Substance / Medication

Sotalol

Overview

Active Ingredient
sotalol
RxNorm CUI
9947

Indications

WARNINGS Sotalol hydrochloride tablets (AF) are indicated for the maintenance of normal sinus rhythm [delay in time to recurrence of atrial fibrillation/atrial flutter (AFIB/AFL)] in patients with symptomatic AFIB/AFL who are currently in sinus rhythm. Because sotalol hydrochloride tablets (AF) can cause life-threatening ventricular arrhythmias, it should be reserved for patients in whom AFIB/AFL is highly symptomatic. Patients with paroxysmal AFIB/AFL that is easily reversed (by Valsalva maneuv

Labeler: MUTUAL PHARMACEUTICALUpdated: 2007-01-22T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

DOSAGE AND ADMINISTRATION To minimize the risk of induced arrhythmia, patients initiated or re-initiated on sotalol hydrochloride tablets (AF) should be placed for a minimum of three days (on their maintenance dose) in a facility that can provide cardiac resuscitation, continuous electrocardiographi

Contraindications

When this intervention should not be used

Sotalol hydrochloride tablets is contraindicated in patients with sinus bradycardia ( 450 msec, cardiogenic shock, uncontrolled heart failure, hypokalemia (< 4 meq/L), creatinine clearance < 40 mL/min, bronchial asthma and previous evidence of hypersensitivity to sotalol.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

Clinical Trials

6 trials linked to this intervention

6
Total Trials
1
Recruiting
2
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Dronedarone vs Sotalol Among Patients With Atrial Fibrillation: A Meta-Analysis of Retrospective Observational Databases.
Singh Jagmeet P, Wieloch Mattias, Reynolds Shannon L et al. · JACC Clin Electrophysiol · 2025
PMID: 40272320Meta-Analysis
Meta-analysis of the Risk of Torsades de Pointes in patients treated with intravenous racemic sotalol.
Marill K A, Runge T · Acad Emerg Med · 2001
PMID: 11157286Meta-Analysis
Catheter Ablation vs Sotalol or Amiodarone for Ventricular Tachycardia: A Substudy of the VANISH2 Trial.
Nery Pablo B, Wells George A, Tang Anthony S L et al. · J Am Coll Cardiol · 2026
PMID: 41217320RCT
Pharmacokinetics and electrophysiological effects of sotalol hydrochloride in horses.
Broux B, De Clercq D, Decloedt A et al. · Equine Vet J · 2018
PMID: 29023952RCT
QT prolongation and serum sotalol concentration are highly correlated following intravenous and oral sotalol.
Somberg John C, Preston Richard A, Ranade Vasant et al. · Cardiology · 2010
PMID: 20693799RCT
Effect of dl-sotalol on mortality and recurrence of ventricular tachyarrhythmias: ischemic compared to nonischemic cardiomyopathy.
Furushima Hiroshi, Chinushi Masaomi, Okamura Kazuki et al. · Pacing Clin Electrophysiol · 2007
PMID: 17725758RCT
Exercise capacity in atrial fibrillation: a substudy of the Sotalol-Amiodarone Atrial Fibrillation Efficacy Trial (SAFE-T).
Atwood J Edwin, Myers Jonathan N, Tang X Charlene et al. · Am Heart J · 2007
PMID: 17383295RCT
[Effect of bisoprolol and sotalol on clinical status of patients with proximal form of atrial fibrillation and chronic heart failure].
Tereshchenko S N, Uteshev Iu A, Morozova M N et al. · Kardiologiia · 2007
PMID: 17431967RCT

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Health Goals

Goals connected through associated conditions

Quick Facts

Type
Substance / Medication
Fully Specified Name
Sotalol (substance)
SNOMED CT
372911006
UMLS CUI
C0037707
RxNorm CUI
9947
Labeler
MUTUAL PHARMACEUTICAL

Clinical Data

This intervention maps to 12 entities in the Ltrl knowledge graph.

7
Conditions
2
Biomarkers
2
Specialists
0
Symptoms
6
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.