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Sotalol information


Sotalol
Clinical data
Trade namesBetapace, Sorine, Sotylize, others[1]
AHFS/Drugs.comMonograph
MedlinePlusa693010
License data
  • US DailyMed: Sotalol
Pregnancy
category
  • AU: C
Routes of
administration
By mouth
Drug classBeta blocker
ATC code
  • C07AA07 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: ℞-only
  • UK: POM (Prescription only)
  • US: WARNING[2]Rx-only
Pharmacokinetic data
Bioavailability90–100%[3]
MetabolismNot metabolized[3]
Elimination half-life12 hours[3]
ExcretionKidney
Mammary gland (In lactating individuals)[3]
Identifiers
IUPAC name
  • (RS)-N-{4-[1-hydroxy-2-(propan-2-ylamino)ethyl]phenyl}methanesulfonamide
CAS Number
  • 3930-20-9 checkY
PubChem CID
  • 5253
IUPHAR/BPS
  • 7297
DrugBank
  • DB00489 checkY
ChemSpider
  • 5063 checkY
UNII
  • A6D97U294I
KEGG
  • D08525 checkY
ChEMBL
  • ChEMBL471 checkY
CompTox Dashboard (EPA)
  • DTXSID0023589 Edit this at Wikidata
Chemical and physical data
FormulaC12H20N2O3S
Molar mass272.36 g·mol−1
3D model (JSmol)
  • Interactive image
ChiralityRacemic mixture
SMILES
  • O=S(=O)(Nc1ccc(cc1)C(O)CNC(C)C)C
InChI
  • InChI=1S/C12H20N2O3S/c1-9(2)13-8-12(15)10-4-6-11(7-5-10)14-18(3,16)17/h4-7,9,12-15H,8H2,1-3H3 checkY
  • Key:ZBMZVLHSJCTVON-UHFFFAOYSA-N checkY
  (verify)

Sotalol, sold under the brand name Betapace among others, is a medication used to treat and prevent abnormal heart rhythms.[1] Evidence does not support a decreased risk of death with long term use.[1] It is taken by mouth or given by injection into a vein.[1]

Common side effects include a slow heart rate, chest pain, low blood pressure, feeling tired, dizziness, shortness of breath, problems seeing, vomiting, and swelling.[1] Other serious side effects may include QT prolongation, heart failure, or bronchospasm.[4] Sotalol is a non-selective β-adrenergic receptor blocker which has both class II and class III antiarrhythmic properties.[1]

Sotalol was first described in 1964 and came into medical use in 1974.[5] It is available as a generic medication.[4] In 2020, it was the 296th most commonly prescribed medication in the United States, with more than 1 million prescriptions.[6][7]

  1. ^ a b c d e f "Sotalol Hydrochloride Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 18 March 2019.
  2. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 Oct 2023.
  3. ^ a b c d Cite error: The named reference fda2009 was invoked but never defined (see the help page).
  4. ^ a b British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 108. ISBN 9780857113382.
  5. ^ Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 460. ISBN 9783527607495.
  6. ^ "The Top 300 of 2020". ClinCalc. Retrieved 7 October 2022.
  7. ^ "Sotalol - Drug Usage Statistics". ClinCalc. Retrieved 7 October 2022.

and 28 Related for: Sotalol information

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Sotalol

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Sotalol, sold under the brand name Betapace among others, is a medication used to treat and prevent abnormal heart rhythms. Evidence does not support...

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Beta blocker

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certain beta-blockers: Long QT syndrome: sotalol is contraindicated History of torsades de pointes: sotalol is contraindicated Cautions: Abrupt discontinuations...

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List of sulfonamides

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Dronedarone (class III antiarrhythmic) Ibutilide (class III antiarrhythmic) Sotalol (β blocker) Tamsulosin (α blocker) Udenafil (PDE5 inhibitor) Brinzolamide...

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Ventricular tachycardia

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result of myocardial ischemia. Class III anti-arrhythmic drugs such as sotalol and amiodarone prolong the QT interval and may in some circumstances be...

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Antiarrhythmic agent

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polymorphic VT). Class III agents include: bretylium, amiodarone, ibutilide, sotalol, dofetilide, vernakalant, and dronedarone. Class IV agents are slow non-dihydropyridine...

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ATC code C07

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Oxprenolol C07AA03 Pindolol C07AA05 Propranolol C07AA06 Timolol C07AA07 Sotalol C07AA12 Nadolol C07AA14 Mepindolol C07AA15 Carteolol C07AA16 Tertatolol...

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List of cardiac pharmaceutical agents

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Propranolol Type III (potassium channel blockers) Amiodarone Dofetilide Sotalol Type IV (slow calcium channel blockers) Diltiazem Verapamil Type V Adenosine...

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QT interval

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genetic conditions such as long QT syndrome, by certain medications such as sotalol or pitolisant, by disturbances in the concentrations of certain salts within...

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Cocaine

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B Maurotoxin Nifekalant Notoxin Paxilline Pinokalant Quinidine ShK-186 Sotalol Tedisamil Terikalant Tetraethylammonium Vernakalant hERG (KCNH2, Kv11.1)-specific:...

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Mesylate

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cardiac (antiarrhythmic) drugs, as a sulfonamide moiety. Examples include sotalol, ibutilide, sematilide, dronedarone, dofetilide, E-4031, and bitopertin...

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Amiodarone

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amiodarone-treated group as opposed to 6.6% of the control group (taking placebo or sotalol). Overt hypothyroidism (defined as TSH >10 mU/L) occurred at 5.0% compared...

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Escitalopram

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the most popular antiarrhythmic drug in the study was sotalol with 52,750 users, and sotalol had a TdP incidence of 81.1 cases and 41.2 cases of TdP...

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Clenbuterol

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Procinolol Pronethalol Propafenone Propranolol Ridazolol Ronactolol Soquinolol Sotalol Spirendolol SR 59230A Sulfinalol Talinolol Tazolol Tertatolol Tienoxolol...

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Boxer cardiomyopathy

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purpose, including atenolol, procainamide, sotalol, mexiletine, and amiodarone. Combinations can also be used. Sotalol is probably the most commonly used antiarrhythmic...

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Ketamine

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B Maurotoxin Nifekalant Notoxin Paxilline Pinokalant Quinidine ShK-186 Sotalol Tedisamil Terikalant Tetraethylammonium Vernakalant hERG (KCNH2, Kv11.1)-specific:...

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Furosemide

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effect with alpha-blockers; increased risk of ventricular arrhythmias with sotalol if hypokalemia occurs Antipsychotics: increased risk of ventricular arrhythmias...

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Oxprenolol

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effects than beta blockers with more hydrophilic molecules such as atenolol, sotalol and nadolol. Oxprenolol is a potent beta blocker and should not be administered...

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Mexiletine

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right ventricular cardiomyopathy (ARVC) in Boxer dogs in combination with sotalol.[medical citation needed] "Product monograph brand safety updates". Health...

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Kidney dialysis

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glycol Procainamide Methanol Isopropyl alcohol Barbiturates Lithium Bromide Sotalol Chloral hydrate Ethanol Acetone Atenolol Theophylline Salicylates Baclofen...

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Torsades de pointes

Last Update:

shown as a side effect of certain anti-arrhythmic medications, such as sotalol, procainamide, quinidine, ibutilide, and dofetilide. In one example, the...

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Propranolol

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Procinolol Pronethalol Propafenone Propranolol Ridazolol Ronactolol Soquinolol Sotalol Spirendolol SR 59230A Sulfinalol Talinolol Tazolol Tertatolol Tienoxolol...

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LSD

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Procinolol Pronethalol Propafenone Propranolol Ridazolol Ronactolol Soquinolol Sotalol Spirendolol SR 59230A Sulfinalol Talinolol Tazolol Tertatolol Tienoxolol...

Word Count : 16718

Paroxysmal supraventricular tachycardia

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involve the AV node may respond to other anti-arrhythmic drugs such as sotalol or amiodarone.[citation needed] If the person is hemodynamically unstable...

Word Count : 1880

Gabapentin

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B Maurotoxin Nifekalant Notoxin Paxilline Pinokalant Quinidine ShK-186 Sotalol Tedisamil Terikalant Tetraethylammonium Vernakalant hERG (KCNH2, Kv11.1)-specific:...

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Xylazine

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Procinolol Pronethalol Propafenone Propranolol Ridazolol Ronactolol Soquinolol Sotalol Spirendolol SR 59230A Sulfinalol Talinolol Tazolol Tertatolol Tienoxolol...

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Calcium channel blocker

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B Maurotoxin Nifekalant Notoxin Paxilline Pinokalant Quinidine ShK-186 Sotalol Tedisamil Terikalant Tetraethylammonium Vernakalant hERG (KCNH2, Kv11.1)-specific:...

Word Count : 3270

Cardioversion

Last Update:

(prolong repolarization by blocking outward K+ current): amiodarone and sotalol are effective class III agents. Ibutilide is another Class III agent but...

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Phenylephrine

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Procinolol Pronethalol Propafenone Propranolol Ridazolol Ronactolol Soquinolol Sotalol Spirendolol SR 59230A Sulfinalol Talinolol Tazolol Tertatolol Tienoxolol...

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