Cardiology · Class III + non-selective β blocker
Sotalol
Dose
80 mg BD, up to 160 mg BD.
Indications
- • AF/flutter rhythm control
- • VT prophylaxis
Contraindications
- • QTc >450
- • HFrEF
- • Sick sinus
- • Asthma
- • CrCl <40
Dose adjustment
CrCl 40–60: OD dosing
Use
Rhythm control alternative; monitor QT closely.
Monitoring
ECG (QT) after each dose change, U&E, Mg.
Side effects
- • Torsades
- • Bradycardia
- • Fatigue
Related in WardRound
Always confirm dose against your local formulary / BNF before prescribing.
