Carvedilol and sotalol
Common Questions and Answers about Carvedilol and sotalol
coreg
Recently, I have a rash and the pharmacist thinks both these conditions are caused by my Sotalol. My doctor has stopped the Sotalol and put me on Varapamil until I can see my cardiologist. The cough is improving but still a very liquid raspy cough. Do you think this would be caused by Sotalol and what are the long term effects.
a) I appear to be quite fatigued by the sotalol; does this get better over time?
b) When exercising, my heart rate isn't climbing to my normal range (140-160 bpm) and my performance is suffering for it. Is there a trick to handling this other than simply slowing down, and is there less or no benefit to 'cardio' workouts when you can't get your heart rate to the preferred zone?
The question of beta-blockers and exercise is very interesting and I'm still not sure what's really going on. I take Sotalol for Afib and am in NSR; I work out regularly. My experience is that my heart rate is definitely suppressed at a given exercise level from what it used to be without the drug. I know this for sure as I had a regular treadmill routine with a known heart rate and when I started taking Sotalol my heart rate dropped dramatically.
I quit taking carvedilol and my statin as I thought I had my heart problems knocked, and soon afterwards, even though my cholesterol, diabetes and weight was normal, I had to have six more stents, a pacemaker, and eventually bypass surgery. Today at age 72 I'm back taking the drugs, but I also have Congestive Heart Failure, and believe me, taking carvedilol and Plavix was much easier. I have to sleep in a chair because my lungs fill with water.
next five years passed and numerous visits too er,one angiogram heart normal and 4 eps studies,all too no avail,no ablation done and notoow my cardiologist tells me he thinks i also have af,puts me on aspirin and sotalol,am taking aspirins but not sotalo as i think risks of taking these too high too be done in the home background and not a clinical monitored situation,i am now beginning too wonder just how much my doctors do actually know about these conditions.
When I read yesterday that Sotalol AF was for Afib and plain Sotalol for ventricular arrhythmias, I was concerned that maybe my EP or even the pharmacy had made a mistake! But, that is more of my irrational thinking that can put me in a panic, because the facts are, Sotatlol has been great. I should say that I was very fatigued for the first two to three weeks when I began the Sotalol. It was like I had a governor inside my chest!
My dad was recently diagnosed with CHF and was given Carvedilol. He is taking 12.5 mg twice a day. His blood pressure is well controlled now that he is on the pill, but there have been 3 times when his blood pressure drops way too low and he feels like fainting. Is that normal?How long does it usually take to get used to the drug?
Im a 44 y/o woman, and I enjoy long-distance running. A year ago I had an ICD placed for confirmed sustained VT. It's likely that my arrhythmia is genetic - CPVT, though I haven't chosen to do genetic testing. My heart is structurally quite healthy.
Prior to having the ICD placed I was a middle-of-the-pack marathoner and triathete. After the ICD was placed I was on Metropolol which I couldn't tolerate and was switched to Sotalol.
I switched from Sotalol to Multaq back in September and was concerned at the time about weaning off the Sotalol. I posted a thread back then asking the same question. My doctor told me to just stop the Sotalol and start the Multaq the next day without missing a dose time. Both drugs were taken twice daily so I took my last Sotalol at dinner and my first Multaq the next morning. I had a few days of jittery nerves and anxiety as the beta blockade came down but that was all.
I am on 6.25 mg carvedilol twice a day. I am not physically restricted - I walk 1 mile or more day and do 10 minutes of other light exercises most days. My BP runs under 120/80 most of the time. I understand carvedilol helps prevent stiffening of the heart muscle and can help restore LV function to some degree. How specially, so it do this? What is the biochemical mechanism?
Then my doctor added Cardizem with the sotalol and that helped for awhile also. In the summer of 2007 my fib and flutter started breaking through the meds again and it was decided that my last resort was an ablation. I had it done in January 08. So far so good. Why did your new cardio take you off the sotalol? Do you see an EP or just a cardio doctor. If you see a cardio doctor I would suggest changing to an EP. The specialize in heart rhythm problems.
It recently dropped to 80 over 51 and the doctor took me off of my carvedilol for 2 weeks and said to monitor my blood pressure and call in two weeks. It has been 2 weeks now. I do not know what my heart rate should be at normal and at exertion. I live in a quad level and go up and down a lot of steps to do laundry. I get winded very easily. I want to feel better.
I have just been prescribed Spironolactone 25mg and Carvedilol 6.25.
I have just been prescribed Spironolactone 25mg and Carvedilol 6.25.
Thank you both! Jerry, I have AFib and SVT. Thankfully, both have been very successfully treated with Sotalol. And so, for that reason, my EP (like yours, Twinbee) has decided to cut me back to Toprol- which is good news. He originally decided on 25 mg twice daily, but my blood pressure is a low normal anyway (100/60 or lower at times) and wanted to avoid it being lowered any further. Thank you both very much for the responses!
I was on toprol for alittle while, and it did help me. I was also on Sotalol for a few years (combined with Cardizem) and that helped me also. In regard to V-fib and sotalol, I really haven't heard of that. I have heard of v-tach a very low possibality when on sotalol, but not v-fib. I would recommend you trying the sotalol. When I was first put on it, I was monitored in the hospital for 3 days. I had no reaction to it. Yes, it did make me tired, but I got use to it. Good Luck!
She also takes a high dosage of Lisinopril and Carvedilol and it seems like she is getting weaker at times. The dosage for Lisinopril is 40mg and 25mg for Carvedilol She has been taking this medication for almost 2 years now, but now she has become weaker and is more nervous now, have anxiety attacks. Is the dosage too high? Or is there anyway to reduce the side effects of the medication??
Thanks...
Patrish1, I am on Sotalol for the same reason although my episodes were becoming weekly events - much worse than yours. I went on Bisoprolol initially but it didn't hold me in NSR so my Cardio prescribed the Sotalol. I am on the lowest possible dosage - 40mg, twice daily. This is a powerful drug and it has been very effective in keeping my heart in normal rhythm.
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