← Return to Azithromycin, Ethanbutol, & Rifampin Drug Therapy for MAC

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@rits

So sorry this is happening.

Sotol is a beta blocker and is used by those of us with a fib to keep the heart rate in a some what normal range. I took metoprolol, another beta blocker for more than 10 years. My electrophysiologist (cardiologist specializing in heart arrhythmia.) left and I saw a new doctor. He immediately told me that with my lung diseases I should not be taking a beta blocker. He said that recent studies have shown that beta blockers can intensify exacerbations and lead to hospitalization. He wanted to change me to a calcium channel blocker.

I didn't Ike this doctor and also didn't want to change from metoprolol. I made an appointment with the head of the a fib program who had been stolen from another high rated teaching hospital and actually was the reason my first doctor left.

I Iiked this doctor very much and trusted him when he said the same thing about the interaction between beta blockers snd exacerbations of lung disease ( I have chronic bronchitis along with bronchiectasis). I also found a study online supporting this.

I have been taking a calcium channel block for a while now and my heart rate while sometimes high is the same as it was while using the beta blocker. It was not the pulmonologists who were aware of this. They had never even heard that beta blockers can be an issue. But beta blockers are not drugs they prescribe.

I recommend you talk to your electrophysiologist about switching from sotalol to a calcium channel blocker.

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Replies to "So sorry this is happening. Sotol is a beta blocker and is used by those of..."

Wow, Rita, I had the same experience with metoprolol and my lungs.
In my case, it was an intractable asthma attack, at the time I was diagnosed with bronchiectasis & MAC, that led to the discovery - by the advisory pharmacist at my clinic - not a doctor. This was 4 years ago, when he was consulted to try to figure out a different combination of meds for the asthma. My primary & the pulmonologist were both surprised. But stopping the metoprolol controlled the asthma. Now I use a different med that doesn't control my heart rate as well, so have many episodes of too high heart rate, which brings on its own shortness of breath.
Sue

Hi, I've been on sotalol since 1997 for a ventricular tachycardia issue. Do you happen to have a link to the study? I've got an appointment with my EP soon and need to discuss this with him. Thank you!

Thank you. You provided great information. Seeing the cardiologist (electrophysiologist) next week and will discuss with him. Have you treated MAC? If so, how? Considering doing Arikayce only three days week for treatment. Any thoughts?