Sotalol is a type of medication that is prescribed for the treatment of ventricular arrhythmia, which is a potentially life-threatening problem affecting a patient's heart rhythm. It can also be used in the treatment of other problems affecting heart rhythms, such as atrial flutter and atrial fibrillation.
Sotalol is a member of the beta-blocker family of drugs. It creates its effect by altering the response of impulses in the nerves at particular areas of the body, such as the heart. As a consequence of the medication, the patient's heart will beat at a regular rhythm, and slower.
Sotalol is classified as a non-selective drug, being a competitive blocker of beta-adrenergic receptors, which also demonstrates properties of a Class III antiarrhythmic medication.
Studies by the FDA into sotalol discovered that the drug prolongs the QT interval and, as such, carries the slight risk of prompting a life-threatening form of polymorphic ventricular tachycardia, also identified as torsades de pointes. As a consequence, it is only ever prescribed for the treatment of extreme cases of ventricular arrhythmia.
Sotalol is only available with a prescription from your doctor.
Alongside its expected and desired effects, any medication might result in some less desirable effects. Whilst there is no guarantee that all of the side effects (or any of them) might occur, should any of them do so you may require medical attention.
Should any of these symptoms exhibit themselves during your course of treatment, it is essential that you seek immediate emergency help.
The effects listed above might require the attention of a medical expert. However, other side effects might also present themselves, which do not require medical attention. Many of these effects should disappear throughout your course of treatment, while your body becomes acclimatized to the medication. Additionally, your prescribing doctor might be able to recommend a way to reduce or prevent all (or at least some) of the potential negative effects.
The effects listed above are not exhaustive, and there might be other negative impacts that present themselves as a result of taking sotalol. If you become aware of any negative effects during your course of treatment with sotalol, be sure to speak with your doctor.
The dosage recommended of sotalol differs from one patient to the next. You must always follow the directions of your prescribing doctor or the instructions printed on your medication's label. The information listed below indicates the average dosages of sotalol, and should not be taken as medical advice. Should your doctor prescribe a dosage that differs from those listed here, you must not alter them unless explicitly advised to by your examining doctor.
The amount of sotalol you take will depend upon how strong the medicine is. Additionally, the time you should allow to elapse between doses, the amount of doses that you take every day, and how long your course of sotalol will last depends entirely upon the nature of the medical condition for which it has been prescribed.
Adults - initially, 80 milligrams (mg) once or twice per day. Your prescribing doctor might choose to amend the dosage every three days, if necessary.
Children - the use and dosage of sotalol must be decided upon by your prescribing doctor.
If you happen to miss a dosage of sotalol, you should take it at the earliest opportunity. However, should it be nearly time for the next dosage, you ought to skip your missed dosage and return to your normal schedule of dosing. Under no circumstances should you double the dose.
Whilst there are some medications that ought never be utilized alongside one another, in any event, there might be other circumstances where a pair of different drugs can be taken concurrently, even though an interaction is known likely to occur. In such a situation, your prescribing doctor might choose to amend your dosage, or could recommend further precautions. Whilst taking sotalol, it is essential that your examining doctor is aware that you take any other medication, particularly the ones that are listed beneath. These interactions are listed here based on the likelihood of their occurrence and potential significance. This list is not necessarily exhaustive.
Your prescribing doctor might choose to not treat your condition with sotalol, or may instead choose to alter the other drugs you have been prescribed.
However, it might be necessary to combine them in some circumstances. Should both medications be prescribed at the same time, your prescribing doctor might amend the dosage of sotalol, or the other drug, or they might choose to amend how often a dosage should be taken.
However, the use of both drugs concurrently might be determined by your doctor as being the most effective method of treatment for your condition. Should both drugs be prescribed at the same time, your examining doctor might choose to alter the dosage, or the regularity of dosage for either of the medications, or both of them.
Some drugs ought not be used at the time of eating, or around that time, or ought not be used whilst eating specific foodstuffs, owing to the risk of certain known interactions. Using tobacco or alcohol alongside certain drugs can also result in certain interactions occurring. If concerned about your used of tobacco, alcohol, or food during your course of treatment with sotalol, consult your prescribing doctor.
Whenever you decide to take a drug, the risk of taking it ought to be weighed up alongside what good it can do for your condition. This decision should be reached following consultation between you and your prescribing doctor. When prescribed sotalol you ought to consider the following:
Inform your prescribing doctor, should you have suffered an allergic, or any other kind of unusual reaction to sotalol, or indeed to any other medication. You should also inform your prescribing doctor should you suffer from any other allergic or negative reactions to others things, including animals, preservatives, dyes, or foods.
There have been no appropriate studies conducted to determine the relationship between age and the impact of sotalol on the pediatric population. Your prescribing doctor will decide if sotalol is an appropriate medication for a younger patient.
Whilst studies have not shown any problems specific to the geriatric population that would preclude or limit the use of sotalol amongst elderly patients, it has been shown that geriatric patients are more prone to kidney problems that come about as a result of age. This could necessitate extra caution, or might require the prescribing doctor to adjust the dosage of sotalol for elderly patients.
No studies have been conducted among women that have demonstrated a risk in the use of sotalol to the fetus during pregnancy.
There have been no studies conducted among women to determine the risk to the nursing infant whilst using sotalol during breastfeeding. You must always weigh the possible benefits of the medication against its possible risks to your child before deciding to take sotalol whilst breastfeeding.
Take sotalol precisely as your prescribing doctor recommends. You must not take a larger dosage, nor should you take your medication more regularly, nor should you extend your course of treatment with the drug. When the supply of sotalol you have been given starts to run low, you should speak to your prescribing doctor in advance, as it is vital that you do not run out of your medication.
Sotalol ought to come with a leaflet providing patient information. Be sure that you read these instructions and that you follow them carefully. Should you have any concerns or questions, be sure to consult your doctor.
For the initial three days, sotalol will be administered at the hospital, so that medical professionals can monitor the rhythm of your heart.
If taking sotalol as an oral liquid solution, always use a marked medicine cup, oral syringe, or measuring spoon, as a standard household teaspoon might not have the capacity to hold the correct amount of medicine.
If you have also been prescribed antacids containing magnesium hydroxide or aluminum, be sure that you take it either two hours after or two hours before you take your dosage of sotalol.
You should only use the specific brand of sotalol that has been prescribed by your doctor. A different brand might not have the same effect on your condition.
It is vital that your prescribing doctor should check the progress of your treatment during regular visits in order to ensure that your prescription of sotalol works as it should. ECG, urine, and blood tests might be required in order to test for undesirable side effects.
If you suffer any changes to the rhythm of your heart, you must immediately consult your prescribing doctor. You may feel faint or dizzy, or you could have an uneven, pounding, or fast heartbeat. Ensure to make your prescribing doctor aware whether you, or any family member, has ever suffered from an issue with their heart rhythm.
Sotalol might cause dizziness. Ensure that you do not operate machinery, drive, or perform any other task that might be dangerous if you have a dizzy spell until you are sure you understand how sotalol affects you. Should you feel light-headed or dizzy, be sure to take care standing up and do so slowly.
Do not stop taking or interrupt your course of sotalol before consulting your doctor.
Sotalol has been shown to result in heart failure among certain patients.
Sotalol has been shown to result in changes to your levels of blood sugar.
Certain medical conditions can have an impact on the efficacy of sotalol. Be sure that your prescribing doctor is aware of any medical conditions you have, but particularly any of those listed here.
This is owing to the reduced rate at which it is removed from the body.
Sotalol should always be stored away from direct light, moisture, and heat. It should be kept from freezing at room temperature and in a closed container.
Sotalol should always be kept beyond the reach of children.
If you no longer require your sotalol tablets or solution, or if they should become outdated, you should not keep them.
Be sure to consult your medical professional before disposing of any unwanted or outdated sotalol.
Sotalol is a beta-blocker prescribed for the treatment of extreme cases of ventricular arrhythmia (abnormal heart rhythm), as well as other heart conditions such as atrial flutter and atrial fibrillation.
As a beta blocker, the effect it causes is to alter the response of impulses in the nerves at particular areas of the body, including the heart, which slows the patient's heartbeat and inducing a more regular rhythm.
Sotalol carries a slight risk of causing a life-threatening form of polymorphic ventricular tachycardia, also identified as torsades de pointes, which is why it is only prescribed in serious cases.