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compositionComposition:SOTALOL-40MG
prescription
Prescription Medicine
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Sotalo-40 Tablet 10's is used to treat arrhythmia (irregular heartbeat) or any other heart condition associated with an irregular heartbeat, such as fibrillation (irregular heartbeat) and tachycardia (too fast heartbeat). It contains Sotalol, which helps control the heart's irregular and normal beats in various heart conditions. It may cause side effects such as fatigue, slow heart rate, dizziness, weakness, and breathlessness.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

SOTALOL-40MG

Manufacturer/Marketer :

Metacine Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Sotalo-40 Tablet 10's

Sotalo-40 Tablet 10's is a prescription medication primarily used to treat and manage serious, irregular heartbeats, known medically as arrhythmias. It is commonly prescribed to help maintain a normal, steady heart rhythm in patients who experience fluttering or rapid beating in the upper or lower chambers of the heart. By keeping the heart's electrical signals in check, this medication plays a vital role in protecting your overall cardiovascular health.

To get the best results, you must take Sotalo-40 Tablet 10's consistently at the same times every day, typically twice daily. It is highly recommended to take this medication on an empty stomach, either 1 hour before or 2 hours after a meal, as food can interfere with how well your body absorbs it. Additionally, adopting heart-healthy lifestyle habits, such as eating a low-salt diet and reducing stress, can significantly support the medication's effectiveness.

While taking Sotalo-40 Tablet 10's, some people may experience mild side effects like dizziness, tiredness, or a slower heart rate as the body adjusts. However, you must contact your doctor immediately if you experience more serious symptoms, such as severe lightheadedness, chest pain, breathing difficulties, or a feeling that your heart is beating unusually slow or unevenly.

Before you begin taking Sotalo-40 Tablet 10's, it is essential to discuss your medical history with your healthcare provider, especially if you have kidney problems, asthma, or a history of heart failure. Do not take this if you have severe kidney disease, uncontrolled heart failure, asthma, certain slow heart rhythms without a working pacemaker, or a specific genetic heart condition called long QT syndrome. Because Sotalo-40 Tablet 10's itself can prolong the QT interval and trigger a dangerous irregular heartbeat called torsades de pointes, treatment is usually started in a hospital where your heart rhythm can be closely monitored.

This medicine can interact with several other drugs, including other blood pressure or heart medications, and certain water pills. Consuming alcohol or smoking while on this medication can also increase your risk of severe dizziness or trigger worse irregular heartbeats. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, consult your doctor to discuss the risks and benefits before starting treatment.

Uses of Sotalo-40 Tablet 10's

Sotalo-40 Tablet 10's is used in the treatment of Arrhythmia (irregular heartbeat). The detailed uses of Sotalo-40 Tablet 10's are as follows:

  • Atrial fibrillation and atrial flutter: Sotalo-40 Tablet 10's helps maintain a normal, steady heart rhythm in patients who experience rapid, highly irregular beating in the upper chambers of the heart.
  • Ventricular arrhythmias: This medicine is used to treat and prevent life-threatening, abnormally fast heartbeats that originate in the lower chambers of the heart.

Key Benefits

Sotalo-40 Tablet 10's helps control abnormal heart rhythms, allowing your heart to beat more regularly and efficiently.

The following are the benefits of Sotalo-40 Tablet 10's:

  • Helps control fast and irregular heart rhythms.
  • Reduces palpitations, fluttering, and a racing heartbeat.
  • Improves symptoms such as dizziness, fatigue, and shortness of breath caused by abnormal heart rhythms.
  • Supports better heart function and overall cardiovascular health.
  • Helps reduce the risk of complications related to certain heart rhythm disorders.
  • Promotes a more active lifestyle by improving exercise tolerance and daily comfort.
Side effects of Sotalo-40 Tablet
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Chest pain may last for a while and needs immediate medical attention as it is a significant health issue to be attended to.
  • Take rest and refrain from doing physical activity for a while, and restart after a few days.
  • Try applying an ice pack to the strained area for at least 20 minutes thrice a day. Ice pack thus helps reduce inflammation.
  • Sit upright and maintain proper posture if there is persistent chest pain. • Use extra pillows to elevate your position and prop your chest up while sleeping.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Directions for Use

  • Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet.
  • Take this medicine on an empty stomach, ideally 1 hour before or 2 hours after your meals.
  • Try to take your doses at the exact same times every day to keep a constant level of the medicine in your bloodstream.
  • Always follow your doctor's exact instructions regarding your schedule. Never stop taking this medication suddenly, as doing so can cause a dangerous rebound increase in your heart rate or blood pressure.

How Sotalo-40 Tablet 10's Works

Sotalo-40 Tablet 10's contains Sotalol, which works in two distinct ways to help your heart maintain a calm, steady rhythm. First, it acts as a beta-blocker, which means it blocks the effects of natural stress hormones like adrenaline on your heart. This action slows down your heart rate and reduces the overall workload on your heart muscle, allowing it to beat more easily. Second, it also works as a Class III antiarrhythmic agent by blocking potassium channels in the heart. This action extends the resting phase between electrical impulses in the heart muscle. By delaying these signals, the medicine prevents chaotic or rapid electrical triggers from taking over, ensuring that your heart beats in a synchronised and regular manner.
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Alcohol

Unsafe

Alcohol intake can increase the blood pressure-lowering effect of Sotalo-40 Tablet 10's, making you feel dizzy or light-headed. Therefore avoid alcohol while on treatment with Sotalo-40 Tablet 10's.

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Pregnancy

Consult your doctor

Sotalo-40 Tablet 10's is a category C pregnancy medicines. It is not known whether it harms the baby or not. So, it should be taken only if a doctor prescribes you.

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Breast Feeding

Unsafe

Sotalo-40 Tablet 10's is known to pass through the breast milk. So, breastfeeding women should not take Sotalo-40 Tablet 10's.

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Driving

Caution

Sotalo-40 Tablet 10's has no or negligible effect on driving and machine operation. However, it should be noted that occasionally dizziness or fatigue may occur.

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Liver

Consult your doctor

Let your doctor know if you have any history of liver diseases before using Sotalo-40 Tablet 10's. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Kidney

Consult your doctor

Let your doctor know if you have any history of kidney diseases before using Sotalo-40 Tablet 10's. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Children

Unsafe

Sotalo-40 Tablet 10's is not recommended for children below 12 years of age as the safety and efficacy of this medicine are not established.

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Heart

Consult your doctor

Please inform your doctor if you have any pre-existing heart problems

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Geriatrics

Consult your doctor

Limited information available for use of Sotalo-40 Tablet 10's in elderly patients. Please consult your doctor.

What if I have taken an overdose of Sotalo-40 Tablet 10's

If you suspect an overdose, seek immediate emergency medical attention or contact a poison control centre. An overdose of this medication can lead to a dangerously slow heartbeat, severe dizziness, fainting, or life-threatening heart complications.

Diet & Lifestyle Advise

  • Avoid caffeine and alcohol: Both caffeine and alcohol can stimulate your heart, potentially triggering the very irregular rhythms you are trying to prevent.
  • Limit calcium-rich foods close to your dose: Do not take this medicine with milk, yoghurt, or calcium-fortified juices, as calcium can reduce how well the medicine is absorbed.
  • Do not skip meals or neglect hydration: Staying properly hydrated and eating a balanced diet helps keep your body's electrolyte levels (such as potassium and magnesium) stable, which is crucial for the safe performance of this medicine.
  • Avoid certain antacids: Do not take antacids containing aluminium or magnesium within 2 hours before or after taking this medicine, as they can reduce the absorption of Sotalo-40 Tablet 10's and make it less effective.
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How Soon It Starts Working

  • The time required for Sotalo-40 Tablet 10's to start to work: The time required for Sotalo-40 Tablet 10's to start to work is 1 to 2 hours after administration.
  • The time for which the effects of Sotalo-40 Tablet 10's last: The duration of action for Sotalo-40 Tablet 10's is unknown.

What if you forget to take Sotalo-40 Tablet 10's

If you miss a dose, take it as soon as you remember. However, if your next scheduled dose is less than 4 hours away, skip the missed dose entirely and resume your normal schedule. Do not take two doses at once to make up for a missed one. Talk to your doctor or pharmacist if you miss multiple doses.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not stop the medicine suddenly: Never stop taking this medicine without your doctor's advice. Stopping it abruptly can worsen your heart condition and increase the risk of serious heart problems.
  • Start treatment under close monitoring: Your doctor will likely require you to start your treatment in a hospital setting for at least 3 days, or longer if needed, so that your heart rhythm and kidney function can be closely monitored. This is because Sotalo-40 Tablet 10's can prolong the QT interval and, in some people, trigger a serious irregular heart rhythm during treatment initiation or dose adjustments.
  • Check your pulse regularly: Check your resting heart rate every day. If it falls below 50 beats per minute, contact your doctor before taking your next dose.
  • Inform your healthcare providers: Tell your doctor, surgeon, dentist, or any emergency healthcare professional that you are taking this medicine before any medical or dental procedure or before starting a new treatment.
  • Report severe fluid loss: Contact your doctor immediately if you have severe vomiting, ongoing diarrhoea, or heavy sweating. These conditions can affect your body's salt levels and increase the risk of serious heart rhythm problems.
  • Attend regular heart check-ups: Your doctor will perform regular electrocardiograms (ECGs) to monitor your heart's electrical activity. If the QT interval becomes too long, your doctor may adjust your dose or stop the medicine to lower the risk of dangerous heart rhythm problems.

Drug-Drug Interactions

verifiedApollotooltip
  • Other heart rhythm medications (e.g., amiodarone, quinidine): Combining these medicines with Sotalo-40 Tablet 10's can significantly increase the risk of dangerous, irregular heart rhythms.
  • Blood pressure medications (e.g., diltiazem, verapamil, metoprolol): Taking Sotalo-40 Tablet 10's with calcium channel blockers or other beta blockers can cause your heart rate to drop to dangerously low levels or worsen heart failure.
  • Diuretics/water pills (e.g., furosemide): These medicines can lower your blood levels of potassium or magnesium, which greatly increases the risk of severe heart complications while taking Sotalo-40 Tablet 10's.
  • Antacids (e.g., aluminium hydroxide, magnesium hydroxide): Antacids can bind to this medicine in your stomach, reducing its absorption and making it less effective.
SotalolSparfloxacin
Critical
SotalolOfloxacin
Critical

Drug-Drug Interactions

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SotalolSparfloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Using Sotalo-40 Tablet together with sparfloxacin can increase the risk of an irregular heart rhythm that may be serious. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Sparfloxacin is not recommended, please consult a doctor before taking it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
SotalolOfloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Coadministration of Ofloxacin with Sotalo-40 Tablet can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Ofloxacin with Sotalo-40 Tablet together is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. If you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor. Do not discontinue any medications without consulting a doctor.
SotalolLomefloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Using Sotalo-40 Tablet together with lomefloxacin can increase the risk of an irregular heart rhythm that may be serious. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Lomefloxacin is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. If you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
SotalolArbutamine
Critical
How does the drug interact with Sotalo-40 Tablet:
Coadministration of Sotalo-40 Tablet and arbutamine can affect the rhythm of heart.

How to manage the interaction:
Taking Sotalo-40 Tablet with Arbutamine is generally avoided as it can result in an interaction. However, if you experience irregular heartbeat, chest tightness, blurred vision or nausea contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
SotalolZiprasidone
Critical
How does the drug interact with Sotalo-40 Tablet:
Co-administration of Ziprasidone together with Sotalo-40 Tablet can increase the risk or severity of irregular heart rhythms which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Ziprasidone together is generally avoided as it can result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor immediately if you experience any symptoms such as sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not discontinue any medications without consulting a doctor.
SotalolMoxifloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Combining Moxifloxacin with Sotalo-40 Tablet can increase the risk or severity of irregular heart rhythms which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Moxifloxacin is not recommended as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or fast or pounding heartbeats, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
SotalolNorfloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Coadministration of Norfloxacin with Sotalo-40 Tablet can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Taking Norfloxacin with Sotalo-40 Tablet together is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss. Do not discontinue any medications without consulting a doctor.
SotalolGatifloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Taking Sotalo-40 Tablet with Gatifloxacin can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Gatifloxacin together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
SotalolCiprofloxacin
Critical
How does the drug interact with Sotalo-40 Tablet:
Coadministration of Sotalo-40 Tablet together with ciprofloxacin can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Taking Sotalo-40 Tablet with Ciprofloxacin is generally avoided as it can result in an interaction, it can be taken together if prescribed by a doctor. However, consult the doctor if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty. Do not discontinue any medications without consulting a doctor.
SotalolThioridazine
Critical
How does the drug interact with Sotalo-40 Tablet:
Using thioridazine together with Sotalo-40 Tablet can increase the risk of an irregular heart rhythm. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Sotalo-40 Tablet with Thioridazine is not recommended, consult a doctor before taking it. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Calcium-rich foods and dairy: Taking this medication alongside milk, yoghurt, or calcium-supplemented beverages can reduce the amount of medicine your body absorbs, lowering its effectiveness.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTIARRHYTHMICS]

FAQs

Sotalo-40 Tablet 10's is used to treat arrhythmia (irregular heartbeat) or any other heart condition associated with an irregular heartbeat, such as fibrillation (irregular heartbeat)and tachycardia (too fast heartbeat). Arrhythmia is a problem related to the rate of rhythm at which the heart beats.
Sotalo-40 Tablet 10's contains Sotalol, which works by blocking abnormal electrical signals in the heart, which helps control the uneven beating of the heart and helps to beat normally.
Taking Sotalo-40 Tablet 10's can lead to blurred vision, or you may see a circle around dazzling light (halos). It may also make your eyes dry or sensitive to light. If these symptoms are left untreated, it may lead to permanent blindness. Therefore, consult your doctor in case you experience any such problems while taking Sotalo-40 Tablet 10's.
Do not abruptly stop taking Sotalo-40 Tablet 10's as it may lead to withdrawal symptoms like an irregular heartbeat, which can be really fatal. Consult your doctor, and if he thinks your condition is improving, the dose will be lowered accordingly.
Sotalo-40 Tablet 10's may lead to liver toxicity in some cases. The signs of toxicity include jaundice (yellowing of the skin or eyes), pale-colored stools, tiredness, nausea, vomiting, dark-colored urine, and stomach pain. Immediately inform your doctor if you experience these symptoms.
Sotalo-40 Tablet 10's is known to cause fluctuations in sugar level. So, if a patient has diabetes, Sotalo-40 Tablet 10's should be taken with caution and regular monitoring of blood sugar level is required.
Sotalo-40 Tablet 10's may cause side effects such as dizziness, weakness, fatigue (overtiredness), slow heart rate and breathlessness. If these side effects persist or worsen, please consult your doctor.
Sotalo-40 Tablet 10's should be taken exactly as advised by your doctor. Generally, it is taken once or twice a day with or without food. It is to be swallowed as a whole with water and not to be cut, chewed or crushed.
If you forget to take a dose of Sotalo-40 Tablet 10's, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose in the prescribed time. Do not double the dose to make up for the missed one, as this may increase the risk of side effects.
Sotalo-40 Tablet 10's is generally safe when used at the dose and duration advised by your doctor. It may cause temporary side effects that typically resolve on their own. Your doctor will advise you on how to deal with them.
Yes. Sotalo-40 Tablet 10's can cause dizziness as a side effect. If this happens to you, sit or lie down until the symptoms pass. However, this is temporary and usually disappears as the treatment continues. Also, you should avoid alcohol while taking Sotalo-40 Tablet 10's, as it may worsen the dizziness.
Starting this medicine in a hospital allows doctors to continuously monitor your heart rhythm and kidney function. This is a critical safety measure because the risk of certain serious, irregular heartbeats is highest during the first few days of starting the drug or when gradually increasing doses. Talk to your doctor if you have questions about this process.
It is best to avoid or strictly limit caffeinated beverages like coffee, tea, and energy drinks. Caffeine is a stimulant that can trigger irregular heartbeats, making it harder for the medicine to keep your rhythm stable. Talk to your doctor or pharmacist about safe beverage options.
No, you should avoid taking this medicine directly with milk, yoghurt, or other calcium-rich foods. Calcium can interfere with how your body absorbs the medication, making it less effective. It is best to take it on an empty stomach with water. Talk to your doctor or pharmacist for guidance.
If your resting pulse drops below 50 beats per minute, or if you feel dizzy, extremely tired, or faint, contact your healthcare provider immediately. This may indicate that your dose needs to be adjusted. Talk to your doctor before taking your next dose if your heart rate is very low.
Many over-the-counter cold and allergy medicines contain decongestants (like pseudoephedrine) that can raise your blood pressure and increase your heart rate, which can be dangerous while on this medication. Always consult your pharmacist or doctor before taking any new over-the-counter products.
The duration of treatment depends on the type of heart rhythm problem you have and how well your condition is controlled. Many people take Sotalo-40 Tablet 10's as a long-term treatment to help prevent abnormal heart rhythms from returning. Do not stop taking it unless your doctor tells you to, as stopping suddenly may increase the risk of serious heart problems.
Your doctor will perform regular ECGs to check that your heart's electrical activity remains safe while you are taking Sotalo-40 Tablet 10's. Blood tests may also be done to monitor your kidney function and electrolyte levels, such as potassium and magnesium, because abnormalities can increase the risk of serious heart rhythm problems. If your ECG shows excessive QT interval prolongation, your doctor may adjust your dose or stop the medicine.
Not everyone, but because Sotalo-40 Tablet 10's is cleared from the body by the kidneys, people with reduced kidney function often need less frequent dosing or dose adjustments. Your doctor will determine the appropriate dosing schedule based on your kidney function and will continue to monitor it during treatment. Never change your dose without medical advice.

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Country of origin

India

Manufacturer/Marketer address

S.No.3, Katraj-Dehu Rd Bypass, near Podar International School, Vishnupuram Colony, Ambegaon Budruk, Pune, Maharashtra 411046
Other Info - SOT0029
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