Does sotalol affect sleep?
Blood pressure medications Beta-blockers: Propranolol (Inderal), nadolol (CorGard), pindolol (Visken), labetalol (Normodyne), penbutolol (Levatol), sotalol (Betapace) and carvedilol (Coreg) are all considered nonselective for the heart and can lead to more associated sleep disturbances. Fish, garlic, berries, and certain vitamins and amino acids are all natural alternatives to beta-blockers. Doctors usually prescribe beta-blockers to treat cardiovascular conditions such as angina and hypertension, which is also known as high blood pressure.Many beta blockers are good options in this case, except research shows atenolol isn’t as good as other beta blockers at preventing heart-related events. Heart failure: Current research shows that the best beta blockers for heart failure are carvedilol, metoprolol succinate, and bisoprolol.
What to avoid when taking sotalol?
Avoid alcoholic drinks. Do not treat yourself for coughs, colds, or pain while you are taking this medication without asking your care team for advice. Some ingredients may increase your blood pressure. If you are going to have surgery, tell your care team that you are taking this medication. Don’t drink grapefruit juice with certain blood pressure-lowering medications because it can cause higher levels of those medicines in your body, making side effects more likely.
What are the withdrawal symptoms of sotalol?
Suddenly stopping sotalol can lead to worse chest pain, heart rhythm problems, or even heart attacks. When you stop taking this medication, you’ll need to be closely monitored and consider using an alternative beta-blocker, especially if you have coronary artery disease. Sotalol can cause serious ventricular arrhythmias (when the heart beats too fast and can’t pump enough blood). Thus, sotalol should not be used for those with: Certain cardiovascular conditions.Common side effects of sotalol include bradycardia, hypotension, fatigue, dizziness, depression, memory loss, impotence, cold limbs and, less commonly, severe hypotension, heart failure and bronchospasm.Unlike metoprolol, starting sotalol usually requires a hospital stay for monitoring due to the risk of serious side effects. Both medications can cause dizziness and tiredness, but sotalol has a higher risk of causing breathing problems and requires careful monitoring of heart rhythm.Sotalol is an antiarrhythmic agent with combined class II and III properties. It is nearly completely absorbed after oral administration and undergoes essentially no first-pass hepatic metabolism. As a result, its absolute bioavailability is 90–100%. Peak plasma concentrations are reached 2–4 hours after an oral dose.The study suggests that at therapeutic plasma concentrations, sotalol would be effective in preventing clinical SVT in a significant proportion of patients refractory to metoprolol; because sotalol not only has β-blocking properties but also results in acute prolongation of the action potential duration, this .
When should you not take sotalol?
Sotalol should not be taken if you have second or third degree heart block or sinus sick syndrome, unless you have a pacemaker. Asthma. Sotalol should not be used by those with asthma or similar breathing problems. Severe or Worsening Heart Failure. Sotalol may cause heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing, an irregular heartbeat, swelling of the face, fingers, feet, or lower legs, or weight gain.Sotalol is approved by the US Food and Drug Administration (FDA) and is indicated for treating hemodynamically stable ventricular tachycardia, as well as maintaining sinus rhythm, particularly in cases of paroxysmal atrial fibrillation.Dosage. Sotalol tablets come in different strengths: 40mg, 80mg and 160mg. The usual dose of sotalol is between 80mg and 320mg a day. If you get irregular heartbeats several times a day, your doctor may prescribe a higher daily dose of up to 640mg.If you have any of the following symptoms, stop taking sotalol and call your doctor immediately: Chest pain, rapid pulse or increase in irregular heartbeats. Skin rash. Difficulty breathing.
What food to avoid with sotalol?
Is there any food or drink I need to avoid? You can eat and drink normally while taking sotalol. Is there any food or drink I need to avoid? You can eat and drink normally while taking sotalol. Eating a healthy, balanced diet can help if you have a heart condition.
Is sotalol bad for the kidneys?
Its pharmacokinetic properties may lead to increased serum levels of the drug in patients with reduced kidney function. We report on a case in which kidney failure in a patient using sotalol for paroxysmal atrial fibrillation gave rise to torsade de pointes ventricular tachycardia and, eventually, sudden death. Conclusions. Amiodarone and sotalol are equally efficacious in converting atrial fibrillation to sinus rhythm. Amiodarone is superior for maintaining sinus rhythm, but both drugs have similar efficacy in patients with ischemic heart disease.This study demonstrates that sotalol (160 mg/day) and bisoprolol (5 mg/day) are equally effective in maintaining sinus rhythm. Because of the side effects of sotalol, bisoprolol seems to be advantageous for maintenance of sinus rhythm after cardioversion of atrial fibrillation.There appears to be a lack of treatment differences between sotalol and bisoprolol in regard to efficacy; however, the risk of QT prolongation may be higher with the use of sotalol.For people with kidney problems: Sotalol is primarily cleared from your body through your kidneys. If you have kidney problems, the drug might build up in your body, which can lead to side effects. If you have kidney problems, your dosage of this drug will need to be lowered.