Sonopath Forum

Reaction to Sotalol

I have a 13 year old large breed mix in Stage C CHF- Cardiomyopathy

Currently being treated with Vetmedin, Furosemide and Enalapril.

At this point she is compensated although I have had to increase all her medications.

EKG- PVC’s and Ventricular Tachycardia.

This dog has already been monitored with a Holter.

Cardiologist placed this dog on Sotalol- but she vomits this medication.

Any suggestions? Alternative therapy? I have tried to contact the cardiologist- but she has not returned my calls.

I have a 13 year old large breed mix in Stage C CHF- Cardiomyopathy

Currently being treated with Vetmedin, Furosemide and Enalapril.

At this point she is compensated although I have had to increase all her medications.

EKG- PVC’s and Ventricular Tachycardia.

This dog has already been monitored with a Holter.

Cardiologist placed this dog on Sotalol- but she vomits this medication.

Any suggestions? Alternative therapy? I have tried to contact the cardiologist- but she has not returned my calls.

I thought these Class III drugs are negative inotropes and I am concerned about decompensating cardiac function further.

Thanks for any info you can give me.

Peter

November 13, 2015 at 6:03 am -

Hi,
I would rather go for

Hi,

I would rather go for mexiletine if you have that, otherwise for Flecainide at 3-5 mg/kg tid.

Can cause git signs as well but worth a try. in my opinion less neg inotropic than sotalol.

good luck

peter

randyhermandvm

November 13, 2015 at 11:39 am -

Thank you Peter

Thank you Peter

November 15, 2015 at 12:16 am -

I like Mexitil better than

I like Mexitil better than sotalol as well…