This medicine is a beta-blocker used to treat an irregular heartbeat. It may also be used to treat other conditions as determined by your doctor.
Brand Name
Sotacor
Common Name
sotalol
Where can I order Sotalol from? Can I buy Sotalol at Canadian Prices?
Yes, if you are from the U.S. then you can buy Sotalol at Canadian prices. Currently we will only accept an order for Sotalol from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Sotalol and when you order Sotalol it will be delivered with express shipping.
How does Sotalol work? What will it do for me?
Sotalol belongs to the class of medications called beta-blockers. It is used for the prevention and treatment of abnormal heart rhythms (arrhythmias). It works by helping the heart to beat more regularly.
Your doctor may have suggested Sotalol for conditions other than the ones listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Sotalol, speak to your doctor. Do not stop taking Sotalol without consulting your doctor.
How should I use Sotalol?
The recommended adult dose of sotalol ranges from 80 mg twice daily to 160 mg twice daily taken every 12 hours. Sotalol is best taken one to two hours before meals. The dose is usually started at the lower range and increased gradually according to the doctor's instructions until the best dose is determined.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones given here, do not change the way that you are taking the medication without consulting your doctor.
It is very important that Sotalol be taken on a regular schedule as prescribed by the doctor. If you miss a dose of Sotalol take it as soon as you remember it. If it is almost time for your next dose, skip the missed dose and carry on with your regular schedule. Do not double doses.
Who should NOT take Sotalol?
Sotalol should not be taken by anyone who has:
an allergy to sotalol or any of the ingredients of the medication
a severely slow heart rate
sick sinus syndrome
severe sinus node dysfunction
serious heart block (second- and third-degree AV block), unless a functioning pacemaker is present
long QT syndrome
severe or uncontrolled congestive heart failure
low potassium levels in the blood
kidney failure
right ventricular failure secondary to pulmonary hypertension (excessive blood pressure in the lungs)
cardiogenic shock
severe circulatory disorders
asthma or severe chronic obstructive respiratory diseases (e.g., emphysema, chronic bronchitis)
What side effects are possible with Sotalol?
The side effects listed below are not experienced by everyone who takes Sotalol. If you are concerned about side effects, discuss the risk and benefits of Sotalol with your doctor. Your health professional may be able to help you to deal with some of the effects.
The following side effects may go away as your body becomes used to the medicine; check with your doctor if they continue to become bothersome:
More common:
decreased sexual ability
dizziness or lightheadedness
drowsiness (slight)
difficulty sleeping
unusual tiredness or weakness
Less common or rare:
anxiety
nervousness
constipation
diarrhea
dry, sore eyes
frequent urination
itching of skin
nausea or vomiting
nightmares and vivid dreams
numbness or tingling of fingers or toes
stomach discomfort
stuffy nose
Contact your doctor as soon as possible if any of the following side effects occur:
Less common:
breathing difficulty or wheezing
cold hands and feet
depression
shortness of breath
slow heartbeat (especially less than 50 beats per minute)
swelling of ankles, feet, or lower legs
Rare:
back or joint pain
chest pain
confusion (especially in seniors)
dizziness upon arising (orthostatic hypotension)
fever and sore throat
hallucinations
irregular heartbeat
red, scaling, or crusted skin
skin rash
unusual bleeding or bruising
yellow eyes or skin
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Sotalol.
Are there any other precautions or warnings for Sotalol?
Breathing problems: People with asthma and certain other breathing problems should not take sotalol.
Diabetes: The signs of low blood sugar may not be as noticeable when taking sotalol. People with diabetes who take insulin or other medications that work by reducing blood sugar levels should be cautious and monitor blood sugar carefully while taking Sotalol.
Electrolyte levels: People with low potassium or magnesium levels should not use sotalol until these imbalances are corrected, as these conditions can create higher risk for abnormal heart rhythms with the use of Sotalol.
Hyperthyroidism (high level of thyroid hormones): People with hyperthyroidism should use caution while taking sotalol, as it may reduce the symptoms of this condition, giving a false impression of improvement. Stopping the medication suddenly could worsen hyperthyroidism.
Kidney function: Sotalol passes from the body via the kidneys. It should therefore be used with caution by people with reduced kidney function.
Severe allergies: People with allergies severe enough to cause anaphylaxis (a severe allergic reaction where swelling of the face, lips, and throat make it difficult to breathe) should talk to their doctor about what to do if they have an allergic reaction. Sotalol may make it more difficult to treat their allergic reaction with epinephrine.
Stopping the medication: Do not suddenly stop taking Sotalol. Consult your doctor about how to safely stop taking Sotalol.
Surgery: If you are scheduled for surgery, inform all doctors involved in your care that you are taking sotalol.
Pregnancy: No adequate information exists on the use of sotalol by pregnant women. Sotalol should be used during pregnancy only if the potential benefit outweighs the potential risk.
Breast-feeding: Sotalol passes into breast milk. Therefore, do not use Sotalol while breast-feeding.
Children and adolescents: The safety and effectiveness of using sotalol have not been established for children and adolescents under 18 years of age.
What other drugs could interact with Sotalol?
The following medications may affect the way that sotalol works or increase the risk of side effects:
aluminum salts (e.g., aluminum hydroxide, attapulgite, kaolin)
amiodarone
astemizole
beta-blockers (e.g., metoprolol, propranolol)
calcium channel blockers (e.g., verapamil)
cisapride
digoxin
disopyramide
diuretics (water pills) that cause potassium loss (e.g., hydrochlorothiazide)
erythromycin
guanethidine
lithium
phenothiazines (e.g., chlorpromazine, perphenazine)
prazosin
procainamide
propafenone
quinidine
quinolone antibiotics
reserpine
terfenadine
tricyclic antidepressants (e.g., amitriptyline, desipramine)
Sotalol may affect how the following medications work:
anti-diabetes medications
clonidine
isoprenaline
lidocaine
salbutamol
terbutaline
If you are taking any medications containing this drug, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. In many cases, interactions are intended or are managed by close monitoring. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Sotalol. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription) and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or illegal drugs can affect the action of many medications, you should let your prescriber know if you use them.
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