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Sotalol should be used only in certain patientsBefore taking sotaloldiscuss the risks and benefits of treatment with your doctorAlthough sotalol is effective for treating certain types of fast/irregular heartbeatsit can rarely cause a new serious abnormal heart rhythmQT prolongation in the EKGThis problem can lead to a new type of abnormalpossibly fatalheartbeattorsade de pointesIf this new serious heart rhythm occursit is usually when sotalol treatment is first started or when the dose is increasedThereforeto reduce the risk of this side effectyou should begin sotalol treatment in a hospital so your doctor can monitor your heart rhythm for several days and treat the problems if they occurPatients usually start with a low dose of sotalolYour doctor will then slowly increase your dose depending on how you respond to the medication and how well your kidneys workIf you respond well to this medicationduring this time in the hospital your doctor can determine the right dose of sotalol for you.

If you have diabetesthis product may mask the fast/pounding heartbeat you would usually feel when your blood sugar falls too lowhypoglycemiaOther symptoms of low blood sugarsuch as dizziness and sweatingare unaffected by this drugThis product may also make it harder to control your blood sugarCheck your blood sugar regularly as directed and share the results with your doctorTell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urinationYour doctor may need to adjust your diabetes medicationexercise programor diet.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofkidney problemstreated stable heart failurevery recent heart attackwithin 2 weeksother irregular heartbeat problemssuch as sick sinus syndromeoveractive thyroid diseasehyperthyroidismserious allergic reactions needing treatment with epinephrine.

If there are any changes in the brand or strength of sotalol you useyour dosage needs may change.

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sotalol af is available as the brand-name drug betapace af.