Betapace

Generic name: Sotalol hydrochloride

What is Betapace?

Betapace is a beta blocker that is used for treatment of specific types of irregular heartbeats (ventricular arrhythmias).

What is the most important information I should know about Betapace?

When starting Betapace, you should be in a facility such as a hospital for a minimum of three days in order to prevent further heart problems. Betapace should not be confused with Betapace AF, since they are used for different conditions. Also, do not discontinue treatment with Betapace without telling your doctor.

Who should not take Betapace?

You should not take this medication if you have bronchial asthma or heart disease (eg, low heart rate, heart failure, prolonged QT intervals, etc.). Talk with your doctor about alternatives.

What should I tell my doctor before I take the first dose of Betapace?

Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Betapace. In addition, talk to your doctor about your complete medical history, especially if you have breathing problems or are scheduled for surgery. Also, tell your doctor if you are pregnant, plan on becoming pregnant, or are breastfeeding.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Adults: The usual initial dose is 80 milligrams (mg) twice daily. Your doctor may increase the dose depending on your condition. If your condition is more severe, doses may be increased to 480-640 mg per day after your doctor has justified that the benefits outweighing the risks.

Children ≥2 years: The usual initial dose is 30 mg/m² taken three times a day. Dosing adjustments may be made after careful tests are taken to achieve therapeutic levels.

How should I take Betapace?

Take Betapace at the same time each day, with or without food. Do not discontinue Betapace without telling your doctor. Remember to finish taking your medication and consult with your doctor about a gradual dose reduction.

What should I avoid while taking Betapace?

Avoid missing your scheduled dose and abruptly discontinuing Betapace; this may worsen your heart disorder.

What are possible food and drug interactions associated with Betapace?

If Betapace is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Betapace with the following: albuterol; aluminum; amiodararone; anti-arrhythmics such as disopyramide, quinidine, procainamide; anti-diabetics such as insulin, metformin; arsenic; cisapride; clonidine; diltiazem; dofetilide; droperidol; guanethidine; H1 antagonists such as astemizole, terfenadine; indomethacin; isoprenaline; ketanserin; macrolides and keytones such as erythromycin, azithromycin; magnesium; mefloquine; nefedipine; phosphodiesterase type 5 inhibitors such as sildenafil; reserpine; salbutamol; terbutaline; thioridazine; verapamil; ziprasidone

What are the possible side effects of Betapace?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

Side effects may include: drowsiness, headache, insomnia, dizziness, fatigue, vomiting

Can I receive Betapace if I am pregnant or breastfeeding?

The effects of Betapace in pregnancy and breastfeeding are minimal. However, due to potential harm to the baby, consult with your doctor to see if the benefits are greater than the risks.

What should I do if I miss a dose of Betapace?

If you miss a dose, take it as soon as you remember. If it is close to the time of your next dose, skip it and resume your scheduled dose. Do not double your dose.

How should I store Betapace?

Store at room temperature and away from children.