Sotalol, known by the brand name Betapace, is a medication used primarily to treat and prevent abnormal heart rhythms (arrhythmias). It belongs to a class of drugs called beta-blockers and is also classified as an antiarrhythmic agent.
Sotalol Uses
Sustained Ventricular Tachycardia: This medication is crucial in treating sustained ventricular tachycardia, a serious and potentially life-threatening fast heartbeat condition.
Atrial Fibrillation/Flutter: It is also prescribed for patients with atrial fibrillation/flutter who experience severe symptoms such as weakness and shortness of breath. Sotalol helps by reducing heart rate and promoting more regular heartbeats.
How to Use Sotalol
Administration: Sotalol is taken orally, typically 1 to 3 times daily as directed by your doctor. It can be taken with or without food, but consistency in how you take it is important.
Dosage: The dosage depends on your medical condition, response to treatment, age, and body size. Children’s dosages are adjusted accordingly.
Side Effects
Common:
Dizziness
Lightheadedness
Excessive tiredness
Headache
Constipation
Diarrhea
Upset stomach
Muscle aches
Shortness of breath
Wheezing
Swelling of the feet and lower legs
Chest pain
Precautions
Allergies: Inform your doctor if you are allergic to sotalol or any other medications.
Medical History: Discuss your medical history, especially conditions like adrenal gland tumors, heart problems, bleeding disorders, and peptic ulcers.
Operating Machinery: Sotalol may cause drowsiness; avoid driving or operating heavy machinery until you know how it affects you.
Pregnancy and Breastfeeding: Inform your doctor if you are pregnant or planning to become pregnant, or if you are breastfeeding.
Interactions: Sotalol can interact with various medications (e.g., other beta-blockers, certain antibiotics) and substances (e.g., alcohol), affecting its effectiveness or increasing the risk of side effects. Always inform your doctor about all medications you are taking.
Storage
Store sotalol at room temperature away from heat, light, and moisture. Keep it out of reach of children.
Sotalol vs Metoprolol
Sotalol:
Used for treating and preventing abnormal heart rhythms.
Acts as both a beta-blocker and anti-arrhythmic agent.
Metoprolol:
Belongs to the beta-blocker class.
Used primarily for treating high blood pressure, chest pain (angina), and fast heart rates (tachycardia).