... twice daily for the past 6 years to limit my episodes of AFib. For me, it has been a successful drug. I just recently moved from the USA to Canada - only to discover, to my dismay, that Tikosyn is not available here. Apparently it is only licensed in the US - no other countries. Cardiologists here in Canada seem to know next to nothing about Tikosyn, and/or they regard it as too dangerous a drug. My local cardiologist says I must come off Tikosyn, but she is unsure what other antiarrhythmia drug will be suitable for me - if any. She says I may have to go without. Since I feel dependent on Tikosyn to keep me in sinus rhythm, I am at a loss to know what to do. Has anyone else gone through this? Any help or advice would be much appreciated