Thanks - just looking for opinions - my EP has told me to stop Sotalol for three days then start Mulpaq - two concerns the abrupt stop Vs weaning Sotalol and feel confident that I will surly be in Afib after a day or so without any meds - I already have some break thru hence the need to try something different (Mulpaq)
I switched from Sotalol to Multaq back in September and was concerned at the time about weaning off the Sotalol. I posted a thread back then asking the same question. My doctor told me to just stop the Sotalol and start the Multaq the next day without missing a dose time. Both drugs were taken twice daily so I took my last Sotalol at dinner and my first Multaq the next morning. I had a few days of jittery nerves and anxiety as the beta blockade came down but that was all.
That said, consult your doctor to be sure.
Sorry to give such a non-answer, but: ask your doctor. I believe there is no "one way", it all depends on you and your condition and history, as should be known by your doctor.