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sotalol AF (cont.)

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

Do not use this medication if you are allergic to sotalol AF, or if you have:

  • asthma;
  • certain heart conditions, especially "AV block" or "sick sinus syndrome" (unless you have a pacemaker);
  • a history of "Long QT syndrome";
  • severe kidney disease;
  • low levels of potassium in your blood (hypokalemia); or
  • severe or uncontrolled congestive heart failure.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take sotalol AF:

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

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

Sotalol AF can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take sotalol AF (Betapace AF, Sotalol Hydrochloride AF)?

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

Sotalol AF comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Take sotalol AF exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.

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

Take this medication with a full glass of water.

Take sotalol AF at the same time every day.

Do not skip doses or stop taking sotalol AF 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.

Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.

To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Your heart and kidney function will also need to be tested. Do not miss any follow-up visits to your doctor.

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

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

Store sotalol AF 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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