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Sotageksal - instructions for use, analogs, reviews and release forms (tablets 80 mg and 160 mg) drugs for the treatment of heart rhythm disorders (tachycardia, extrasystole) in adults, children and in pregnancy

Sotageksal - instructions for use, analogs, reviews and release forms (tablets 80 mg and 160 mg) drugs for the treatment of heart rhythm disorders (tachycardia, extrasystole) in adults, children and in pregnancy

In this article, you can read the instructions for using the drug Sotageksal. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Sotagexal in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Sotagexal in the presence of existing structural analogs. Use for the treatment of cardiac arrhythmias (tachycardia, extrasystole) in adults, children, as well as during pregnancy and lactation.

 

Sotageksal - beta1-, beta2-adrenoblocker. Sotalol (active ingredient of the drug Sotagexal) is a non-selective blocker of beta1-, beta2-adrenoreceptors, which does not have its own sympathomimetic and membrane-stabilizing activity. Like other beta-blockers, sotalol inhibits the secretion of renin, and this effect has a pronounced character both at rest and during exercise. Beta-adrenoblokiruyuschee effect of the drug causes a decrease in heart rate (negative chronotropic action) and a limited decrease in the force of the heartbeats (negative inotropic effect). These heart function changes reduce myocardial oxygen demand and heart burden volume.

 

Antiarrhythmic properties of Sotagexal are associated with both blockade of beta-adrenoreceptors and prolongation of the potential of the action of the myocardium. The main effect of sotalol is to increase the duration of effective refractory periods in the atrial, ventricular and additional ways of carrying out the pulse.

 

Composition

 

Sotalol hydrochloride + excipients.

 

Pharmacokinetics

 

Bioavailability when ingestion is almost complete (more than 90%). Absorption of the drug is reduced by approximately 20% when eating compared to fasting. Distribution occurs in the plasma, as well as in peripheral organs and tissues. Sotalol does not bind to blood plasma proteins. Poorly penetrates the blood-brain barrier (BBB), and its concentration in the cerebrospinal fluid is only 10% of the concentration in the blood plasma. Not exposed to metabolism. The main way to remove from the body is the secretion through the kidneys. From 80 to 90% of the administered dose is excreted unchanged in the urine, and the rest with feces.

 

Patients with impaired renal function should be given smaller doses of the drug.

 

With age, the pharmacokinetics changes insignificantly, although renal dysfunction in elderly patients reduces the rate of excretion, which leads to increased accumulation of the drug in the body.

 

Indications

 

Symptomatic and chronic heart rhythm disturbances:

  • ventricular tachycardia, incl. supraventricular tachycardia with Wolff-Parkinson-White syndrome;
  • ventricular extrasystole;
  • paroxysmal form of atrial fibrillation.

 

Forms of release

 

Tablets of 80 mg and 160 mg.

 

Instructions for use and dosing regimen

 

The drug is taken orally for 1-2 hours before eating, without chewing, squeezed with enough liquid.

 

Simultaneous intake of food (especially milk and dairy products) reduces the absorption of the drug.

 

The dose of the drug is selected individually, depending on the severity of the disease and the patient's response to treatment.

 

The initial dose is 80 mg per day. If the therapeutic effect is insufficient, the dose can be gradually increased to 240-320 mg per day, divided into 2-3 doses. In most patients, the therapeutic effect is achieved at a total daily dose of 160-320 mg divided into 2 doses.

 

In life-threatening severe arrhythmias, a dose increase of up to 480 mg, divided into 2 or 3 separate doses, is possible. However, such doses can be prescribed only in cases where the potential benefit outweighs the risk of side effects, especially pro-arrhythmogenic action.

 

The duration of therapy is determined by the attending physician.

 

In the event that the patient forgot to take a pill on time, the next time you should not take an additional amount of the drug, you only need to take the prescribed amount of Sotagexal.

 

Side effect

  • bradycardia;
  • dyspnea;
  • retrosternal pain;
  • palpitation;
  • AV blockade;
  • increased symptoms of heart failure;
  • palpitation;
  • edema;
  • fainting;
  • arrhythmogenic action;
  • a decrease in blood pressure;
  • increased attacks of angina pectoris;
  • nausea, vomiting;
  • diarrhea;
  • constipation;
  • dry mouth;
  • abdominal pain;
  • flatulence;
  • headache;
  • dizziness;
  • increased fatigue;
  • state of depression;
  • sense of anxiety;
  • mood changes;
  • tremor;
  • asthenia;
  • sleep disorders (drowsiness or insomnia);
  • depression;
  • paresthesia in the limbs;
  • visual impairment;
  • inflammation of the cornea and conjunctiva (should be considered when wearing contact lenses);
  • reduction of lacrimation;
  • hearing impairment, taste sensations;
  • hypoglycemia (most likely in patients with diabetes mellitus, or with strict adherence to diets);
  • bronchospasm (especially when pulmonary ventilation is impaired);
  • decreased potency;
  • skin rash, itching, redness;
  • psoriasis dermatosis;
  • alopecia;
  • hives;
  • coldness of limbs;
  • muscle weakness;
  • convulsions;
  • fever.

 

Contraindications

  • chronic heart failure 2B-3 stage;
  • cardiogenic shock;
  • AV blockade of 2 or 3 degrees;
  • sinoatrial blockade;
  • syndrome of weakness of the sinus node;
  • pronounced bradycardia (heart rate less than 50 beats per minute);
  • congenital or acquired syndrome of an elongated QT interval;
  • arterial hypotension (systolic blood pressure less than 90 mm Hg);
  • obliterating vascular diseases;
  • bronchial asthma or COPD;
  • metabolic acidosis;
  • pheochromocytoma without simultaneous administration of alpha-blockers;
  • acute myocardial infarction;
  • renal failure (CC less than 10 ml / min);
  • general anesthesia, which causes suppression of myocardial function (for example, cyclopropane or trichlorethylene);
  • tachycardia of the "pirouette" type;
  • severe allergic rhinitis;
  • simultaneous administration of MAO inhibitors;
  • lactation period;
  • age under 18 years (effectiveness and safety not established);
  • hypersensitivity to sotalol, sulfonamides and other components of the drug.

 

Application in pregnancy and lactation

 

Sotagexal intake during pregnancy, especially in the first 3 months, is possible only for vital signs and with a careful correlation of all risk factors.

 

In the case of pregnancy therapy,the drug should be withdrawn 48-72 hours before the expected delivery due to the possibility of developing bradycardia, arterial hypotension, hypokalemia and respiratory depression in newborns.

 

Sotalol penetrates into breast milk and reaches effective concentrations there. If it is necessary to prescribe the drug during the period of breastfeeding, breastfeeding should be discontinued.

 

Application in elderly patients

 

With caution appoint the drug to elderly patients.

 

Use in children

 

The drug is contraindicated in children and adolescents under the age of 18 years.

 

special instructions

 

Caution should be exercised when administering Sotagexal to patients:

  • at a diabetes in the anamnesis with the expressed fluctuations of level of a glucose in a blood, and also at observance of strict diets;
  • with pheochromocytoma (simultaneous administration of alpha-blockers is necessary);
  • if there is a history or family history of psoriasis;
  • if the kidney function is impaired;
  • the elderly.

 

Treatment with the drug is carried out under the control of heart rate, blood pressure, ECG. With a marked decrease in blood pressure or a decrease in heart rate, the daily dose should be reduced.

 

Patients with impaired renal function require a correction of the dosing regimen.

 

The withdrawal of Sotagexal should be performed under the supervision of the attending physician and gradually (especially after a long reception).

 

Sotagexal should not be used in patients with hypokalemia or hypomagnesemia before correction of existing disorders. These conditions can increase the degree of prolongation of the QT interval and increase the likelihood of arrhythmia of the "pirouette" type. It is necessary to control the electrolyte balance and acid-base state in patients with severe or prolonged diarrhea and in patients receiving medicines that cause a decrease in magnesium and / or potassium in the body.

 

In thyrotoxicosis, sotalol may mask certain clinical signs of thyrotoxicosis (eg, tachycardia). Sharp abolition in patients with thyrotoxicosis is contraindicated, since it can strengthen the symptoms of the disease.

 

When prescribing beta-blockers, patients receiving hypoglycemic agents should be careful, because during prolonged interruptions in eating, hypoglycemia may develop, and symptoms such as tachycardia or tremor can be masked by the action of the drug.

 

Drug Interactions

 

With the simultaneous administration of slow calcium channel blockers such as Verapamil and diltiazem, it is possible to decrease the blood pressure as a result of worsening contractility. Avoid intravenous administration of these drugs against the background of the use of sotalol (except for cases of emergency medicine).

 

The combined use of antiarrhythmic agents of class 1A (especially quinidine type: disopyramide, quinidine, procainamide) or class 3 (eg, amiodarone) can cause a pronounced prolongation of the QT interval. Drugs that increase the duration of the QT interval should be used with caution with drugs that extend the QT interval, such as Class 1 antiarrhythmics, phenothiazines, tricyclic antidepressants, terfenadine and astemizole, and some quinolone antibiotics.

 

With the simultaneous administration of Nifedipine and other 1,4-dihydropyridine derivatives, a decrease in blood pressure is possible.

 

The simultaneous administration of norepinephrine or MAO inhibitors, as well as the abrupt withdrawal of clonidine, can cause hypertension. In this case, the abolition of clonidine should be carried out gradually and only a few days after the end of Sotagexal.

 

Tricyclic antidepressants, barbiturates, phenothiazines, opioid and antihypertensives, diuretics and vasodilators can cause a sharp decrease in blood pressure.

 

The use of funds for inhalation anesthesia, incl. tubokurarina on the background of taking Sotagexal increases the risk of oppression of myocardial function and the development of arterial hypotension.

 

With the simultaneous use of Sotagexal with reserpine, clonidine, alpha-methyldopa, guanfacin and cardiac glycosides, it is possible to develop a pronounced bradycardia and slowing down the excitation in the heart.

 

Beta-adrenoblockers can potentiate the hypertension of withdrawal, after stopping the use of clonidine, so beta-blockers should be canceled gradually, a few days before the gradual cessation of the use of clonidine.

 

The appointment of insulin or other oral hypoglycemic agents, especially when exercising, can lead to increased hypoglycemia and the manifestation of its symptoms (excessive sweating, rapid pulse, tremor). Diabetes requires correction of insulin doses and / or hypoglycemic drugs.

 

Potassium-withdrawing diuretics (eg, furosemide, hydrochlorothiazide) can trigger the occurrence of arrhythmia caused by hypokalemia.

 

When used simultaneously with Sotagexal may require the use of higher doses of beta-adrenomimetics, such as salbutamol, terbutaline and isoprenaline.

 

Analogues of the drug Sotageksal

 

Structural analogs for the active substance:

  • Darub;
  • Sotaleks;
  • Sotalol Canon;
  • Sotalol hydrochloride.

Similar medicines:

Other medicines:

Reviews (34):
Guests
Tatyana
To me 61. In 2009 did or made operation in Penza operation Ablatsija in occasion of supraventricular paroxysmal tachycardia. But, unfortunately, there was a lot of stress after which the pressure jumps. In prone position can be 70/40, and a little later, when I get up 160 \ 120. In Saratov, it was attributed to the sotahexal with arifone, and it says there can not be a joint application of these drugs. And I'm afraid to drink. In the morning, the pressure was 115 \ 90, and the rhythm was 110.And so constantly. The rhythm rises, though not as before the operation, but it often happens that my heart aches and angina, but I can not drink nitrates, because at that moment the pressure is often 110/80, and sometimes even higher. I do not know what to drink, how to live. We in the village no one knows that pain in the heart of angina is starting now. Can you help?
Administrators
admin
TatyanaAll right you were discharged at the hospital. Sotagexal can be taken together with Arifon, including Arifon Retard. The footnote on the diuretic in the manual refers to potassium-releasing diuretics (furosemide, hydrochlorothiazide), but this does not apply to Arifon. It looks like you are winding yourself up and do not start treatment because of fear, but you can not do it. Moreover, cardiovascular drugs are taken by the method of selection and if there are no obvious blemishes in the appointment (and you have not noticed them), until you try the proposed treatment, you will not be able to understand whether it suits you. And already begun treatment then it is possible to correct and remove the dosage or add another medicine to the already selected scheme of therapy.
Guests
Tatyana
It is me again. Only today I read your recommendation. Today I feel very bad. As you know, I did not drink an arifon and therefore, probably, today I have a high blood pressure of 167 \ 115 and I can not bring anything down. Apparently the liquid was poured. In the morning I drank sotahexal at 5 am, as I woke up from a headache. After one hour drank 10 mg enalapril, an hour Nospanum, then made Dibazolum 5 ml and 2 ml papaverine. The pressure was the same, it did not decrease at all. I'm afraid to drink this arifon.
Guests
Lucena
To me the doctor has registered сотагексал, I accept from 2009 конкон. Is it possible to replace the concore with Sotogexal without leaving the concor gradually, but then I'm afraid of Concor serious drug?
Administrators
admin
Lucena, I did not quite understand. Did the doctor appoint Sotagexal instead of Concor? Then you must follow his recommendations.

If you do want to replace Concor on Sotageksal, then without a doctor, you do not be able to, because the active ingredient, and a group of different drugs (Concor - beta1-blocker, Sotageksal - beta1 and beta2- blocker).And it's strong that Concor strong, that Sotageksal strong, there's someone who will go. But if the drug copes well with its role and helps in the treatment of the disease, I do not change it to my patients, even if it is already obsolete.
Guests
Lyudmila, 66 years old
I have been taking it for two years now. There was an attack of arrhythmia, which was withdrawn propanorm. 3 months took propanorm, then I was assigned sotahexal. I take 20 mg in the morning and in the evening, pulse 50-60 ud, but there were a lot of all kinds of rashes on the skin, such as warts on the neck, shoulders, face.
Guests
Evelina
The main diagnosis I have DTZ. Saw tyrozole, hormone assays rose in place and I stopped taking pills. This is my mistake, because began thyrotoxicosis and attacks of atrial fibrillation. I have been taking a non-ticket + antihypertensive drugs for many years. Now I am preparing for an operation to remove the thyroid gland, again I drink tyrosol. One of the seizures. arrhythmia brought me to the hospital, where I was replaced with Sotagexal, seizures like gone, but I was tortured by extrasystoles single and double and something happens to the breath. I think to ask the doctor to cancel sotahexal.
Guests
Henry
Lyudmila received the Sotahexal. There was an attack of arrhythmia. Withdrawed propanorm. Then she switched to propanorm. I wanted to clarify in more detail, how the attack was shot, the dose of propanorm and the time of cupping? How did they abolish it? Immediately or gradually? What was the dose of propanorm? Why again switched to Sotagexal?
Guests
Nellie
Hello! I take hundredsagexal for several years 40 mg 3 times a day. I have ventricular extrasystoles (16,000 per day). In general, the drug copes, but there are situations when I'm very nervous and worried, then it does not help Sotagexal, it becomes very bad for me.
Guests
Galina
I take in the morning sotahexal 40 mg and allapinin 1/2 tablets, in the evening - sotahexal 80 mg and allapinin 1/2 tablet from 2010.
Administrators
admin
Galina, The scheme of treatment was painted, but about the therapeutic effects of using drugs to tell forgotten or ashamed, although many would be interested ...
Guests
Olga
I drink the drug recently, 2 months. After EMF 3 r. per day, in 8 hours. It became bad, pressure drops. Reduce the dose?
Administrators
admin
Olga, What is the EMF, I did not understand, apparently made a mistake in writing. If the pressure falls, you must either reduce the dosage of the medicine taken, or change the rhythm of the reception. Judging by the fact that you take Sotagexal 3 times a day, or you have severe arrhythmia (then it is possible to take this blocker many times a day), and all changes in dosage or rhythm of medication should go through the attending physician, or it is an error in the appointment . Remotely such a question is in any case unresolved without possible negative consequences for health.
Guests
Olga
EMF - this is the restoration of rhythm by current.
Administrators
admin
OlgaNext time we write without abbreviations, now I realized that this is an electrical defibrillation of the heart, but we have people cutting everything and sometimes it's impossible to understand.
Guests
Tatyana
After attacks of tachycardia and arrhythmia (130 beats per minute), I drink 6 months of somahexal 2 times a day for 40 mg. Pulse 55-65. In 4 months, a severe itching, rashes began. First helped tsetrin, but for a month now it does not help. I do not dare to stop drinking Sotagexal, because I'm afraid of resuming tachycardia attacks.
Guests
Galina.
Hello! I am 62 years old. I have a diagnosis of myocardial dystrophy and paroxysmal supraventricular tachycardia. I take Sotagexal 2 times a day for 80 mg. Pulse above 74 beats / s did not increase. A year after receiving the doctor reduced the dose to half because The ECG showed a bradycardia. After taking 40 mg of 2P for 5 days, there was a feeling of not full inhalation. The ECG showed an AB blockade.
Guests
Lyudmila is 71 years old.
I take Sotagexal 80 mg 2 times in the morning and in the evening and also 2 times allapinin. Pulse almost normalized, arrhythmia still holds, a day for two attacks.
Visitors
selena
Elena, 58. For 3.5 years - paroxysmal arrhythmia. The frequency of attacks almost every day, I remove the propanorm - 150-150-150-150. We took a dose of Sotagexal 120-120-120, plus 1-1-1 propanorm, plus 2.5 - Concorine in the morning.The pulse is 70, the pressure is 110/70. There are no concomitant diseases. Your opinion?
Administrators
admin
selena, Pulse is normal, the pressure is also, and if the hypotonic and all is well with such figures of blood pressure. If these indicators are on Propanorm, then what is the point of replacing the medication. I do not even change old drugs to my patients, if they keep their indicators in a stable state and feel they are normal.
Guests
Galina
I had an arrhythmia attack in March for the first time, a diagnosis: paroxysm of atrial fibrillation is a tahisystolic variant. Assigned Sotahexal. Saw 80 mg twice a day, then 40 mg, and now I drink only in the evening for 40 mg. The pressure jumps that low 85/50, then high 140/85 and with a rhythm as well that 57, then 73, still the head is spinning, every morning a thin stool, already lost weight. I completely fear to cancel. To the doctor has entered the name on August, 14th. A constant sense of anxiety, I'm afraid of another attack. I drink still from pressure in the morning lopaz 12,5 mg, but in norm I can not bring pressure. The doctor said that cancellation of somahexal if there is no repeat arrhythmia.
Visitors
Victoria1985
I have a question for the doctor. Hello. Six years ago, I began to worry about heart attacks. With complaints to the therapist, the cardiologist addressed repeatedly. They all wrote off my emotionality and every reception stressed that complaints were only from the words of the patient. They made holter, she made uzi heart many times. Everything is okay. Has risked to become pregnant. From the first trimester, seizures became more frequent. Once I called an ambulance, I made sure that I was taken to a hospital. There got a good doctor who in five minutes had already determined the diagnosis as a "paraxismal tachycardia." During the hospitalization, metoprolol was prescribed. Holter is back to normal again. On uzi Secondary DMPP. Then scheduled hospitalization and the first time with a holter - AV nodal reciprocal paroxysmal tachycardia. Metoprolol was found ineffective, transferred to Sotagexal 2 * 40. Have written out. A week later I got into resuscitation with a breakdown. They added up to 80. They transferred to the department. Attacks were mainly at night. Before delivery, I lay there for a couple of months. Were prescribed with a dosage of 80 morning at night 160. Scheduled to close the ASD and then RFA.After 3 months after delivery, they tried to translate into verapamil. There were disruptions after every second reception, strictly after a couple of hours. Again at the same dose of Sotahexal 80 \ 160. Now I'm waiting for a quota. In fact, failures can not disturb for two or three weeks, and sometimes it is direct every day and not once. Here and now for a week about 15 breakdowns, basically up to 120 impacts, but a couple of short ones were more than 160 (just my tonometer no longer counts and gives an error). In general, as the dose increased, the seizures became smeared. Before: pulse 204, but 40 seconds, now 130, but 10 minutes. Oh, yes, I usually buy non-medicamentally - Valsalva trials. But this week, straight through time just helps. Prompt, whether it is necessary to add a dose can or something or something else? In general, among patients on this drug (and doctors by the way, too) there is an opinion that there are unsuccessful parties on the market. Because we are all going to the doctor at an interval of a month. Exclusively those who are on Sotagexal. I can not say that I believe in it. But prozapas never buy it. Of the side: there is eczema, it does not pass for six months already. With increasing doses, it became harder to breathe, but the stomach also grew ... So it is not clear what to include. I gave birth, and it did not get any easier to breathe. Depression is creepy.And it's also not clear, whether postpartum, or a side effect. RFA will be only after plastic surgery, not very soon, probably. Tell me what you can lose or take off seizures after taking evening 160. Yes, by the way, your pressure is about 100 \ 70 or 90 \ 60, the same was before. The pulse after 160 is approximately 68-73.
Administrators
admin
Victoria1985It will be difficult for me to advise something in detail. The situation is serious in that you have a young age, and the problem with the rhythm is significant, besides it is not stopped or docked by badly with various medications. It seems that in the hospital you have tried many different drugs, so there is not much to advise for anything more (groups of such drugs are not so much (beta blockers and pure antiarrhythmics), and given the complexity of the situation, giving advice online is not an option in your case. Only consultation with a cardiologist or cardiac surgeon and in person. In theory, given the age, the turn for RFA for you should move faster.
Visitors
Victoria1985
admin, Until your comment, I have not heard from anyone that my situation is difficult at least in some way. Of the drugs I tried only those 3 mentioned. And about RFA, it will be done only after DMPP. But there is a queue of us, young, big. Have you ever heard that there is something wrong with the drug itself? My cardiologist has gone on leave from today. Cardiosurgeons from the question of cupping waved. And the other one of the available cardiologists, this is exactly the one that wrote me a neurosis for many years.
Administrators
admin
Victoria1985If the age is specified in nick, then it is certainly heavy. Easy - this is when the beta-blockers are prescribed as being done everywhere and the person went to take them all their lives without side effects and breaks in the rhythm. Rumors about different parties Sotageksala did not reach me, the truth and the sample of patients on this drug at me small, but all accept longly and did not complain. I admit that everything is possible in our country.
Visitors
Victoria1985
adminWith age you are right. Thanks for the answer.
Guests
Irina 1953
Good afternoon. I am 64 years old.A year ago I was diagnosed with atrial fibrillation. After discharge from the hospital, I was assigned cordarone, concor 10 mg and pre -arrhythm 5 mg. Began to manifest strong palpitations and high blood pressure up to 200 upper scales, the attacks were permanent.
After examination at the rhythmologist and taking tests for thyroid hormones (the thyroid gland appeared to be normal), I was prescribed sotagexal 40 mg twice a day, allapinin 3 times a day, and nortivan 80 mg. also 2 times a day, atoris. Everything seemed to become normal, I like, as well as I do not feel atrial fibrillation, but there was another problem.
About 4 years ago, I suffered pneumonia and after it in winter, summer, spring and autumn everything is fine, and in the winter signs of asthma began to appear, I inhaled salbutamol before going out and everything, but this year salbutamol does not help at all, it almost choked on the street until she entered the room.
And so they told me that soagexal affects the respiratory system so much, and causes asthmatic spasms of breathing.
And here I have such a question, maybe I should go back to the concourse, I can get to the doctor only in a month.
While on the street in winter I go out rarely.
Administrators
admin
Irina 1953It is perfectly permissible to return to the reception of Concor, instead of Sotagexal, the more it is more cardioselective than the latter.
Hello. To me 61 year, the diagnosis: a paroxysm atrial fibrillation (a ciliary arrhythmia) Hypertension of 2 degrees, CHF 1, 2 f. cl. The doctor prescribed Sotahexal 80 mg x 2 times and Fuzinap 10 mg x 2 times. Sotagexal is a blocker of potassium channels, phosinap retains potassium.
Question: when combined, can hyperkalemia occur?
At fozinap at such dosage in a day the pressure of 190/90 jumps. The doctor allowed me to drink 5/4 - 1 time instead of fosinap.
Question: does Dalnev have compatibility with sotahexal and problems with hyperkalemia?
Administrators
admin
Vladimir Yurievich, Sotagexal for potassium exchange is not affected. The lack of potassium in the body against the background of taking this medication can provoke the development of arrhythmia.

Fosinap can lead to an increase in the potassium content in the body, but this fact can easily be checked by passing a biochemical blood test and verifying the potassium level in the blood serum.

Dalnev's ability to accumulate potassium is at the same (if not more) level as Fozinap.
Hello. I am 62 years old. Diagnosis: IHD, Paroxysm atrial fibrillation. Hypertension 2 degrees CHF1, 1 p. cl. Conclusion of daily monitoring six months ago: For the entire period, the sinus rhythm of heart rate 47-92 ud. min, 3 episodes of fibrillation, atrial flutter, the longest 2h 45min, single SVE (49), group SVE (2/6), single ZHE from the left ventricle (102) were recorded.
I take 3 months of sotahexal 80 mg 3 times a day. In this case, within 2-3 days, the pressure is normal 130/70 pulse 55-60 Udmin, several times the pulse is 48 Ud. Then the next 2-3 days pulse 90-105 ud. min, stopped with anaprilin 20 mg.
Before sotaheksala took coronale 5 mg, the situation with the pressure and pulse is about the same, once the pulse was 145 beats. mined with anaprilin and Corvalolum.

Question: 1) It may in my situation replace Sotahexal with Concor, because the situation with the pulse is approximately the same, and the toxicity is less
2) Than to cancel a pulse at konkora (except anaprilina) if he will be more than 105 u.d.
Administrators
admin
Vladimir YurievichIf there is a drug that helps, maybe Sotagexal should be replaced with Anaprilin, especially in the group of non-selective beta-blockers, they are full analogues. It also makes sense to talk with your cardiologist about increasing the dosage of Sotagexal, because you add the same thing during the attack, only with a different name and get a positive effect. And the presence of Corvalol in the scheme of arresting an attack can suggest a stressful character of pulse disorders, perhaps it makes sense to consider adding a sedative to the treatment regimen.

About the toxicity Sotagexal compared with Concor did not understand where you took it. Probably, on the Internet you deducted. If the medicine is suitable for a specific patient, there is virtually no difference between these blockers. All is selected experimentally and is also titrated (typed) according to dosage.
Hello, I'm 62 years old. Diagnosis: IHD, Paroxysm atrial fibrillation.Hypertension 2 degrees CHF1, 1 p. cl. Conclusion of daily monitoring six months ago: For the entire period, the sinus rhythm of heart rate 47-92 ud. min, 3 episodes of fibrillation, atrial flutter, the longest 2h 45min, single SVE (49), group SVE (2/6), single ZHE from the left ventricle (102) were recorded. I take 3 months of Sotagexal 80 mg 3 times a day, Elixis 5 mg x 2 times. Passed echocardioscopy. Conclusion:
The walls of the aorta are compacted. The valves of the aortic valve are densified, the regurgitation is 1 tbsp.
The valves of the mitral valve are densified, the regurgitation of 3 st
Regurgitation on tricuspid valve 2 tbsp.
Dilation of the cavities of both auricles.
Concentric hypertrophy of the walls of the left ventricle, both ventricles. Diastolic dysfunction of the myocardium of the left ventricle in type 1.
Pulmonary hypertension 1 tbsp.
The global contractility of the myocardium is preserved, the WF is 60%
Question:
1) I am am disturbed with a regurgitation 3st. on MK, about prolaps in the conclusion nothing was said. For health reasons, there are shortness of breath, walking for a distance, somewhere more than a kilometer. The doctor in the hospital, where he was lying on the survey on my question, said that she would have been 2st as well. not given.
2) Do I need more radical treatment than tablets?
Administrators
admin
Vladimir Yurievich, At the moment, according to the described picture of the disease and the studies given, the treatment seems adequate if the condition has not worsened for six months. The question of RFA and other invasive and minimally invasive methods of correction of heart rate should be solved with the attending physician in the internal order. It is unclear why in the Elikvis scheme, apparently there were problems with the coagulating system of blood, so we will assume that the drug is also needed in this scheme.

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