Sotalol

Uses of Sotalol

Sotalol is commonly used to treat Arrhythmias

How Sotalol Works

Sotalol is a Beta-1 adrenergic inhibitor in the heart muscles and also able to slow the repolarization of the heartbeat conduction which is able to regulate irregular beatings of the heart.

Side Effects of Sotalol

Bradycardia, Hypotension, Chest pain, Heart failure, Palpitations, Oedema, Syncope, Gut disturbances, Visual disturbances, Taste disturbances, Hearing disturbances

Warnings

Kidney Use With Care

Dose adjustment is needed in patients with kidney impairment (Creatinine clearance <60 ml/min). It is contraindicated when the patient's creatinine clearance is less than 10 ml/min. Please consult your doctor.

Alcohol Not Advisable

Alcohol may accentuate the dizziness, palpitations and fainting caused by Sotalol. Thus, it is not advisable to consume alcohol and Sotalol concomitantly.

Pregnancy Maybe Safe

Animal studies have not shown any reproductive toxicities but there are limited data on the use of Sotalol in pregnant women. Thus, it is not advisable to use Sotalol during pregnancy unless clearly indicated. Please consult your doctor.

Driving Not advisable

Do not drive unless you are feeling well. Sotalol may cause side effects such as dizziness, headaches, nausea or palpitations, all of which could affect your ability to concentrate and drive.

Liver Use With Care

Sotalol is safe to be used in patients with liver impairment.

Lactation Not Advisable

Excretion of Sotalol has been found in human breast milk. Thus, it is not advisable to be used during breastfeeding.

Frequently Asked Questions

Written by , MD (Universiti Hasanuddin, Indonesia)

Reviewed by Dr Nur Syuhada binti Zulkifli, MD, Universiti Kebangsaan Malaysia (UKM).