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sotalol (cont.)

What should I discuss with my healthcare provider before taking sotalol (Betapace, Sorine)?

You should not use this medication if you are allergic to sotalol, or if you have:

  • asthma;
  • a serious heart condition, especially "AV block" (unless you have a pacemaker);
  • severe heart failure (that required you to be in the hospital);
  • a history of Long QT syndrome; or
  • a history of slow heart beats that have caused you to faint.

To make sure sotalol is safe for you, tell your doctor about your other medical conditions, especially:

  • breathing problems such as bronchitis or emphysema;
  • a history of heart disease or congestive heart failure;
  • an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);
  • diabetes;
  • kidney disease;
  • a thyroid disorder;
  • a history of allergies; or
  • if you have recently had a heart attack.

FDA pregnancy category B. Sotalol is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Sotalol can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using sotalol.

How should I take sotalol (Betapace, Sorine)?

You will receive your first few doses of sotalol in a hospital setting where your heart can be monitored in case the medication causes serious side effects.

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Take sotalol at the same time every day.

Shake the oral liquid well just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Your blood pressure will need to be checked often. Visit your doctor regularly.

Tell your doctor if you are sick with severe vomiting or diarrhea, or if you are sweating more than usual. Prolonged illness can lead to a serious electrolyte imbalance, making it dangerous for you to use sotalol.

This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using sotalol.

If you need surgery, tell the surgeon ahead of time that you are using sotalol. You may need to stop using the medicine for a short time.

Do not skip doses or stop taking sotalol without first talking to your doctor. Stopping suddenly may make your condition worse. You may need to use less and less before you stop the medication completely.

If there are any changes in the brand or strength of sotalol you use, your dosage needs may change. Sotalol (Betapace, Sorine) is not used for the same conditions that sotalol AF (Betapace AF) is used for.

Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.

Store at room temperature away from moisture and heat.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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