Sotalol - Benefits, dosage and side effects

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Sotalol - Benefits, dosage and side effects
Sotalol - Benefits, dosage and side effects
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Sotalol is a drug to treat ventricular tachycardia or supraventricular tachycardia. This drug can also be used in the treatment of atrial fibrillation, which causes severe symptoms, such as difficulty breathing. This medicine should only be used according to a doctor's prescription

Sotalol belongs to the class of beta-blocking drugs that have antiarrhythmic effects. In low doses, this drug will work by blocking beta receptors in the heart and blood vessels. Thus, the heart rate will slow down.

Sotalol - Alodokter

In higher doses, sotalol has a class III antiarrhythmic effect and works by blocking potassium channels to normalize the rhythm of the heartbeat.

Sotalol Trademark: Sotalol Hydrochloride

What is Sotalol

Class Prescription drugs
Categories Beta blocker
Benefits Treats some arrhythmic conditions, such as ventricular tachycardia or supraventricular tachycardia
Consumed by Adults and children over 12 years old
Sotalol for pregnant and lactating mothers Category B: Animal studies have not shown any risk to the fetus, but there are no controlled studies in pregnant women. Sotalol is absorbed into breast milk, should not be used during breastfeeding.
Medicine form Tablets

Warning Before Consuming Sotalol

Sotalol should only be used according to a doctor's prescription. Here are some things you need to pay attention to before taking sotalol:

  • Do not take sotalol if you are allergic to this drug. Tell your doctor about your history of allergies.
  • Tell your doctor if you have or have had long QT syndrome or another dangerous heart rhythm disorder, such as severe bradycardia or AV block. Sotalol should not be given to patients who are suffering from this condition.
  • Tell your doctor if you have or have recently had a heart attack.
  • Tell your doctor if you have or have had kidney disease, severe diarrhea, liver disease, low blood pressure, lung disease, heart disease, hyperthyroidism, diabetes, Raynaud's syndrome, low levels of potassium in the blood, or acidosis
  • Tell your doctor if you are pregnant, breastfeeding, or planning a pregnancy.
  • Tell your doctor if you are taking any other medicines, including herbal medicines and supplements.
  • If you are planning to undergo surgery or certain medical procedures, tell your doctor that you are taking sotalol.
  • See your doctor immediately if you have an allergic reaction to the drug, serious side effects, or an overdose after taking sotalol.

Dosage and Rules for Use of Sotalol

The dose of sotalol given by the doctor depends on the patient's he alth condition and age. Here is the explanation:

Condition: Management of ventricular tachycardia in emergency condition

  • Adults: The initial dose is 80 mg, 2 times a day. The dose may be increased every 3 days to 240–320 mg per day. Maintenance dose 160–320 mg daily in divided doses. The maximum dose is 480–640 mg per day.

Condition: Supraventricular tachycardia or ventricular tachycardia

  • Adults: The initial dose is 80 mg per day. The dose can be increased every 2-3 days. Maintenance dose 160–320 mg per day in divided doses.

Dosage for children will be determined by the doctor based on the child's weight and age.

How to Take Sotalol Correctly

Consume sotalol according to the doctor's recommendations and always read the instructions for use listed on the drug packaging. Do not reduce or increase the dose without consulting your doctor first.

Sotalol can be consumed before or after meals. If you forget to take sotalol, take it as soon as you remember. If it is near the time of your next dose, skip the missed dose. Do not double the dose of sotalol to make up for the missed dose.

At the beginning of treatment, you will be asked to stay in the hospital to monitor your condition, response to therapy, and side effects that may arise from taking sotalol.

During treatment with sotalol, you will be asked to check your heart record or ECG regularly.

Store sotalol at room temperature and place in a closed container. Keep this medicine away from direct sunlight and out of reach of children.

Interaction of Sotalol with Other Drugs

The following are a number of interactions that can occur if sotalol is taken together with other drugs:

  • Increased risk of bradycardia if taken with digoxin
  • Increased risk of arrhythmias if taken with diuretics, haloperidol, macrolide antibiotics, or quinolones
  • Increased risk of hypertension if taken with clonidine
  • Decreased effectiveness of insulin or antidiabetic drugs
  • Prolongation of the QT interval if taken with phenothiazine, terfenadine, or astemizole
  • Increased risk of side effects if taken with diltiazem

Side Effects and Dangers of Sotalol

There are several side effects that can occur after consuming sotalol, including:

  • Dizziness or headache
  • Unusual tired
  • Diarrhea
  • slow heart rate
  • Reduced sex drive

Check with a doctor if the complaints mentioned above don't go away or get worse. See your doctor immediately if you have an allergic reaction to the drug or experience more serious side effects, such as:

  • chest pain
  • Dizzy like I want to faint
  • Heart rate slows down, gets faster, or irregular
  • Tingling or numbness in the hands and feet
  • Swelling of legs
  • Shortness of breath

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