Formulary Monographs [SOTALOL, 2424]

SOTALOL
BETA ADRENERGIC BLOCKING AGENTS
Used in acute and prophylactic management of life threatening
ventricular tachyarrhythmias as an alternative to amiodarone.
New or worsening of ventricular arrhythmias, fatigue, bradycardia, dizziness. C.f. prescribing in renal disease p. 36.
Arrhythmia: 80mg twice daily initially increasing by 40-80mg every
2-3 days to a maximum of 160-320mg.
Sotalol crosses the placenta and should be used during pregnancy only if the potential benefits justify the possible risks to the fetus.
Sotalol is distributed in breastmilk. Use with caution in lactating women.