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Terms Of Use

SOTALOL

Brand Name(s) : Sotacor, Beta-Cardone
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

SOTALOL WARNINGS

Sotalol should be used with caution in:

It should not be used in:

  • Allergy (hypersensitivity) to sotalol, any of the ingredients in the tablets or injection or to any other beta-blockers
  • A type of irregular heart beat called sick sinus syndrome
  • A type of irregular heart beat called Torsades de Pointes
  • A type of heart rhythm problem that blocks the electrical messages in the heart, unless an artificial pacemaker has been fitted (2nd or 3rd degree atrioventricular heart block)
  • Chest pain (angina) that is not well controlled by medicines
  • A type of chest pain called Prinzmetal's angina
  • Asthma
  • Wheezing or a lung disease called chronic obstructive pulmonary disease (COPD)
  • A severe circulation disorder called cardiogenic shock
  • Uncontrolled heart failure
  • Increased acid levels in the blood (metabolic acidosis)
  • Severe kidney problems
  • Low blood pressure (hypotension)
  • Tumour of the adrenal gland (phaeochromocytoma)
  • Very slow heart rate (severe bradycardia)
  • Blockages in the large arteries of the legs and arms
  • A condition called Raynaud's phenomenon that causes painful, pale, cold fingers and toes

Also see list of precautions and interactions

STORAGE

Store sotalol tablets below 25°C in their original package. They should not get too hot or damp so do not store them in the bathroom or on a windowsill.

SOTALOL USES

What is it used for?

  • Sotalol is used to treat arrhythmias, conditions in which the heart beat is irregular.
  • It is a type of beta-adrenergic blocking agent, sometimes known as beta-blockers. It is also an anti-arrhythmic.
  • It is used to slow the heart rate and let it beat with less force. It also regulates electrical impulses in the heart that cause it to beat, and in so doing, controls abnormal heart rhythms.
  • In general this drug is used to normalise irregular heart beats.

Listed below are the typical uses of sotalol:

  • Irregular heart beats (arrhythmia)

HOW TO USE/TAKE

How often do I take it?

  • Sotalol tablets should be taken exactly as your doctor has told you. The tablets should be swallowed whole with a glass of water.
  • Sotalol injections will be administered by a doctor or nurse.
  • Use this medication for the duration of the prescription in order to get the most benefit from it. It is important that you do not stop taking this medicine, unless advised by your doctor.
  • Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • The drug may make you feel dizzy and tired. If this happens, you should use caution when driving or operating machinery. Consult your doctor or pharmacist for more details.

When can I stop?

  • It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.

SOTALOL SIDE EFFECTS

  • Irregular heart beat
  • Slow heart beat
  • Breathlessness
  • Dizziness and light-headedness
  • Fainting
  • Tiredness
  • Chest pain
  • Palpitations (abnormal awareness of your heart beat)
  • Fluid in the lungs or ankles
  • Low blood pressure
  • Heart failure
  • Feeling or being sick
  • Diarrhoea
  • Indigestion
  • Stomach pain
  • Sleep problems
  • Hearing problems
  • Pins and needles or tingling in hands and feet
  • Problems with sight
  • Cold and/or blue fingers and toes
  • Dry eyes
  • Skin rash
If any of these persist or you consider them severe then you should inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms:

  • Swollen ankles or feet
  • Severe tiredness
  • Trouble breathing
  • Unexplained or sudden weight gain
  • Severe dizziness
  • Fainting
  • Sudden change in heart beat (becoming slower, faster or more irregular)
  • Pain in your chest, jaw or left arm
  • Itchy rash

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

SOTALOL PRECAUTIONS

Before taking sotalol, tell your doctor or pharmacist if you are allergic to it; or to other beta-blockers; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

  • Allergy (hypersensitivity) to sotalol, any of the ingredients in the tablets or injection or to any other beta-blockers
  • A type of irregular heart beat called sick sinus syndrome
  • A type of irregular heart beat called Torsades de Pointes
  • Chest pain (angina) that is not well controlled by other medicines
  • A type of chest pain called Prinzmetal's angina
  • Asthma
  • Wheezing or a lung disease called chronic obstructive pulmonary disease (COPD)
  • A severe circulation disorder called cardiogenic shock
  • Uncontrolled heart failure
  • Increased acid levels in the blood (metabolic acidosis)
  • Severe kidney problems
  • Low blood pressure (hypotension)
  • Tumour of the adrenal gland (phaeochromocytoma)
  • Very slow heart rate (severe bradycardia)
  • Blockages in the large arteries of the legs and arms
  • A condition called Raynaud's phenomenon that causes painful, pale, cold fingers and toes

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following:

  • Low levels of potassium or magnesium in the blood
  • Diabetes
  • Kidney problems
  • Liver problems
  • History of allergies
  • A condition that causes abnormal muscle weakness called myasthenia gravis
  • Heart problems, including a recent heart attack
  • Overactive thyroid (hyperthyroidism)
  • A skin condition called psoriasis
  • If you are pregnant
  • If you are breastfeeding

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Moderate amounts of alcohol are not known to affect sotalol.

Diabetes: Sotalol should be used with caution in people with diabetes as it may mask some of the important signs of low blood sugar.

Overactive thyroid: Sotalol should be used with caution in people with an overactive thyroid (hyperthyroidism) as it may mask certain signs of the condition.

Kidney problems: Sotalol should be used with caution in people with kidney problems as it is broken down by the kidneys for excretion.

Psoriasis: Sotalol should be used with caution in people with the skin condition known as psoriasis as it may make the condition worse.

Heart problems: Sotalol should be used with caution in people with certain heart problems, such as congestive heart failure, as it may make their condition worse.

Pregnancy and breastfeeding - please ensure you read the detailed information below

PREGNANCY

If you are pregnant, sotalol should only be taken if your doctor considers it to be essential.,

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

If you are breastfeeding, sotalol should only be taken if your doctor considers it to be essential.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

SOTALOL INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur:

  • Other drugs used for heart problems, such as amiodarone, procainamide, quinidine, disopyramide, bepridil, disopyramide
  • Drugs used to treat high blood pressure, such as clonidine and guanethidine
  • Drugs for depression known as tricyclic antidepressants
  • Drugs used to lower blood pressure (antihypertensives), such as calcium channel blockers (verapamil and diltiazem)
  • Drugs used to fight infections, such as moxifloxacin
  • Drugs used to allergic conditions (antihistamines), such as mizolastine, terfenadine
  • A drug used to prevent and treat malaria called artemether with lumefantrine

If you are currently using any of these medications, tell your doctor or pharmacist before starting sotalol.

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use.

This information does not contain all possible interactions. Therefore, before using sotalol, tell your doctor or pharmacist of all the products you use.

SOTALOL OVERDOSE

If you take more sotalol tablets than you should, go to the nearest hospital casualty department or tell your doctor immediately.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of sotalol or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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