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Drug Notebook

Generic Name: sotalol

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Sotalol Hydrochloride AF, Sorine, Betapace AF, Betapace, Sotalol Hydrochloride
A non-cardioselective beta blocker - treats Atrial Fibrillation, Ventricular Arrhythmia, and Atrial ... more
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FDA Alerts

  • To minimize the risk of induced arrhythmias, patients initiated or re-initiated on sotalol should be placed in a facility that can provide cardiac resuscitation and continuous ECG monitoring for at least 3 days (on maintenance dosage). (See Proarryhthmic Effects under Cautions.)
  • Calculate Clcr prior to dosing. (See General under Dosage and Administration.)
  • Sotalol is marketed in the US under separate trade names for ventricular (Betapace®) or atrial (Betapace AF®) arrhythmias.
  • Betapace® is not approved for atrial arrhythmias, and should not be substituted for Betapace AF® because professional labeling differs (e.g., for cautions, precautions, and contraindications; patient instructions and advice; and dosage and administration) for the products, and only Betapace AF® is distributed with patient labeling appropriate for patients with atrial arrhythmias.

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(SO tuh lol)

What is the most important information I should know about sotalol?

You will receive your first few doses of sotalol in a hospital setting where your heart rhythm can be monitored, in case the medication causes serious side effects.

If there are any changes in the brand or strength of sotalol you use, your dosage needs may change. Betapace and Sorine are not used for the same conditions that Betapace AF is used for. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.

Do not skip doses or stop taking sotalol without first talking to your doctor. Stopping suddenly may make your condition worse. You may need to use less and less before you stop the medication completely.

If you need to have any type of surgery, you may need to temporarily stop using sotalol. Be sure the surgeon knows ahead of time that you are using sotalol.

What is sotalol?

Sotalol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Sotalol is used to help keep the heart beating normally in people with certain heart rhythm disorders of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). Sotalol is used in people with ventricular tachycardia or ventricular fibrillation.

Another form of this medicine, called Sotalol AF, is used to treat heart rhythm disorders of the atrium (the upper chambers of the heart that allow blood to flow into the heart). Sotalol AF is used in people with atrial fibrillation or atrial flutter. Sotalol (Betapace and Sorine) is not used for the same conditions that sotalol AF (Betapace AF) is used for.

Sotalol may also be used for purposes other than those listed in this medication guide.

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Most Important What is...? Before Taking How to Take Missed Dose Avoid Taking Side Effects Interactions Overdose More Info Look Like
Related Learning
Centers
·As a Drug
Arrhythmia
Atrial Fibrillation
Atrial Flutter
Hypertrophic Cardiomyopathy
Ischemic Cardiomyopathy
Multifocal Atrial Tachycardia
Paroxysmal Supraventricular Tachycardia (PVST)
Peripartum Cardiomyopathy
Ventricular Tachycardia (VT)
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