{"id":54757,"date":"2022-10-25T13:11:02","date_gmt":"2022-10-25T17:11:02","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=54757"},"modified":"2024-11-20T11:17:33","modified_gmt":"2024-11-20T16:17:33","slug":"sotalol-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/sotalol-side-effects\/","title":{"rendered":"Sotalol side effects and how to avoid them"},"content":{"rendered":"<p style=\"text-align: left;\"><a href=\"https:\/\/www.singlecare.com\/prescription\/sotalol-hcl\"><span style=\"font-weight: 400;\">Sotalol<\/span><\/a><span style=\"font-weight: 400;\"> is a generic prescription drug used to treat irregular heart rhythms including <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/atrial-fibrillation-treatment-and-medications\"><span style=\"font-weight: 400;\">atrial fibrillation<\/span><\/a><span style=\"font-weight: 400;\"> (AFIb) and life-threatening ventricular arrhythmias. Also sold as brand-name <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sorine\"><span style=\"font-weight: 400;\">Sorine<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/betapace\"><span style=\"font-weight: 400;\">Betapace<\/span><\/a><span style=\"font-weight: 400;\">, sotalol is a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/beta-blockers\"><span style=\"font-weight: 400;\">beta blocker<\/span><\/a><span style=\"font-weight: 400;\"> that slows down the beating of the heart. Sotalol is usually taken at home as a tablet. However, the first doses may be given as an intravenous injection in a clinic or hospital. Side effects are commonly experienced. However, healthcare professionals are most concerned about its possible adverse effects on the heart.<\/span><\/p>\n<h2 id=\"common-side-effects-of-sotalol\"><span style=\"font-weight: 400;\">Common side effects of sotalol<\/span><\/h2>\n<p><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=1a56c82e-7ecd-43b0-2899-f89e47adf7db\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">In clinical trials<\/span><\/a><span style=\"font-weight: 400;\">, the most common side effects of sotalol tablets were fatigue and dizziness. In order of likelihood, the most common <\/span><a href=\"https:\/\/online.epocrates.com\/drugs\/44805\/sotalol\/Adverse-Reactions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> of sotalol are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slow heart rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shortness of breath<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea and vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive sweating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Palpitations<\/span><\/li>\n<\/ul>\n<h2 id=\"serious-side-effects-of-sotalol\"><span style=\"font-weight: 400;\">Serious side effects of sotalol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most serious side effects of sotalol are:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Slow heart rate<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Chest pain<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Prolonged QT interval<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Heart rhythm abnormalities<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Heart block<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Heart failure<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Airway closure (bronchospasm)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Severe allergic reaction (anaphylaxis)<\/span><\/li>\n<\/ul>\n<h3 id=\"sotalol-and-qt-prolongation\"><span style=\"font-weight: 400;\">Sotalol and QT prolongation<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The QT interval is a technical term for one part of a heartbeat. On an electrocardiogram or ECG, the QT interval is the part that has most of the up and down squiggles. What those ups and downs represent is the firing of nerves in the two lower chambers of the heart and then recharging &#8211; or contracting then relaxing. A long QT interval is considered a serious heart problem. It can create several problems: it can throw off the rhythm of the heartbeat (called an arrhythmia), slow down the heart, speed up the heart (ventricular tachycardia), cause lightheadedness or fainting, bring on seizures, and, in the worst-case scenario, sudden death. So, although QT prolongation may not sound like anything, a long QT interval is a serious side effect of sotalol and other beta blockers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Combining sotalol with certain other drugs may increase the risk. Some of the most important are listed below. Additionally, some people may be at higher risk for QT prolongation: women, people older than 65, people, people with adrenal gland cancer, sickle cell anemia, thyroid problems, sleep deprivation, or with autoimmune conditions such as <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/lupus-treatment-and-medications\"><span style=\"font-weight: 400;\">lupus<\/span><\/a><span style=\"font-weight: 400;\">. The major risks for people taking sotalol, however, are electrolyte imbalances, especially low potassium or low magnesium. Any number of medical conditions, drugs, and behaviors can throw off the electrolyte balance in the body. Because of the risk, it\u2019s very important for people taking sotalol to keep appointments with their healthcare providers. Regular blood tests can measure electrolytes and regular ECGs can spot heartbeat irregularities before they develop into a serious health threat.<\/span><\/p>\n<h3 id=\"sotalol-and-hair-loss\"><span style=\"font-weight: 400;\">Sotalol and hair loss<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Beta blockers like sotalol can cause hair thinning. Healthcare providers believe that they<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6639944\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> poison hair follicles<\/span><\/a><span style=\"font-weight: 400;\">. It\u2019s a rare side effect, though, occurring in <\/span><a href=\"https:\/\/www.pdr.net\/drug-summary\/Sotylize-sotalol-hydrochloride-3691\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">less than 1%<\/span><\/a><span style=\"font-weight: 400;\"> of people taking sotalol. In most cases, the hair loss can be reversed if the drug is stopped. It will typically take several weeks or months of treatment to notice that hair is thinning. If it happens, get medical advice from the prescribing healthcare provider.\u00a0<\/span><\/p>\n<h2 id=\"how-soon-do-sotalol-side-effects-start\"><span style=\"font-weight: 400;\">How soon do sotalol side effects start?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Changes in heart rate and rhythm including slow heartbeats can start right away after the first dose. Other minor side effects can happen early in treatment including dizziness, nausea, fatigue, and abdominal pain. Many of the serious side effects involving the heart can also start early in treatment.<\/span><\/p>\n<h2 id=\"how-long-do-sotalol-side-effects-last\"><span style=\"font-weight: 400;\">How long do sotalol side effects last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Some of the mild side effects of sotalol get better over time. However, most side effects should be reported to the prescriber. Some of them, such as vomiting, diarrhea, and sweating, may alter electrolyte levels in the body. This could lead to serious heart rhythm abnormalities. Others, such as dizziness and palpitations, could be a sign of a serious medical condition, not just a side effect. If side effects are too difficult to bear, they are usually reversible when the drug is discontinued. However, it takes about one or two weeks of a tapering dose to go off sotalol.\u00a0<\/span><\/p>\n<h2 id=\"what-are-the-long-term-side-effects-of-sotalol\"><span style=\"font-weight: 400;\">What are the long-term side effects of sotalol?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sotalol can be taken for a <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0002870396900083\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">long time<\/span><\/a><span style=\"font-weight: 400;\">, but it does have a high risk for adverse effects involving the heart. These effects will always be a risk throughout treatment. However, there are no side effects specifically due to long-term use.<\/span><\/p>\n<h2 id=\"sotalol-contraindications\"><span style=\"font-weight: 400;\">Sotalol contraindications<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Because of the possibility of serious side effects, sotalol is never prescribed to people with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A slow heart rate with a normal heart rhythm (sinus bradycardia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Second- or third-degree heart block (except in people with a pacemaker)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sick sinus syndrome (a defect in the heart\u2019s natural pacemaker) except in people with a pacemaker<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cardiogenic shock (a medical condition in which the heart does not pump enough blood to the body)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decompensated heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prolonged QT syndromes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uncorrected low potassium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bronchial <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/asthma-treatment-and-medications\"><span style=\"font-weight: 400;\">asthma<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic obstructive pulmonary disease (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/copd-treatment-and-medications\"><span style=\"font-weight: 400;\">COPD<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe kidney dysfunction (in people with atrial fibrillation)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic to the drug<\/span><\/li>\n<\/ul>\n<h3 id=\"pregnancy\"><span style=\"font-weight: 400;\">Pregnancy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol is not recommended during pregnancy unless absolutely necessary because it can cause serious side effects in both the mother and the fetus.<\/span><\/p>\n<h3 id=\"breastfeeding\"><span style=\"font-weight: 400;\">Breastfeeding<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol is not recommended when breastfeeding. Sotalol is present in human breast milk in high concentrations and could cause serious side effects in a nursing infant. Healthcare professionals are advised to tell women to stop breastfeeding when taking sotalol.<\/span><\/p>\n<h3 id=\"children\"><span style=\"font-weight: 400;\">Children<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol is FDA approved for use in children as young as newborns to treat atrial fibrillation and ventricular arrhythmias. Side effects are about the same for infants and children as they are for adults.<\/span><\/p>\n<h3 id=\"seniors\"><span style=\"font-weight: 400;\">Seniors<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol is approved for use in seniors, but there\u2019s a slightly higher risk of heart rhythm abnormalities. Additionally, elderly adults who take heart rhythm drugs (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antiarrhythmics\"><span style=\"font-weight: 400;\">antiarrhythmics<\/span><\/a><span style=\"font-weight: 400;\">) in general are at increased risk to experience adverse effects in comparison to younger adults. Healthcare professionals are advised to monitor for side effects more closely in the elderly.<\/span><\/p>\n<h2 id=\"sotalol-warnings\"><span style=\"font-weight: 400;\">Sotalol warnings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">All prescription drugs that change the way the heart beats are used with caution in some people because of pre-existing conditions. Additionally, an overdose or stopping the medicine abruptly could have serious consequences.<\/span><\/p>\n<h3 id=\"black-box-warning\"><span style=\"font-weight: 400;\">Black box warning<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">Black box warnings<\/span><\/a><span style=\"font-weight: 400;\"> are mandated by the FDA if it considers that a drug has certain high-risk hazards. Sotalol comes with three warnings in its drug information:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The first warning is for healthcare providers to initiate and titrate sotalol doses in facilities that can provide continuous ECG monitoring.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The second warning reminds healthcare providers and pharmacists not to substitute sotalol tablets for sotalol AF tablets.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The third warning touches on the possibility of the lower chambers of the heart beating too fast (ventricular tachycardia) so not to initiate therapy in people with a long QT interval and to modify the dose, dosing interval, or discontinue therapy in those who experience an excessive prolongation of their baseline QT.<\/span><\/li>\n<\/ul>\n<h3 id=\"cautions\"><span style=\"font-weight: 400;\">Cautions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol slows down the heart, so the main worry is what may happen to people who already have existing heart conditions or blood vessel problems. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slow heart rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A recent heart attack<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A history of a fast heartbeat called torsade de pointes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A family history of QT prolongation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coronary artery disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low blood pressure<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Sotalol can cause problems with other pre-existing medical conditions, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Kidney impairment<\/b><span style=\"font-weight: 400;\">. People with reduced kidney function do not eliminate sotalol from the body as well as others, raising the risk of side effects. Dose adjustments are required, and alternate therapy is recommended for those with very reduced kidney function.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Diabetes.<\/b><span style=\"font-weight: 400;\"> Beta blockers like sotalol can worsen low blood sugar (hypoglycemia) in people taking <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">diabetes<\/span><\/a><span style=\"font-weight: 400;\"> medications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Thyroid disorders.<\/b><span style=\"font-weight: 400;\"> Sotalol can mask the symptoms of an overactive thyroid, making diagnosis and treatment more difficult.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Raynaud\u2019s phenomenon.<\/b><span style=\"font-weight: 400;\"> Sotalol can worsen <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/raynauds-treatment-and-medications\"><span style=\"font-weight: 400;\">Raynaud\u2019s phenomenon<\/span><\/a><span style=\"font-weight: 400;\"> and other diseases of the peripheral blood vessels (peripheral vascular disease or PVD).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Adrenal gland cancer.<\/b><span style=\"font-weight: 400;\"> People with pheochromocytoma, a type of adrenal gland cancer, are more at risk for heart rhythm irregularities when taking sotalol.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Surgery.<\/b><span style=\"font-weight: 400;\"> Sotalol and other beta blockers increase the risks associated with surgery and general anesthesia.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Heart Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h3 id=\"abuse-and-dependence\"><span style=\"font-weight: 400;\">Abuse and dependence<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sotalol is not associated with physical dependence or drug abuse.\u00a0<\/span><\/p>\n<h3 id=\"withdrawal\"><span style=\"font-weight: 400;\">Withdrawal<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Although the body does not become physically dependent on sotalol, the abrupt discontinuation of sotalol can bring about serious problems such as chest pain or heart attack. It can also bring about serious and potentially life-threatening thyroid problems in people with an overactive thyroid. When it is time to stop sotalol, the healthcare provider will prescribe a steadily decreasing dose over a one- to two-week period.\u00a0<\/span><\/p>\n<h3 id=\"overdose\"><span style=\"font-weight: 400;\">Overdose<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Taking too much sotalol could be fatal, so get immediate emergency medical care if too much is taken either intentionally or by accident.<\/span><\/p>\n<h2 id=\"sotalol-interactions\"><span style=\"font-weight: 400;\">Sotalol interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Because sotalol affects the pace and rhythm of the heart, the most concerning drug interactions involve drugs that also change heartbeats or lower blood pressure. These include:\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">The antipsychotic medications <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/thioridazine-hcl\"><span style=\"font-weight: 400;\">thioridazine<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pimozide\"><span style=\"font-weight: 400;\">pimozide<\/span><\/a><span style=\"font-weight: 400;\"> (contraindicated)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Other antipsychotic medications<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Antiarrhythmics (heart rate and heart rhythm medications) like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pacerone\"><span style=\"font-weight: 400;\">Pacerone<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amiodarone-hcl\"><span style=\"font-weight: 400;\">amiodarone<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/flecainide-acetate\"><span style=\"font-weight: 400;\">flecainide<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/quinidine-sulfate\"><span style=\"font-weight: 400;\">quinidine<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Blood pressure drugs, especially <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/calcium-channel-blockers\"><span style=\"font-weight: 400;\">calcium channel blockers<\/span><\/a><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diltiazem-hcl\"><span style=\"font-weight: 400;\">diltiazem<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Digitalis drugs such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/digoxin\"><span style=\"font-weight: 400;\">digoxin<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.singlecare.com\/drug-classes\/macrolides\"><span style=\"font-weight: 400;\">Macrolide antibiotics<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.singlecare.com\/drug-classes\/quinolones\"><span style=\"font-weight: 400;\">Fluoroquinolone antibiotics<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Nitroimidazole antibiotics<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Azole <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antifungals\"><span style=\"font-weight: 400;\">antifungal medications<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Select <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><span style=\"font-weight: 400;\">SSRIs<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">opioids<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Some antihistamines<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Some HIV\/AIDS antiviral medications<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Drugs that treat overactive bladder<\/span><\/li>\n<li><span style=\"font-weight: 400;\">General anesthetics<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Alcohol<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other drugs that could cause problems when combined with sotalol include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Carbonic anhydrase inhibitors.<\/b><span style=\"font-weight: 400;\"> A family of drugs used as <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">diuretics<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">anticonvulsants<\/span><\/a><span style=\"font-weight: 400;\">, or to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/glaucoma-treatment-and-medications\"><span style=\"font-weight: 400;\">glaucoma<\/span><\/a><span style=\"font-weight: 400;\">, these drugs can cause electrolyte imbalances that could result in heart rhythm problems in people taking sotalol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antacids<\/b><span style=\"font-weight: 400;\">. Antacids reduce the body\u2019s absorption of sotalol, making it less effective. Do not take a sotalol dose within two hours of taking an antacid.<\/span><\/li>\n<\/ul>\n<h2 id=\"how-to-avoid-sotalol-side-effects\"><span style=\"font-weight: 400;\">How to avoid sotalol side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sotalol can cause some serious problems, so become familiar with the side effects and how to avoid them before taking this drug.<\/span><\/p>\n<h3 id=\"1-tell-the-prescriber-about-all-medical-conditions\"><span style=\"font-weight: 400;\">1. Tell the prescriber about all medical conditions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It is likely the prescriber will have a pretty complete picture of your medical history, but make sure the prescriber knows about:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coronary artery disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Electrolyte imbalances<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bronchial asthma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emphysema or bronchitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thyroid problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any upcoming surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy or any plans to become pregnant<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breastfeeding or plans to breastfeed<\/span><\/li>\n<\/ul>\n<h3 id=\"2-tell-the-prescriber-about-any-drugs-being-taken\"><span style=\"font-weight: 400;\">2. Tell the prescriber about any drugs being taken<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">To avoid side effects caused by drug interactions, tell the prescriber about all the prescription drugs, over-the-counter medicines, and dietary supplements that are regularly taken. Do not start taking any new drugs until consulting with the prescriber.<\/span><\/p>\n<h3 id=\"3-keep-all-follow-up-visits\"><span style=\"font-weight: 400;\">3. Keep all follow-up visits<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It is very important not to miss follow-up visits. Regular ECGs are required. Blood tests will also need to be performed to check electrolytes.\u00a0<\/span><\/p>\n<h3 id=\"4-follow-the-directions\"><span style=\"font-weight: 400;\">4. Follow the directions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Take this medicine as directed by the prescribing healthcare provider. Don\u2019t miss doses. Don\u2019t take extra medicine. Don\u2019t take sotalol tablets more often than directed.\u00a0<\/span><\/p>\n<h3 id=\"5-don-t-take-missed-doses\"><span style=\"font-weight: 400;\">5. Don\u2019t take missed doses<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If a dose of sotalol is missed, skip it. Take the next dose as scheduled.<\/span><\/p>\n<h3 id=\"6-don-t-stop-taking-sotalol\"><span style=\"font-weight: 400;\">6. Don\u2019t stop taking sotalol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Don\u2019t stop taking sotalol tablets except under the direction of a healthcare professional. The sudden discontinuation of sotalol can bring on serious and even life-threatening crises such as heart attack.\u00a0<\/span><\/p>\n<h3 id=\"7-drink-less-alcohol\"><span style=\"font-weight: 400;\">7. Drink less alcohol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Drinking alcohol could worsen some of sotalol\u2019s side effects including low blood pressure and dizziness.<\/span><\/p>\n<h2 id=\"how-to-treat-side-effects-of-sotalol\"><span style=\"font-weight: 400;\">How to treat side effects of sotalol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Side effects are likely when taking sotalol. In many cases, the prescribing healthcare provider will need to know about them.<\/span><\/p>\n<h3 id=\"dizziness-or-lightheadedness\"><span style=\"font-weight: 400;\">Dizziness or lightheadedness<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sit down and rest. When the dizziness or sleepiness has passed, then contact the prescribing healthcare provider.<\/span><\/p>\n<h3 id=\"vomiting\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Because of the risk for electrolyte imbalances, immediately report vomiting to the prescribing healthcare provider. Prolonged or severe diarrhea will require medical treatment.<\/span><\/p>\n<h3 id=\"diarrhea\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Drink fluids to prevent dehydration. Again, there\u2019s a risk of electrolytes being thrown out of balance. Immediately report problems with severe or prolonged diarrhea to the prescribing healthcare provider.<\/span><\/p>\n<h3 id=\"excessive-sweating\"><span style=\"font-weight: 400;\">Excessive sweating<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Like diarrhea and vomiting, excessive sweating raises the risk of electrolyte abnormalities. Report this side effect to the prescribing healthcare provider.<\/span><\/p>\n<h3 id=\"dehydration\"><span style=\"font-weight: 400;\">Dehydration<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Drink fluids when feeling thirsty to avoid dehydration. Because electrolyte imbalance is a serious threat when taking sotalol, tell the healthcare provider if thirst becomes excessive.<\/span><\/p>\n<h3 id=\"feeling-faint\"><span style=\"font-weight: 400;\">Feeling faint\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Immediately contact the prescribing healthcare provider if fainting or feeling faint is experienced.<\/span><\/p>\n<h3 id=\"palpitations-or-other-heart-problems\"><span style=\"font-weight: 400;\">Palpitations or other heart problems<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Contact the prescriber immediately if experiencing a fast heartbeat, palpitations, slow heartbeats, or chest pain.<\/span><\/p>\n<h3 id=\"heart-failure\"><span style=\"font-weight: 400;\">Heart failure<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Heart failure is possible when taking sotalol. If that happens, the heart cannot pump enough blood to the body. Immediate medical care is needed if symptoms of heart failure are noticed including swelling, rapid weight gain, and trouble breathing.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sotalol is a generic prescription drug used to treat irregular heart rhythms including atrial fibrillation (AFIb) and life-threatening ventricular arrhythmias. Also sold as brand-name Sorine or Betapace, sotalol is a beta blocker that slows down the beating of the heart. Sotalol is usually taken at home as a tablet. However, the first doses may be [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":54819,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[737,12752],"coauthors":[8861],"class_list":["post-54757","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-heart-health","tag-medication-side-effects","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sotalol side effects and how to avoid them | SingleCare<\/title>\n<meta name=\"description\" content=\"QT prolongation, and hair loss are common sotalol side effects. 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