubling unless specifically instructed.
  • Check before using anti-inflammatory pain medicines, supplements or new over-the-counter medicines because interactions and bleeding risk may matter.
  • Address sleep apnoea, blood pressure, alcohol, smoking, activity and other risk factors with your care team where relevant.

Medicines and devices

  • Home devices can help record a pattern but do not replace assessment or reliably determine stroke risk.
  • If taking an anticoagulant, tell dentists and clinicians and ask what to do before procedures; do not stop it yourself.
  • Report recurrent nosebleeds, unusual bruising, blood in urine or stool, black stools or prolonged bleeding.

When to book a GP review

  • Palpitations, breathlessness, dizziness or exercise tolerance are worsening or recurring.
  • Your pulse or blood pressure is repeatedly outside the range your clinician gave you.
  • There are medicine side effects, missed doses, falls, bleeding concerns or uncertainty before a procedure.

Follow-up

  • Confirm who is monitoring heart rate, symptoms, kidney function and any other tests required for your medicines.
  • Bring an updated medicine list and symptom record to each review.
  • Review the plan after hospital care, a procedure, a new diagnosis or a significant medicine change.

Emergency advice

Call 000 for signs of stroke such as facial droop, arm weakness or speech difficulty; severe chest pain; severe breathlessness; collapse; uncontrolled bleeding; vomiting blood; or another severe or rapidly worsening symptom.

Rochedale Family Practice is not an emergency service.

Full online resource: https://rochedalefp.com.au/patient-resources/atrial-fibrillation-medicines-monitoring-follow-up/

Condition Management

Atrial fibrillation (AF):medicines, monitoring and follow-up

A practical guide after an atrial fibrillation diagnosis, covering medicines, symptom monitoring and urgent warning signs.

For adults diagnosed with atrial fibrillation who want to understand the practical parts of their ongoing care plan.

Atrial fibrillation treatment is individual. Do not start, stop or change blood-thinning, heart-rate or heart-rhythm medicines without clinical advice.

Key Actions

At a glance

  • Know the name, purpose and dose of each medicine and take it as prescribed.
  • Record significant symptoms and any pulse or blood-pressure readings requested by your clinician.
  • Keep follow-up, blood tests and referrals current.

Understanding the plan

Atrial fibrillation is an irregular heart rhythm. Treatment may address symptoms and heart rate or rhythm, while stroke prevention is assessed separately. Feeling well does not by itself mean that medicines or follow-up are no longer needed.

Activity

Managing atrial fibrillation

  • Ask what heart-rate or symptom changes should trigger a call or urgent review in your individual plan.
  • Take anticoagulants at the prescribed time and seek advice about missed doses rather than doubling unless specifically instructed.
  • Check before using anti-inflammatory pain medicines, supplements or new over-the-counter medicines because interactions and bleeding risk may matter.
  • Address sleep apnoea, blood pressure, alcohol, smoking, activity and other risk factors with your care team where relevant.

Safety

Monitoring and bleeding safety

Medicines and devices

  • Home devices can help record a pattern but do not replace assessment or reliably determine stroke risk.
  • If taking an anticoagulant, tell dentists and clinicians and ask what to do before procedures; do not stop it yourself.
  • Report recurrent nosebleeds, unusual bruising, blood in urine or stool, black stools or prolonged bleeding.

Contact

When to contact the practice

Contact the practice promptly

  • Palpitations, breathlessness, dizziness or exercise tolerance are worsening or recurring.
  • Your pulse or blood pressure is repeatedly outside the range your clinician gave you.
  • There are medicine side effects, missed doses, falls, bleeding concerns or uncertainty before a procedure.

Follow-Up

Follow-up

  • Confirm who is monitoring heart rate, symptoms, kidney function and any other tests required for your medicines.
  • Bring an updated medicine list and symptom record to each review.
  • Review the plan after hospital care, a procedure, a new diagnosis or a significant medicine change.

Review due March 2027

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