When should you not use sotalol?
Sotalol may cause heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing, an irregular heartbeat, swelling of the face, fingers, feet, or lower legs, or weight gain.
Who should not take sotalol?
For people with heart problems: Don’t take this medication if you have: a heart rate lower than 50 beats per minute during waking hours. second- or third-degree heart block (unless a functioning pacemaker is in place) a heart rhythm disorder that can cause fast, chaotic heartbeats.
Is sotalol contraindicated in heart failure?
Adverse Reactions and Contraindications Sotalol is proarrhythmic in the setting of left ventricular hypertrophy (wall thickness > 1.4 cm) and left ventricular systolic dysfunction and thus is contraindicated in these settings.
When are beta-blockers contraindicated?
Traditional contraindications to beta-blockers are peripheral vascular diseases, diabetes mellitus, chronic obstructive pulmonary disease (COPD) and asthma.
Does sotalol affect blood pressure?
Sotalol (Betapace) lowers your blood pressure and heart rate. In some cases, sotalol (Betapace) can make your blood pressure go too low (hypotension) or lower your heart rate too much (bradycardia). Your provider will monitor these more closely if needed.
Is sotalol a potassium channel blocker?
Sotalol is a non-cardioselective beta-blocker that also possesses potassium channel blocker properties. It classifies as a class III agent in the Vaughan-Williams classification system for antiarrhythmic medications due to its predominant potassium channel blocking effect.
Is sotalol a selective beta blocker?
What should I avoid while taking sotalol?
Avoid drinking tea or coffee with sotalol as caffeine has the ability to decrease the effectiveness of the drug.
Is sotalol a dangerous medication?
Substitution warning. Sotalol and sotalol AF can’t be substituted for one another. They have differences in dosing, administration, and safety. Heart rhythm warning: This medication can cause or worsen a condition called torsades de pointes. This is a dangerous abnormal heart rhythm.
Would sotalol interact with antibiotics?
If you take magnesium or aluminum-based antacids, you have to take them at least two hours before or after taking sotalol; otherwise, sotalol can cause an adverse reaction . Certain medications, including clonidine, digoxin, guanethidine, diuretics, other heart medications, antibiotics,…
Does caffeine interact with sotalol?
Sotalol Interactions with Caffeine. Avoid drinking tea or coffee with sotalol as caffeine has the ability to decrease the effectiveness of the drug.