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Atrial Tachycardia is one of the most refractory arrhythmias in children. To manage this arrhythmia, several strategies have been introduced with varying degrees of success. We had a case of a neonatal patient with long RP tachycardia who had different antiarrhythmic drugs to control tachycardia. Eventually, recurrent episodes of tachycardia were stopped by a combination of the Flecainide and Sotalol.