Sotalol

Description

Sotalol is used in the treatment of irregular heartbeats which may be life-threatening. It should be used with caution in patients with kidney diseases due to the increased risk of severe side effects.

Side effects

Major & minor side effects for Sotalol

  • Blurred vision
  • Chest pain
  • Confusion
  • Nausea or Vomiting
  • Sweating
  • Fever or chills
  • Extreme fatigue
  • Weight gain

Uses of Sotalol

What is it prescribed for?

  • Ventricular arrhythmia
  • Atrial Fibrillation
  • Refractory life threatening ventricular arrhythmias
  • Atrial Flutter
  • Supraventricular Tachycardia
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Concerns

Commonly asked questions

  • Onset of action
    The amount of time required for this medicine to show its action is 1 to 2 hours.
  • Duration of effect
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Safe with alcohol?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of a very low blood pressure. This may cause symptoms such as dizziness, drowsiness, headache, fainting, irregular heartbeat, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
  • Is it habit forming?
    No habit forming tendency has been reported.
  • Usage in pregnancy?
    This medicine is recommended for use in pregnant women only if the benefits outweigh the risks. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Usage while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Bronchial asthma

This medicine is not recommended for use in patients with a known history of bronchial asthma due to the increased risk of worsening of the patient's condition.

Sinus Bradycardia

This medicine is not recommended for use in patients with a known history of sinus bradycardia due to the increased risk of worsening of the patient's condition.

QT syndrome

This medicine is not recommended for use in patients with a known history of QT syndrome due to the increased risk of worsening of the patient's condition.

Cardiogenic shock

This medicine is not recommended for use in patients with a known history of cardiogenic shock due to the increased risk of worsening of the patient's condition.

Creatinine clearnace (<40ml/min)

The medicine is not recommended for use in patients with creatinine clearance less than 40 ml per minute due to the increased risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is recommended for use in pregnant women only if the benefits outweigh the risks. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Drug discontinuation

Sudden withdrawal of this medicine is not recommended since it may cause myocardial infarction, life-threatening arrhythmias, or hypertension. The dosage of the medicine should be gradually reduced over 1 to 2 weeks and the patient should be closely monitored for any adverse effects.

Thyrotoxcosis

This medicine should be used with caution in patients with a history of thyrotoxicosis due to the increased risk of worsening of the patient's condition.

Hypotension

This medicine should be used with caution in patients with a history of hypotension due to the increased risk of worsening of the patient's condition.

Renal impairment

This medicine should be used with caution in patients with a history of renal impairment due to the increased risk of severe side effects.

Heart failure

This medicine should be used with caution in patients with a known history of heart failure due to the increased risk of worsening of the patient's condition.

Missed Dose

If you miss a dose of Sotalol, take the missed dose as soon as you remember it. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of a very low blood pressure. This may cause symptoms such as dizziness, drowsiness, headache, fainting, irregular heartbeat, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
Interaction with Medicine

Amlodipine

Clozapine

Erythromycin

Ciprofloxacin

Azithromycin

Methyldopa

Disease interactions

Diabetes

This medicine should be used with caution in patients with a known history of diabetes due to the increased risk of a very low blood sugar. Close monitoring of blood sugar is recommended for such patients. Appropriate dose adjustments may be necessary based on the clinical condition.

Peripheral Vascular Disease

This medicine should be used with extreme caution in patients with a known history of peripheral vascular diseases due to the increased risk of worsening of the patient's condition. Close monitoring of such patients is necessary during treatment with this medicine. Replacement with a suitable alternative may be required based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take Sotalol as instructed by the doctor. Do not take in larger amounts than advised. Take this medicine at the same time every day. Consult the doctor if you experience any undesirable side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

Does not cause sleepiness

How it works
This medicine works by relaxing the blood vessels and reducing the heart rate.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Non-cardioselective beta blockers, Class III antiarrhythmics

Schedule

Schedule H

DailyMed - SOTALOL- sotalol tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 18 August 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6616d1a2-09a6-429c-8d19-0ac6354980bb

[Internet]. 2017 [cited 18 August 2017]. Available from:

https://www.medicines.org.uk/emc/medicine/30771

Sotalol - DrugBank [Internet]. Drugbank.ca. 2017 [cited 18 August 2017]. Available from:

https://www.drugbank.ca/drugs/DB00489

Sotalol: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 18 August 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a693010.html

TOXNET [Internet]. Toxnet.nlm.nih.gov. 2017 [cited 18 August 2017]. Available from:

https://toxnet.nlm.nih.gov/cgi-bin/sis/search2

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Information on this page was last updated on 31 Aug 2017

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.