I accidentally double dosed my nightly sotalol and Eliquis.

Sorry for the late reply and inconvenience.

Thanks for all this additional information.

I understand your concern.

And it’s my first privilege to pay attention and provide you with suggestions to relieve your discomfort/ worry.

Accidentally taking a single extra dose of Sotalol 80 mg is usually not an issue. The 80 mg dose is the starting dose, but the dose range for the Sotalol is up to 160 mg every 12 hours.

So, taking a single extra dose of the Sotalol is still within the dosing range of the drug.

The only potential issue is in the few people in whom the 80 mg dose causes a borderline low blood pressure or a low heart rate.

Eliquis is a blood thinner. This accidental intake of an extra dose is not going to have any adverse effects.
You can watch for any unusual bleeding, dizziness, headache in the meanwhile.

Maintain good hydration.

If your blood pressure would be higher than 130/ 80 mm Hg then you can go for sleep safely.

You can skip the morning dose and take it again at the scheduled time from tomorrow evening.

If you have the ability to monitor your blood pressure and heart rate at home, it would be reasonable to check it a few times over the next few hours, while the drug level is peaking in the body.

If you do not have the ability to monitor your blood pressure and heart rate, it is not necessary to be seen just to get the blood pressure and heart rate checked, but if you develop any lightheadedness or weakness, then it would be appropriate to be seen.

Hope I have been able to clarify the situation for you and helped in resolving your query.

Let me know if you have any further queries so we can discuss it thoroughly in every aspect.

It’s my pleasure to continue this conversation until you satisfy.

Waiting for your response.

Thanks.

Yes, you can take morning dose.