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Re: Sotalol

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Will he agree to have you hospitalized to start it, if you insist, maybe

with the backup of family members? Is he open to discussing this with

you/communicating/answering your questions and concerns patiently?

Sotalol

Okay, I'm getting really frustrated now. I went to see a new EP

doctor that is replacing my previous one at the University of

Colorado in Denver, and he decided against putting me on the

Tykosin. Instead he wants me take Sotalol. He said it has

considerably less side affects than the Norpace I was on. He said

that usually I would be hopitalized and monitored for 2 days just

like with the Tykosin, but since I have my own AICD, he didn't feel

it was necessary. " If need be, you will get a shock from your AICD " .

Well that makes me nervous! Then, when I went to pick up my

prescription, the pharmacist questioned why I wasn't being

hospitalized and also said there was a contraindication with my

Verapamil. That was it, I refused to start the Sotolol that night.

When I called the doctor the next day, the nurse checked with the

doctor and he said I would be fine and to go ahead and start the

med. The nurse expressed the doctors displeasure over the pharmasist

questioning his treatment. I've called to talk to my doctor in

Florida (DR. Sheppard in St. sburg), who I totally trust

and respect, to see what he thinks. Hopefully I will hear back from

him on Monday. So what's the deal? Why do doctors vs pharmasists and

doctors vs other doctors, contradict each other so much? How do you

handle this? I thouroughly research any medical condition I have and

my medications, and sometimes information I research contradicts

what doctors have told me! Help! I get nervous any way when I start

a new med and this just adds to the anxiety! Can anybody tell me

anything about Sotalol and is there anyone out there that knows of a

good EP in or near Denver, Colorado that they could recomend?

Web Page - http://www.afibsupport.com

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

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skchesmore80 wrote:

> He said

> that usually I would be hopitalized and monitored for 2 days just

> like with the Tykosin, but since I have my own AICD, he didn't feel

> it was necessary. " If need be, you will get a shock from your AICD " .

> Well that makes me nervous! Then, when I went to pick up my

> prescription, the pharmacist questioned why I wasn't being

> hospitalized

Hi,

I have seen three different cardiologists about my afib. One said he was

" old fashioned " and would put me in the hospital for three days if I

went on any antiarrhythmic. The other two disagreed about the necessity

of hospitalization.

Ultimately one of my three docs (the EP) started me on flecainide

outside the hospital and I had no side effects whatsoever and have done

fine ever since. And when he wrote the Rx, I WAS in the hospital, where

I had just self-converted from afib to NSR. He sent me home with the Rx

to fill and start taking. I have no structural heart disease, which

seems to be one of the criteria for not needing a hospital stay.

(Tykosin, however, seems always to require hospitalization to get it

started, as well as to change doses, no matter what.)

I have witnessed web casts of doctors discussing the use of Sotalol and

they all concluded that hospitalization to start it was unnecessary in

most cases. The idea that one does not necessarily need to be

hospitalized to start Sotalol seems like the majority opinion among the

doctors, but by no means the unanimous opinion. But they all agree every

case is different, and some do require admission.

- OU alum in MI

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I was hospitalized to start Tikosyn, but not to change doses, which I did twice.

I was also hospitalized to start Rhythmol, which I've never heard anyone else

had to do. It might have had something to do with starting the rhythmol at the

same time of stopping the Tikosyn.

Re: Sotalol

skchesmore80 wrote:

> He said

> that usually I would be hopitalized and monitored for 2 days just

> like with the Tykosin, but since I have my own AICD, he didn't feel

> it was necessary. " If need be, you will get a shock from your AICD " .

> Well that makes me nervous! Then, when I went to pick up my

> prescription, the pharmacist questioned why I wasn't being

> hospitalized

Hi,

I have seen three different cardiologists about my afib. One said he was

" old fashioned " and would put me in the hospital for three days if I

went on any antiarrhythmic. The other two disagreed about the necessity

of hospitalization.

Ultimately one of my three docs (the EP) started me on flecainide

outside the hospital and I had no side effects whatsoever and have done

fine ever since. And when he wrote the Rx, I WAS in the hospital, where

I had just self-converted from afib to NSR. He sent me home with the Rx

to fill and start taking. I have no structural heart disease, which

seems to be one of the criteria for not needing a hospital stay.

(Tykosin, however, seems always to require hospitalization to get it

started, as well as to change doses, no matter what.)

I have witnessed web casts of doctors discussing the use of Sotalol and

they all concluded that hospitalization to start it was unnecessary in

most cases. The idea that one does not necessarily need to be

hospitalized to start Sotalol seems like the majority opinion among the

doctors, but by no means the unanimous opinion. But they all agree every

case is different, and some do require admission.

- OU alum in MI

Web Page - http://www.afibsupport.com

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

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Share on other sites

From: " skchesmore80 "

>> Can anybody tell me anything about Sotalol

-----

I've been on it since last April I take 120 2X daily. I had to go in the

hospital too but it was my understanding that it was because I am a woman

and that's considered a risk factor. It works so-so for me. I still have

episodes of phibbin' but their not as long as they were and the episodes are

farther apart. I was having them nearly everyday for hours, now I have it

once or twice a week and only for a short while. According to the docs this

is considered 'controlled'. (alrighty then! :-P) The episodes of really fast

hard beats are gone, thank heavens for that because they were wicked. Not

sure if that was v-tach, SVT or what, but it sure was awful. I have some

side effects like being REALLY exhausted and kind of stupid (LOL) I still

have that occasionally! At least it is tolerable now. Personally I felt a

lot better when I knew what was wrong (afib) more than being on any drug.

:-)

Best wishes to all,

Lorrie

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