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Doctor insights on: Alternatives To Sotalol

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Sotalol alternative. My father is in philippines. On sotalol 160mg 1 year, w/ pacemaker. Can not get sotalol here. Is there a safe alternative med?

Sotalol alternative. My father is in philippines. On sotalol 160mg 1 year, w/ pacemaker. Can not get sotalol here. Is there a safe alternative med?

Yes, but...: There are medicines in the same class as sotalol like dofetilide, and they are also effective for many of the same problems, but they must be initiated under monitored circumstances to avoid a serious risk of dangerous heart rhythm problems. A pacemaker cannot protect you from such rhythms (only a defibrillator can do so) and I advise caution in your search. ...Read more

Dr. Julie Abbott
47 Doctors shared insights

Sotalol (Definition)

Sotalol hydrochloride is a rhythm control agent which is a ...Read more


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Hi, I am taking Sotalol 160mg in morning and 160mg in evening because of HCM. Any alternatives because the side effects are terrible.

Hi, I am taking Sotalol 160mg in morning and 160mg in evening because of HCM. Any alternatives because the side effects are terrible.

Yes: Any negative intotrope is fine for treatment of HOCM; beta blockers preferred to calcium channel blockers however because of additional cardio protective benefits. Try metoprolol, or carvedilol -- 2 beta blockers with most data and pleitropic benefits! ...Read more

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What could I take in place of my 40mg of sotalol and safely breastfeed. Any alternatives? I have SVT. Thanks!

What could I take in place of my 40mg of sotalol and safely breastfeed. Any alternatives? I have SVT. Thanks!

Beta blockers: This beta blocker is extensively found in the breast milk. It is not safe to be taken while breastfeeding. There are several beta blockers which are safe, most notably propanolol and metoprolol.Check with your doctors to find a safe one for you and your baby. :) ...Read more

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Doctor, I notice that after I started taking sotalol I have become very constipated and weak, sleepy. Is there a natural alternative to this medicatio?

Doctor, I notice that after I started taking sotalol I have become very constipated and weak, sleepy. Is there a natural alternative to this medicatio?

See cardiology: Sotolol is typically used for atrial fibrillation. If these symptoms are signs of drug intolerance, another option might be considered, but such options are best deliberated by your cardiologist who knows your history and the structural/functionl attributes of your heart. ...Read more

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Any uses for sotalol?

Any uses for sotalol?

Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhythms if not used properly. All antiarrhythmics share this property. It is important to follow regularly with a cardiologist experienced in the use of sotalol. ...Read more

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What is the efects of sotalol?

What is the efects of sotalol?

Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhythms if not used properly. All antiarrhythmics share this property. It is important to follow regularly with a cardiologist experienced in the use of sotalol. ...Read more

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What are the effects of sotalol?

Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhythms if not used properly. All antiarrhythmics share this property. It is important to follow regularly with a cardiologist experienced in the use of sotalol. ...Read more

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What is betapace (sotalol)?

What is betapace (sotalol)?

Heart rhythm problem: Betapace (sotalol) is used to control abnormal heart rhythms. Do you know what kind of rhythm problem she might have? ...Read more

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Does sotalol has a lot of side effects?

Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhythms if not used properly. All antiarrhythmics share this property. It is important to follow regularly with a cardiologist experienced in the use of sotalol. ...Read more

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How is sotalol used; does the patient have to keep checking his levels?

How is sotalol used; does the patient have to keep checking his levels?

Follow inscructions: First and foremost, follow your prescribing doc's instructions...Sometimes doc will start you on a higher dosing, then taper down. Unlike ammiodarone, you do not need regular bloodwork...But your doc may want bloodwork done for other reasons (check liver function, kidney function, etc.). ...Read more

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Are sotalol levels tested by actually testing for sotalol or by creatinine levels?

EKG: Sotalol "levels" are inferred indirectly by monitoring the ECG. What we look for is a "QT" interval. If the "QT" interval is too long, then would cut back on dose. If "QT" ok, then same dose. ...Read more

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What is effect of betapace (sotalol)?

Betapace (sotalol): Is used for heart arrhythmias. It is a beta-blocker that acts to decrease calcium conduction in heart muscle, hence reduces heart rate. ...Read more

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My mom takes betapace (sotalol). Why?

My mom takes betapace (sotalol). Why?

Heart rhythm problem: Betapace (sotalol) is used to control abnormal heart rhythms. Do you know what kind of rhythm problem she might have? ...Read more

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Can taking sotalol give you allergies?

Can taking sotalol give you allergies?

Not exactly: Sotalol belongs to a class of medications called beta-blockers. True allergic reactions to beta blockers are uncommon. A person with asthma who takes a beta blocker may have an asthma attack. Taking a beta blocker medication will NOT increase the risk to develop allergies (food, medication, bee sting, latex, pollen, pet dander, etc.) ...Read more

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Can I take senokot (senna) with comundin and sotalol?

Can I take senokot (senna) with comundin and sotalol?

Senokot & Coumadin (warfarin): I would not recommend taking the senokot at the same time with either Coumadin (warfarin) or sotalol. Absorption of Coumadin (warfarin) is affected by a number of foods and other meds, so although not taken together you may separate them in time, so take the sotalol at breakfast and dinner, and the Coumadin (warfarin) before dinner, then take the senokot at bed time. ...Read more

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What are the reasons my doctor would take me off of sotalol?

Abnormal EKG: Not knowing the entire clinical situation it is difficult to say. It depends significantly on why it was started in the first place. There may not be a clinical reason for you to be taking it any more. Also, if your "QT" interval on your baseline EKG is becoming prolonged, that could indicate that the medicine may be making you more prone to an arrhythmia. Discuss with your doctor further. ...Read more

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What are cordarone, betapace, (sotalol) procanbid used for?

What are cordarone, betapace, (sotalol) procanbid used for?

Arrhythmias: They are used for abnormal rhythms of the heart, usually for atrial fibrillation, but also used for ventricular arrhythmias such as ventricular tachycardia. ...Read more

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Is it safe to take 40 mgs of sotalol and 20mgs of nadolol together?

Is it safe to take 40 mgs of sotalol and 20mgs of nadolol together?

Depends: They are both beta blockers, you should be letting your physician/cardiologist prescribe for you. If you don't trust the doctor find one you trust. Your pharmacist reviews medications when your doctor prescribes them. They also have computer programs monitoring for interactions. Don't mix meds yourself that is dangerous to your health. ...Read more

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Can I stop taking Sotalol tonight, and start Metoprolol tomorrow, or do I need to taper off slowly?

Can I stop taking Sotalol tonight, and start Metoprolol tomorrow, or do I need to taper off slowly?

Sotalol: Sotalol is a class Iii antiarrhmic with beta blocker properties and metoprolol is A beta blocker. Technically they are not interchangeable so you need to ask your doctor about stopping Sotalol and substituting metoprolol ...Read more

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I am taking sotalol and I have schizophrenia. I am take latuda (lurasidone) right now but I cannot take that medcation anymore. Is there other chooses?

Several choices: Thee are several very good medications for many of the symptoms of schizophrenia. The choices are made by comparing the reported good effects, and the known risks and side effects. It would be extremely unlikely that there is only one medication that will be effective for a patient with schizophrenia. Please bring your dilemma to your doctor, and he/she will help you find a good option. ...Read more

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Drug interactions Sotalol, sertraline & amiodarone?

Drug interactions Sotalol, sertraline & amiodarone?

Adverse effects: Significant QT prolongation. Symptoms need immediate evaluation may indicate torsade de pointes, eletrolyte abnormalities. Combination of multiple drugs that prolong QT interval is not advisable. Needto check magnessium and potassuim levels. ...Read more

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Dear Dr I have AF and taking apixaban and sotalol, is it safe to take Magnesium taurate, if so what dosage can I take per day?

Dear Dr I have AF and taking apixaban and sotalol, is it safe to take Magnesium taurate, if so what dosage can I take per day?

AF ≈CAD/CHF of atria: Heart problems most commonly driven by unhealthy lipoproteins (Hi-LDL-P, low Large-HDL-P; NOT cholesterol), blood glucose HbA1c >5.0%, smoking, SBP >120 mmHg, etc. Yet typically only treated as a symptom (vs. Result of underlying drivers; http://goo. Gl/Blh6rW). Study http://www. Rxlist. Com/betapace-drug. Htm, http://www. Rxlist. Com/betapace-af-drug. Htm https://goo. Gl/fzsCwd & seek help worthy trust. ...Read more

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Dear Dr I have AF and taking apixaban and sotalol, is it safe to take Magnesium taurate, if so what dosage can I take per day.

Dear Dr I have AF and taking apixaban and sotalol, is it safe to take Magnesium taurate, if so what dosage can I take per day.

Maybe: magnesium can interfere with absorption of sotalol and should be taken at least 2 hours apart. If you decide to take magnesium, You should start with 300 mg or less. ...Read more

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Sotalol-- can it cause leg or ankle pain?

Sotalol-- can it cause leg or ankle pain?

Yes: According to the drug literature pain can occur in 2-7% cases depending on dosage. I would not change any medication that your doctor prescribes before talking with them first. In that way you can also find the cause. ...Read more

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I am taking sotalol for my arrythmia. Should I stop if my heart rate is slow?

I am taking sotalol for my arrythmia. Should I stop if my heart rate is slow?

Ask your doctor: If your heart rate is really low and one is symptomatic such as dizziness etc. Or say it is below 50, then one should consider decreasing or stopping but you should always check with your doctor first before doing so. ...Read more

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Is it safe to suddenly stop taking my 40 mg of sotalol for SVT? I want to breastfeed my 2 weeek old baby and wasn't sure of the risks?

Is it safe to suddenly stop taking my 40 mg of sotalol for SVT? I want to breastfeed my 2 weeek old baby and wasn't sure of the risks?

Communication: Ask the pediatrician to talk to the cardiologist and/or the doctor who originally put you on the medication. The data is sparse on breast milk and baby. The danger for your heart needs a cardiologist. Baby does better if mommy stays out of the hospital. Don't just stop Sotatol without talking to the doctors that care for you and your baby. ...Read more

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Why does sotalol cause cold feet or hands?

Why does sotalol cause cold feet or hands?

Kidney problems: Sotalol is metabolized or broken down by the kidneys and therefore may create a decrease in the kidney function, leading to swelling and a possible decreased circulation to the feet. This would thereby cause the cold hands and feet. ...Read more