"Sotaleks" instruction refers to non-selectivebeta-blockers, antiarrhythmic drugs of the third class. The mechanism of drug exposure is based on an increase in the duration of the potential action and the refractory absolute period in all areas of the conduction of the cardiac system. "Sotalex", analogues of the drug ("Sotagexal", "Darob", "Sotalol") reduce the frequency of contractions and contractility of the myocardium. Increases the tone of smooth muscles in the bronchi.
"Sotalex". Instructions. Indications.
The drug is prescribed for supraventricular, ventricular tachycardia, paroxysmal atrial fibrillation.
"Sotalex". Instructions for use.
The initial dosage is twice or three times a day for 40mg (for oral-internal administration), 20 mg (for intravenous administration). Maximum allowed to ingest 480 mg per day. If repeated intravenous injection is necessary, the total dosage should not be more than 1.5 mg / kg.
To Side Effects of Sotalex Instructionweakness, fatigue, headache, insomnia or drowsiness, dizziness, depression, nightmares, memory loss (short-term) or confusion, tremor, paresthesia of the extremities (in patients who have Raynaud's syndrome and intermittent claudication). When using the drug, sinus bradycardia, arrhythmias, AV blockade (in some cases before the occurrence of an absolute transverse blockade, cardiac arrest), lowering blood pressure, chest pain, aggravation or development of heart failure (chronic) may occur. There is a rare disorder of visual acuity, tenderness and dryness in the eyes, vomiting, nasal congestion, flatulence, tenderness in the epigastric region, diarrhea, keratoconjunctivitis, taste change.
In patients with insulin-dependent diabetes (sugar), hyperclikemia develops, in patients with strict compliance with diet or receiving insulin - hypoglycemia.
To other negative manifestations in the application"Sotaleks" instructions include urticaria, flushing of skin, rash, increased sweating, alopecia, exanthema, psoriasis-like phenomena (exacerbation of psoriasis), thrombocytopenia, arthralgia, lowering of potency, back pain.
There is a high risk with prolonged use of the development of withdrawal syndrome.
The drug "Sotaleks" is contraindicated incardiogenic shock, acute or decompensated chronic heart failure, AV block of the third or second degree, sinus bradycardia, cardiomegaly, arterial hypotension. No medication is prescribed for COPD, peripheral vascular occlusive disease, bronchial asthma (severe), diabetes mellitus with ketoacidosis, metabolic acidosis, hypersensitivity.
"Sotalex" is allowed for use duringbearing only on the advice and under the supervision of a specialist. Probably a negative effect on the fetus in the form of hypoglycemia, intrauterine growth retardation, bradycardia. If it is necessary to carry out therapy during the gestation period, you should cancel the drug intake forty-eight to seventy-two hours before the expected time of delivery (due to the likelihood of developing arterial hypotension, bradycardia, respiratory depression of the newborn).
The drug is not allowed for lactation.
Caution is prescribed medicationpheochromocytoma, cardiac, renal failure (chronic), myasthenia gravis, depression, thyrotoxicosis, hypokalemia, psoriasis, elderly and younger patients.
Before using Sotalex, you need to read the annotation, consult a doctor, identify the presence or absence of contraindications.
