Sotalol Drug Load: Scheduled to shift... - Atrial Fibrillati...

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Sotalol Drug Load

DKBX profile image
DKBX
5 Replies

Scheduled to shift from Metoprolol and Diltiazem to Sotalol this next week. Choice of yet another ablation (6th one) was given but I figured, “why keep scarring up my heart?”

Did I make the right decision?

Seems to me ablations aren’t working and they just manage to damage my heart, albeit in a controlled way. So why not try Sotalol instead. We’ll see.

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DKBX profile image
DKBX
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5 Replies
mav7 profile image
mav7

Are you in paroxysmal or persistent afib ?

Read one approach is to do a cardioversion to return to NSR and then take Sotalol with the goal of maintaining NSR. As with all procedures, success rates vary but has worked well for some.

May won't to google if interested. Best to You !

DKBX profile image
DKBX in reply to mav7

Persistent. With five ablations already under my belt and none lasting (lately) more than a few months, I’m thinking why damage my heart more if a drug switch can achieve NSR. While on the drug, they’ll likely cardiovert me if the drug alone doesn’t do the trick.

EngMac profile image
EngMac in reply to DKBX

There are two kinds of Sotolol, one for the top of the heat and one for the bottom . My experience is some doctors don’t know this. Check with a pharmacist who will research which one you need.

Also you can flat line on this drug so the first few days are critical. Read the drug sheet for side effects. The size of the dose affects the risk plus of course many other of your health factors. My family doctor told me, in Canada where I live, you are not put in the hospital for the first few days to mitigate this risk because it is too expensive and they only lose a few people anyway.

Some things to research.

Bolander profile image
Bolander in reply to mav7

Sotalol has kept me in NSR for several years now after a cardioversion so it has certainly worked well for me.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

We need your H/R and BP at rest.

Now controlled by Diltiazem 120mg AM and 2.5 Bisoprolol PM.

120-124 / 69. 60s. Day Rest avge.

No cardiversions, no ablations, no anti rhythmic meds.

Come on 3 ablations is enough for any heart.

Try Radcliffe sucesses. New ablation technics research improving.

cheers JOY 74. (NZ)

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