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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Practice To Give Sotalol For Cardiac Life Support?

MY doctor percribed Sotalol 80 mg at home with out being monitored for 3 days in a facility with staff trained in advanced cardiac life support..
I had a defibrillator inplanted on 8-28-2013 and put on Carvedilol 12.5 mg, Lisinopril 2.5 mg and colpidgrel 75 mg
Then on 12-8-2013 the defibrillator went off(shocked me 3 time in 10 minutes), went to emergency room and was totally checked out.
Then on 12-12-2013 my doctor called and put me on the Sotalol with out being monitored.
Is this practice ok ?
Wed, 22 Jul 2015
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Cardiologist 's  Response
Hi though it's started at indoor facility, because you had defibrillator already placed, it is safe to start you on sotalol at home, because in case of any rhythm disturbance, the defibrillator will help you out, at the same time the rhythm can be know through interrogation. So don't worry about the same.
However I would like to point out carvedilol and sotalol are same group, though started for you for different indication, do discuss with your doctor on follow up, as I will suggest titration of carvedilol so you don't have drug interaction.
Regards Dr Priyank Mody
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Is The Practice To Give Sotalol For Cardiac Life Support?

Hi though it s started at indoor facility, because you had defibrillator already placed, it is safe to start you on sotalol at home, because in case of any rhythm disturbance, the defibrillator will help you out, at the same time the rhythm can be know through interrogation. So don t worry about the same. However I would like to point out carvedilol and sotalol are same group, though started for you for different indication, do discuss with your doctor on follow up, as I will suggest titration of carvedilol so you don t have drug interaction. Regards Dr Priyank Mody