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Betapace af

Generic Name: sotalol (Oral route)
Detailed drug Information for Betapace AF. Includes common brand names, drug descriptions, warnings, side effects and dosing information.
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Drug Information:
In the U.S. Available Dosage Forms: Therapeutic Class: Cardiovascular Agent Pharmacologic Class: Beta-Adrenergic Blocker, Nonselective Sotalol is used to a treat life-threatening heart rhythm problem called ventricular arrhythmia. It is also used to treat heart rhythm problems called atrial fibrillation or atrial flutter. Sotalol is a beta-blocker. It works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and at a regular rhythm. Learn more

Betapace af Side Effects

Betapace AF Side Effects

Note: This document contains side effect information about sotalol. Some of the dosage forms listed on this page may not apply to the brand name Betapace AF.

In Summary

Common side effects of Betapace AF include: bradycardia, fatigue, and headache. Other side effects include: dyspnea, ecg abnormality, and insomnia. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to sotalol: oral solution, oral tablet

Other dosage forms:

  • intravenous solution

Warning

Oral route (Solution)

To minimize the risk of induced arrhythmia, patients initiated or reinitiated on oral sotalol or converted from IV sotalol to oral administration should be placed in a facility that can provide cardiac resuscitation, continuous electrocardiographic monitoring and calculations of creatinine clearance. Sotalol can cause life threatening ventricular tachycardia associated with QT interval prolongation. Do not initiate sotalol therapy if the baseline QTc is longer than 450 ms. If the QT interval prolongs to 500 ms or greater, the dose must be reduced, the interval between doses prolonged, or the drug discontinued. Adjust the dosing interval based on creatinine clearance.

Oral route (Tablet)

To minimize the risk of drug-induced arrhythmia, initiate or reinitiate oral sotalol in a facility that can provide cardiac resuscitation and continuous electrocardiographic monitoring. Sotalol can cause life threatening ventricular tachycardia associated with QT interval prolongation. If the QT interval prolongs to 500 msec or greater, reduce the dose, lengthen the dosing interval, or discontinue the drug. Calculate creatinine clearance to determine appropriate dosing.

Along with its needed effects, sotalol (the active ingredient contained in Betapace AF) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking sotalol:

More common

  • Blurred vision
  • chest pain or discomfort
  • confusion
  • difficult or labored breathing
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • fast, slow, irregular, pounding, or racing heartbeat or pulse
  • lightheadedness, dizziness, or fainting
  • nausea and vomiting
  • sweating
  • swelling of the face, fingers, feet, or lower legs
  • tightness in the chest
  • unusual tiredness or weakness

Less common

  • Abdominal or stomach pain or swelling
  • body aches or pain
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • cough or hoarseness
  • decreased alertness
  • difficulty with speaking
  • dilated neck veins
  • double vision
  • extreme fatigue
  • feeling of warmth or heat
  • fever or chills
  • flushing or redness of the skin, especially on the face and neck
  • headache
  • inability to move the arms, legs, or facial muscles
  • inability to speak
  • irregular breathing
  • joint pain or swelling
  • loss of voice
  • lower back or side pain
  • nervousness
  • noisy breathing
  • painful, burning, or difficult urination
  • pounding in the ears
  • slow speech
  • weight gain

Rare

  • Fast breathing
  • pinpoint red spots on the skin

Get emergency help immediately if any of the following symptoms of overdose occur while taking sotalol:

Symptoms of overdose

  • Anxiety
  • cold sweats
  • cool, pale skin
  • depression
  • increased hunger
  • nightmares
  • seizures
  • shakiness
  • slurred speech

Some side effects of sotalol may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Acid or sour stomach
  • difficulty with sleeping
  • heartburn or indigestion
  • pain in the arms or legs

Less common

  • Changes in vision
  • decreased sexual performance or desire
  • loss of appetite
  • mood changes
  • night blindness
  • passing gas
  • skin rash
  • weight changes

Rare

  • Feeling of constant movement of self or surroundings
  • hair loss or thinning of the hair
  • itching skin
  • muscle aching or cramping
  • muscle pains or stiffness
  • quick to react or overreact emotionally
  • sensation of spinning
  • severe sunburn

For Healthcare Professionals

Applies to sotalol: intravenous solution, oral solution, oral tablet

Cardiovascular

Very common (10% or more): Bradycardia (up to 16%), chest pain (up to 16%), palpitation (up to 14%)

Common (1% to 10%): Edema, abnormal ECG, hypotension, proarrhythmia (including Torsade de Pointes), syncope, heart failure, presyncope, vasodilation, Automatic Implantable Cardioverter-Defibrillator (AICD) discharge, hypertension, stroke

Nervous system

Very common (10% or more): Fatigue (up to 20%), dizziness (up to 20%), asthenia (up to 13%), light headedness (up to 12%)

Common (1% to 10%): Headache, perspiration, paresthesia

Respiratory

Very common (10% or more): Dyspnea (up to 21%)

Common (1% to 10%): Pulmonary problem, upper respiratory tract problem, asthma

Gastrointestinal

Very common (10% or more): Nausea/vomiting (up to 10%)

Common (1% to 10%): Appetite disorder, diarrhea, dyspepsia, abdominal pain, colon problem, flatulence, cramps

Metabolic

Common (1% to 10%): Weight change

Dermatologic

Common (1% to 10%): Rash

Musculoskeletal

Common (1% to 10%): Extremity pain, back pain

Genitourinary

Common (1% to 10%): Genitourinary disorder, sexual dysfunction

Hematologic

Common (1% to 10%): Bleeding

Immunologic

Common (1% to 10%): Infection

Local

Common (1% to 10%): Localized pain

Ocular

Common (1% to 10%): Vision problem

Other

Common (1% to 10%): Fever, abnormal lab value

Frequency not reported: Taste abnormalities, hearing disturbances

Psychiatric

Common (1% to 10%): Depression, sleep problem, altered consciousness, anxiety, mood change

Editorial References and Review

Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

Source: Drugs.com Betapace Af (www.drugs.com/cons/betapace-af.html).