How Can Sotalol’s Side-effects Be Treated?

Posted on Sat, 9 Jun 2018

Question: My husband is on Mexilitine, 250mg. BID. And Sotalol, 160 mg. bid. He is 89 yes. Old. Has an ICD and our Insurance is now refusing to send a refill for the Sotalol because of drug reactions. He is experiencing all side effects, I.e. sob, rash, no appetite, dizziness.
What is your suggestion?

Answered by Dr. Ilir Sharka (29 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I would like to know if these symptoms started after stopping Sotalol.

What is his current therapy now?

I would recommend consulting with his attending physician and performing some tests to investigate for other possible causes:

- a cardiac ultrasound
- complete blood count
- blood electrolytes
- kidney and liver function tests.

It is also necessary to closely monitor his blood pressure values.

Hope you will find this answer helpful!

I remain at your disposal for further questions.

Kind regards,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar