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Is Sotalol Safe To Use For Cardiac Arrhythmias Inspite Of Its Side Effects?

Posted on Mon, 28 Apr 2014

Question: Update to the last question...My doctor referred me to a cardiologist, did an EKG and prescribed Sotalol 160MG tablet and stopped my Bystolic. Aftter another EKG 3 days later the heart beat was normal. He also recomended a Cardioversion but I decided to get another cardiologist. The side effects of the Sotalol is killing me. He said that if I did not get the Cardioversion, I can resume the Bystolic...too pushy.

Answered by Dr. Benard Shehu (45 hours later)

Brief Answer: Suggest following treatment scheme... Detailed Answer: Hi, Thank you for following up. At this point, I'd suggest to continue taking Sotalol and to add dronedarone or amiodarone to convert into sinusal rhythm. If this treatment won't have effect, then, should change to Bystolic and add Warfarin (as anticoagulant). The main goal is to keep INR within 2-3 level range. Can discuss this treatment scheme with your cardiologist! Dr.Benard

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

Follow up: Dr. Benard Shehu (3 hours later)

Yes but I have been on Xarelto 20mg for a month..and no sex desire since I started Sotalol,,are you a cardiologist that is who I wanted to consult with?

Answered by Dr. Benard Shehu (25 hours later)

Brief Answer: Please provide additional data of yours... Detailed Answer: Hi back, Thank you for following up. I am honored to guide you through the process in order to find out the right problem and related solution. With regards to taking Xarelto, it is a very good alternative than Warfarin (as mentioned earlier) as you do not need to monitor INR. In fact, I have gone through your past medical history and just now noticed you are taking Xarelto since one month. I have also noticed that you used to take 200 CYP shots every 2 weeks. Are you still continuing this treatment at the moment? Losing sex desire is often associated with the use of anti-arrhythmic drugs, including Sotalol. If such side effects are unbearable to you, can shift to flecainide, which has less of these side effects. Thank you! Dr.Benard

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

Follow up: Dr. Benard Shehu (22 hours later)

Yes I am still taking the shots and next one due on the 11th of this month, should I stop it and sometimes AZOR.?

Answered by Dr. Benard Shehu (13 hours later)

Brief Answer: Continue taking the shots&Azor... Detailed Answer: Hi, You can continue taking the shots as scheduled on April, 11. If your symptoms will be improved, then, what you are experiencing is related to hormonal dis-balance. Your libido will be improved too. With regards to Azor, I advise to continue taking it as it will improve your blood pressure. Hope it answered your queries! Dr.Benard

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

Follow up: Dr. Benard Shehu (2 days later)

Lstly I went to my regular Doctor today, he took me off Sotalol, replace it with Digoxin 250 mcg, back to Bystolic 10mg and rhytm is normal.

Answered by Dr. Benard Shehu (23 hours later)

Brief Answer: Glad to know that your heart rhythm is normal. Detailed Answer: Hi back, Thank you for sending in your updates. I am glad to know that your rhythm is normal. Continue the current therapy as long as you are having a normal rhythm. You can send the EKG report to evaluate your heart rhythm. All the best! Dr.Benard

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