Re Combining a beta blocker with amiodarone

[progers Major Contributor Find all posts View Profile Close progers]

I recently read an article suggesting that people who take a beta blocker like Sotalol while also taking Amiodarone are less likely to have recurrent a-fib. Does anyone have any info on this? A

fter my cardioversion 3 weeks ago, the registrar cardiologist took me off Sotalol and I am currently only on Amiodarone. Even though my obstruction is gone now (because of a myectomy), I still have diastolic dysfunction, so I'm wondering if my heart would remodel better and quicker (as happens after myectomy), if I were still on a beta blocker??

Thanks,

Paul

[fausto.freire Atria Find all posts View Profile Close fausto.freire]

Hi Paul,

I have heard something like that, but since it's the first time you are taking amio, probably you should try it without anything else, unless there are other problems…

But where have you read suggesting to take amio and sotalol together? Perhaps amio with a real beta blocker?

Be careful I remember that sotalol (and some other antiarrhythmic drugs) should not be taken together with amio, since there are some dangers. This is because sotalol is not really a beta blocker since its effects make it more similar to a class III antiarrhythmic drug such as amio than to other beta blockers. In fact, sotalol is hybrid with both class III antiarrhythmic and beta blocker effects.

Sorry! I do not have an answer to your last question

Fausto