What is Sotalol?

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).
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