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Change of medicines for Atrial fibrillation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   I have taken sotalol for twelve years and it has controlled my afib until just recently. I am trying to switch to Rythmol, but it does not seem to be working very well. How long should I give the new drug before I can evaluate its performance and can I just begin taking sotalol again if it doesn't work?
Doctor :   Hi
Doctor :   I am Dr.XXXXXXX here
User :   hello
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   For evaluation of performance atleast 3 weeks of time is ideal
User :   Is a pulse rate of 150 bpm something to get help with?
Doctor :   Yes, it is quite high
Doctor :   should be controlled within 100
Doctor :   that should be the target
User :   Episodes of that have been lasting up to 2hours, . . ..should I take more of the rhythmol?
Doctor :   Ok
Doctor :   I shall explain you
Doctor :   the treatment protocol differs in different patients
Doctor :   the treating doctor shall decide it seeing the response
Doctor :   like increasing the dosage
Doctor :   or using a combination
Doctor :   it shall be decided based upon your response
User :   these episodes are not an emergency?
Doctor :   150 beats is high
Doctor :   and should be reported to your cardiologist
Doctor :   without much delay
Doctor :   though not an acute emergency
Doctor :   but treatment is essential
Doctor :   I hope you are getting it
Doctor :   so the next step should be to consult your cardiologist
Doctor :   either in person or phone
Doctor :   and report the symptoms
Doctor :   or if not possible, then you should visit the ER
User :   Thank you . . . . I will.
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