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Sotalol

Latest prescription information about Sotalol. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Sotalol
Pronunciation : SOE-ta-lol
Therapeutic Classification : Beta- Adrenergic Blockers
ICD Code : Y51.7
Trade Name(s): 
India- Solet Tab, Sotagard Tab.
International- Betapace AF, Betapace, Sorine.
Why it is prescribed (Indications) : 
This medication is a non-selective beta-blocker, prescribed for irregular heartbeats. It works by helping the heart beat regularly for a longer period of time.
When it is not to be taken (Contraindications): Contraindicated in patients with bronchial asthma, slow heart rate, heart diseases, heart failure and previous evidence of hypersensitivity.

Pregnancy Category :

A B C D X
Category B : Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.

Dosage & When it is to be taken : 
Adult- PO- The recommended initial dose is 80 mg twice daily. It may be increased, if needed.
How it should be taken : 
It comes as a tablet to take by mouth, on an empty stomach, at least 2 hours after or 1 hour before breakfast and your evening food.
Warnings and Precautions : 
* Caution should be exercised in patients with history of heart or liver diseases, asthma or breathing difficulties, any allergy, diabetes, overactive thyroid, poor blood circulation, myasthenia gravis (muscle weakening disease), chest pain, phaeochromocytoma (growth of the adrenal gland), elderly, children, during pregnancy and breastfeeding.
* It may cause dizziness, drowsiness or lightheadedness, do not drive a car or operate machinery and get up slowly from bed while taking this medication.
* Avoid abrupt withdrawal.
Side Effects : 
Body as a whole- Infection, fever and localized pain.
Heart - Difficulty in breathing, slow heart rate, chest pain, palpitation, swelling, abnormal ECG, low/high blood pressure, abnormal heart rhythm, fainting, heart failure and dilatation of blood vessels.
Central Nervous System- Fatigue, dizziness, weakness, lightheadedness, headache, sleeplessness, perspiration, poor consciousness, depression, tingling, anxiety, mood changes, loss of appetite and stroke.
Gastrointestinal- Nausea/vomiting, diarrhea, indigestion, abdominal pain, colon problem and flatulence.
Respiratory - Lung disease, upper respiratory tract infection and asthma.
Genitourinary - Sexual dysfunction.
Metabolic- Weight change.
Musculoskeletal - Pain in extremes and back pain.
Skin- Rash.
Blood - Bleeding.
Eye - Vision problems.
Other Precautions : 
* Avoid alcohol consumption.
Storage Conditions : 
Store it at room temperature and in an airtight container. Keep away from children.

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Reference  

  • Food and Drug Administration (FDA)
  • National Institutes of Health (NIH)
  • PubMed
  • CIMS
  • Indian Pharma Reference Guide 2012
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