Medically reviewed by Drugs.com. Last updated on Nov 25, 2021.
To minimize the risk of induced arrhythmia, patients initiated or reinitiated on IV sotalol or converted from IV to oral therapy should be placed in a facility that can provide continuous cardiac monitoring and calculations of creatinine clearance. Do not initiate sotalol therapy if the baseline QTc is longer than 450 milliseconds. If the QT interval prolongs to 500 milliseconds or greater, reduce dose, reduce rate of infusion, or discontinue drug. Adjust dosing interval based on creatinine clearance .
Available Dosage Forms:
- Solution
Therapeutic Class: Antiarrhythmic, Group III
Pharmacologic Class: Beta-Adrenergic Blocker, Nonselective
Uses for sotalol
Sotalol injection is used to control rapid heartbeats and abnormal heart rhythms that are serious or life-threatening. The injection may also be used when patients are not able to take the oral form.
Sotalol is a beta-blocker and antiarrhythmic. It works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and at a regular rhythm.
Sotalol is available only with your doctor's prescription.
Before using sotalol
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For sotalol, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to sotalol or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies have not been performed on the relationship of age to the effects of sotalol injection in the pediatric population. Safety and efficacy have not been established.
Geriatric
No information is available on the relationship of age to the effects of sotalol injection in elderly patients. However, elderly patients are more likely to have ag..