Betapace (sotalol) Coupons, Discounts & Cost
Betapace (sotalol) is a drug from the group of beta-blockers with anti-arrhythmic action. One way to save money on the Betapace (sotalol) retail cost regardless of income and insurance status is to use Betapace (sotalol) coupons or discount cards from RXCoupons. Use this Betapace (sotalol) coupon at this online pharmacy and receive up to 75% off the sale price.
Betapace (sotalol) pharmacologic effect
Betapace (sotalol) is a drug from the group of beta-blockers with anti-arrhythmic action. It is indicated for the treatment of chronic and symptomatic cardiac arrhythmias: ventricular premature beats, ventricular tachycardia (including supraventricular tachycardia syndrome with Wolff-Parkinson-White syndrome, atrial fibrillation.
When to avoid Betapace (sotalol)
Betapace (sotalol) absolute contraindications: acute myocardial infarction, chronic heart failure stage IIb-III, sinoatrial block, cardiogenic shock, tachycardia, II or III degree AV block, bradycardia, sick sinus syndrome, chronic obstructive pulmonary disease (COPD) or asthma, metabolic acidosis, severe form of allergic rhinitis, pheochromocytoma, severe renal insufficiency, general anesthesia with cyclopropane, trichlorethylene and other drugs that suppress the function of the myocardium, simultaneous therapy with inhibitors of monoamine oxidase, breastfeeding, hypersensitivity to sotalol, sulfonamides and other components of the drug.
Betapace (sotalol) relative contraindications: use with caution in depression, thyrotoxicosis, diabetes, I degree AV block, psoriasis, renal dysfunction, hypokalemia, hypomagnesemia.
The drug should be used with extreme caution in case of myocardial infarction, as well as in the elderly.
Special caution should be exercised when treating patients with allergic reactions. It is possible to use the drug during pregnancy only after careful risk-benefit assessment (especially in the first trimester).
How to take Betapace (sotalol)
Betapace (sotalol) tablets are taken whole, 1-2 hours before meals. The dose should be set by your doctor, according to the severity of the disease and patient’s response. The recommended initial dose is 80 mg per day. The daily dose can be gradually increased to 240-320 mg and divided into 2-3 doses (to achieve the desired therapeutic effect). Usually, the daily dosage of 160-320 mg should be taken two times daily.
In severe arrhythmias, patients may use the maximum daily dose - 480 mg (divided into 2-3 doses). Note that this dose increases the risk of adverse effects. Therefore, the maximum dose should be used only after careful risk-benefit assessment. In renal insufficiency, the dose of the drug should be reduced.
The duration of treatment is set by the doctor individually.
Side effects of Betapace (sotalol)
Circulatory system: chest pain, shortness of breath, palpitations, edema, bradycardia, AV block, low blood pressure, palpitations, syncope, arrhythmogenic effect. Nervous system: fatigue, headache, depression, dizziness, anxiety, sleep disorders (insomnia or drowsiness), mood changes, tremor. Digestive system: dry mouth, nausea, vomiting, abdominal pain, diarrhea, flatulence, constipation. Respiratory system: bronchospasm (more frequently in patients with impaired pulmonary ventilation). Endocrine system: hypoglycemia (often with diabetes). Genitourinary system: loss of potency. Dermatological reactions: itching, rash, urticaria, flushing, alopecia. Other reactions: inflammation of the cornea and conjunctiva, blurred vision, hearing impairment, muscle weakness, seizures, fever.
Betapace (sotalol) cautions
Patients should reduce the daily dose of the drug in the case of decrease in blood pressure or heart rate.
It is necessary to cancel sotalol therapy 48-72 hours before expected birth. This will reduce the risk of bradycardia, respiratory depression, hypokalemia, and hypotension in the newborn.
In severe or prolonged diarrhea, patients need to regularly monitor the electrolyte balance.
Simultaneous reception of food (especially milk products or milk) reduces the absorption of sotalol.
Betapace may mask certain clinical signs of hyperthyroidism, including tachycardia. Therefore, it is recommended to avoid abrupt withdrawal of the drug in thyrotoxicosis.
Betapace may mask the symptoms of hypoglycemia (such as tremor and tachycardia) in patients receiving hypoglycemic agents. Such patients should avoid long breaks between meals.
Betapace should be used with caution with class I antiarrhythmic drugs, tricyclic antidepressants, phenothiazines, astemizole, terfenadine, certain quinolone antibiotics.