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Sotalol is available as an 80 mg,120 mg and 160 mg oral tablet.

Sotalol is a antiarrhythmic used for ventricular arrhythmias and for the prevention of atrial fibrillation or atrial flutter in people who’ve experienced these problems before.

Sotalol is a non-selective beta blocker and potassium channel blocker. It works by blocking certain potassium channels and beta receptors in your heart to slow down electrical activity; it also slows down your heart rate. These actions help in treating abnormal heart rhythms.

Sotalol is typically taken by mouth twice daily. The dose or how often you take it might differ if you have kidney problems.

Sotalol is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not take this medication if you have any of the following:

• Sinus bradycardia, 2nd or 3rd degree AV block, sick sinus syndrome
• Congenital or acquired long QT syndrome
• Serum potassium <4 mEq/L
• Cardiogenic shock, decompensated heart failure
• Bronchial asthma or related bronchospastic conditions
• Hypersensitivity to Sotalol
• Creatine clearance <40 ml/min

Common side effects of Sotalol include:

• Tiredness
• Dizziness
• Low heart rate
• Headache
• Trouble breathing
• Nausea or vomiting
• Diarrhea
• General weakness

Serious side effects are rare with Sotalol. Contact your healthcare provider immediately if you experience any of the following.

• Abnormal heart rhythm: chest pounding, irregular heart beat, chest pain, trouble breathing, feeling faint or lightheaded
• Dangerously low heart rate or blood pressure: dizzy or lightheaded, faint, chest pain, shortness of breath, fatigue, pale skin
• Heart failure: unexplained weight gain, fluid buildup in legs or feet, trouble catching your breath
• Bronchospasm: trouble breathing, tightness in the chest, wheezing, cough, tiredness, dizziness
  Severe allergic reaction: swelling of your lips, tongue, throat, or face, trouble breathing, rash

The following medications may interact with Sotalol:

• Class I or III Antiarrhythmics or other drugs that prolong the QT interval – Avoid concomitant use
• Digoxin, calcium channel blocker – Increased risk of bradycardia, hypotension, heart failure
• Aluminum or magnesium-based antacids reduce Sotalol exposure
• Dosage of insulin or antidiabetic drugs may need adjustment

Various FDA-approved generic manufacturers

It is not known if Sotalol will harm your unborn baby. If you become pregnant while receiving Sotalol, talk to your healthcare provider.

• Betapace