What is sotalol used for?

Sotalol is used to treat documented life-threatening ventricular arrhythmias and to help maintain normal heart rhythm in people with symptomatic atrial fibrillation or atrial flutter. It works by slowing the heart rate and steadying the heart's electrical activity.

Do I need a prescription for sotalol?

Yes. Sotalol is a prescription-only medication in the U.S. A valid prescription from a licensed provider is required, and treatment is usually started under continuous heart monitoring in a medical facility.

How does ordering and shipping work?

After you place your order, a licensed provider or pharmacist reviews your prescription and health information. Once approved, your medication is dispensed and shipped from a licensed U.S. pharmacy directly to your address.

Is sotalol the same as Betapace?

Yes. Betapace is a brand name for sotalol hydrochloride. Betapace AF is a formulation specifically labeled for maintaining normal rhythm in atrial fibrillation and atrial flutter; your provider will determine which product is right for you.

How should I take sotalol 120mg?

Take sotalol exactly as prescribed, typically twice daily, and do not skip or double doses. Do not stop taking it suddenly, as abrupt discontinuation can worsen heart rhythm problems — talk to your provider before making any changes.

What are the most common side effects of sotalol?

Common side effects include fatigue, slow heart rate, dizziness, shortness of breath, and weakness. Contact your provider promptly if you experience fainting, a racing or very irregular heartbeat, or significant swelling or trouble breathing.

Why does sotalol require heart monitoring when starting?

Sotalol can prolong the QT interval and, in rare cases, trigger a serious arrhythmia called torsades de pointes. Because of this, the FDA label requires starting or restarting sotalol in a facility with continuous ECG monitoring and staff trained in managing arrhythmias.

Sotalol 120mg

Name: Sotalol 120mg
Brand: All Family Pharmacy
SKU: sotalol-120mg
Availability: InStock

Generic For: Betapace

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Sotalol 120mg (brand name Betapace) is a prescription antiarrhythmic medication used to treat life-threatening ventricular arrhythmias and to help maintain normal heart rhythm in people with atrial fibrillation or atrial flutter. It works by slowing the heart rate and helping the heart beat more regularly. After a licensed provider reviews your prescription, your order ships from a licensed U.S. pharmacy.

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100-day supply · $0.25/tablet

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Buy Sotalol 120mg (Betapace) Online

An antiarrhythmic (beta-blocker) for atrial fibrillation, atrial flutter, and ventricular arrhythmias

Medically reviewed by David Paul Mackarey, RPh, Pharmacist-in-Charge

Sotalol 120mg Quick Facts

Drug class	Class III antiarrhythmic (beta-blocker)
Treats	Ventricular arrhythmias, atrial fibrillation, atrial flutter
Form	Tablet
Typical dosing	Take 1 tablet by mouth daily
Prescription required	Yes — prescription only

What Is Sotalol 120mg?

Sotalol is a prescription medication that combines beta-blocking activity with Class III antiarrhythmic effects. It is used to treat documented life-threatening ventricular arrhythmias and to help maintain normal sinus rhythm in patients with symptomatic atrial fibrillation or atrial flutter. Sotalol slows the heart rate and prolongs the time between heartbeats, helping the heart maintain a steadier rhythm. Because of the risk of new or worsened arrhythmias, treatment is typically started or re-started in a facility that can provide continuous heart monitoring.

What Does Sotalol 120mg Treat?

Life-threatening ventricular arrhythmias (ventricular tachycardia)
Maintenance of normal sinus rhythm in symptomatic atrial fibrillation
Maintenance of normal sinus rhythm in symptomatic atrial flutter
Delay in recurrence of atrial fibrillation/flutter (Betapace AF)

Sotalol 120mg Dosage

Initial: 80 mg by mouth twice daily.
Titrate gradually as directed; usual maintenance 160–320 mg/day in divided doses.
Dose and frequency adjusted for kidney function; initiation requires ECG monitoring.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Sotalol 120mg Side Effects

Common side effects

Fatigue or tiredness
Slow heart rate (bradycardia)
Dizziness or lightheadedness
Shortness of breath
Weakness
Headache
Nausea

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

New or worsening irregular heartbeat (torsades de pointes)
Fainting or near-fainting
Very slow heart rate
New or worsening heart failure (swelling, weight gain, trouble breathing)
Severe shortness of breath or wheezing
Chest pain

Warnings & Interactions

Boxed warning: must be started or re-started in a setting with continuous ECG monitoring due to risk of serious arrhythmias
Can prolong the QT interval and cause torsades de pointes
Contraindicated with baseline long QT, severe bradycardia, uncontrolled heart failure, or certain heart block without a pacemaker
Dose must be adjusted for reduced kidney function
Do not stop suddenly — abrupt discontinuation may worsen heart problems
Use caution with other QT-prolonging drugs and potassium-depleting diuretics
May mask signs of low blood sugar and worsen asthma or breathing problems

Tell your prescriber about all medications, supplements, and health conditions before starting sotalol 120mg.