SOTALOL (SOE ta lole) is a beta-blocker. Beta-blockers reduce the workload on the heart and help it to beat more regularly. This medicine is used to treat patients with an atrial heart arrhythmia such as atrial fibrillation. This medicine can help your heart return to and maintain a normal rhythm.
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine suddenly. This could lead to serious heart-related effects.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. While this medicine may be used in children for selected conditions precautions do apply.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
cold, tingling, or numb hands or feet
difficulty breathing, wheezing
muscle aches and pains
slow heart rate
swollen legs or ankles
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
weakness or tiredness
Do not take this medicine with any of the following medications:
certain antibiotics like gatifloxacin, grepafloxacin, levofloxacin, moxifloxacin, sparfloxacin, telithromycin
medicines for malaria like chloroquine and halofantrine
medicines to control heart rhythm
phenothiazines like prochlorperazine, perphenazine, thioridazine, and others
tricyclic antidepressants like amitriptyline, imipramine, nortriptyline, and others
This medicine may also interact with the following medications:
certain antibiotics such as clarithromycin and erythromycin
medicines for angina or high blood pressure
medicines for colds and breathing difficulties
medicines for diabetes
other beta-blockers like atenolol, metoprolol, propranolol and others
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
heart or vessel disease like slow heart rate, worsening heart failure, heart block, sick sinus syndrome or Raynaud's disease
history of low levels of potassium or magnesium
lung or breathing disease, like asthma or emphysema
recent heart attack
an unusual or allergic reaction to sotalol, other beta-blockers, medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
You will be started on this medicine in a specialized facility for the first two or more days of treatment. Visit your doctor or health care professional for regular checks on your progress. Check your heart rate and blood pressure regularly while you are taking this medicine. Ask your doctor or health care professional what your heart rate and blood pressure should be, and when you should contact him or her. Your doctor or health care professional also may schedule regular blood tests and electrocardiograms to check your progress.
Because your condition and the use of this medicine carry some risk, it is a good idea to carry an identification card, necklace or bracelet with details of your condition, medications, and doctor or health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.
If you are going to have surgery, tell your doctor or health care professional that you are taking this medicine.