Guest guest Posted July 24, 2004 Report Share Posted July 24, 2004 In a message dated 7/24/2004 1:28:25 PM Pacific Daylight Time, grayed1@... writes: > Since beginning this regimine, my energy level has gone way down.Is this > Ed, Yes, the drop in energy could be caused by the Sotalol because it is, as my cardiologist explained it, basically a beta blocker but with special electrophysiological properties. Beta blockers do tend to make people feel fatigued especially right after starting them. I remember when I started Atenolol and whenever the dose was raised, I felt extremely fatigued for about two months after. If the Sotalol controls your afib, it probably is worth staying with it and hoping the fatigue will disappear after a while. However, if you are still having afib along with the Sotalol, I would ask for a reevaluation of that med. I am wondering why your doctor chose Sotalol as a first medication. Did you have extreme symptoms such as dizziness, shortness of breath, or chest pain which required strong control? If not, perhaps just an ordinary beta blocker and/or calcium channel blocker might control the symptoms. I have done well on Atenolol, a beta blocker that did not prevent afib before I gave up dairy but which did and does control symptoms so that I barely know when I am in afib. I am certainly not qualified to judge from afar the validity of prescribing Sotalol for you, but I think you should definitely discuss with your doctor the reasons for this drug if it doesn't keep you out of afib. There are other drugs, such as Flecainide and Dofetilide which seem to have a better track record for keeping people out of afib. If it's just symptom (rate) control you want, an ordinary beta blocker and/or calcium channel blocker might work well as they do for me. in sinus in Seattle Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2004 Report Share Posted July 24, 2004 In a message dated 7/24/2004 1:28:25 PM Pacific Daylight Time, grayed1@... writes: > Since beginning this regimine, my energy level has gone way down.Is this > Ed, Yes, the drop in energy could be caused by the Sotalol because it is, as my cardiologist explained it, basically a beta blocker but with special electrophysiological properties. Beta blockers do tend to make people feel fatigued especially right after starting them. I remember when I started Atenolol and whenever the dose was raised, I felt extremely fatigued for about two months after. If the Sotalol controls your afib, it probably is worth staying with it and hoping the fatigue will disappear after a while. However, if you are still having afib along with the Sotalol, I would ask for a reevaluation of that med. I am wondering why your doctor chose Sotalol as a first medication. Did you have extreme symptoms such as dizziness, shortness of breath, or chest pain which required strong control? If not, perhaps just an ordinary beta blocker and/or calcium channel blocker might control the symptoms. I have done well on Atenolol, a beta blocker that did not prevent afib before I gave up dairy but which did and does control symptoms so that I barely know when I am in afib. I am certainly not qualified to judge from afar the validity of prescribing Sotalol for you, but I think you should definitely discuss with your doctor the reasons for this drug if it doesn't keep you out of afib. There are other drugs, such as Flecainide and Dofetilide which seem to have a better track record for keeping people out of afib. If it's just symptom (rate) control you want, an ordinary beta blocker and/or calcium channel blocker might work well as they do for me. in sinus in Seattle Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2004 Report Share Posted July 25, 2004 In a message dated 7/24/04 4:28:09 PM Eastern Daylight Time, grayed1@... writes: My card. put me on 320 mgs. sotolol per day,5mgs.coumadin and 5mgs. norvasc. Since beginning this regimine, my energy level has gone way down.Is this caused by the sotolol? If *************Snip Hi ED, When I started the Sotalol my energy level was very sluggish. It took about a month or so for my body to get use to it and now IM fine (4 months). IM on 80 mg x 2 a day. Your on twice the dose I see. Are you taking 320 once a day or 160 x 2? Also was that the starting dose for you? I wonder if your Doctor can lower the dose? Is it keeping you in a NSR (normal sinus rhythm) at that dose? a In Massachusetts 49 NSR Sotalol 80 x 2 Warfarin 5 mg alternate with 7 1/2 mg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2004 Report Share Posted July 25, 2004 In a message dated 7/24/04 4:28:09 PM Eastern Daylight Time, grayed1@... writes: My card. put me on 320 mgs. sotolol per day,5mgs.coumadin and 5mgs. norvasc. Since beginning this regimine, my energy level has gone way down.Is this caused by the sotolol? If *************Snip Hi ED, When I started the Sotalol my energy level was very sluggish. It took about a month or so for my body to get use to it and now IM fine (4 months). IM on 80 mg x 2 a day. Your on twice the dose I see. Are you taking 320 once a day or 160 x 2? Also was that the starting dose for you? I wonder if your Doctor can lower the dose? Is it keeping you in a NSR (normal sinus rhythm) at that dose? a In Massachusetts 49 NSR Sotalol 80 x 2 Warfarin 5 mg alternate with 7 1/2 mg Quote Link to comment Share on other sites More sharing options...
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