Betapace® Tablets for Atrial Fibrillation

Sotalol is a prescription beta-blocker with antiarrhythmic activity used to manage certain abnormal heart rhythms. It helps maintain a regular heartbeat in atrial fibrillation or flutter and treats serious ventricular arrhythmias. This page explains uses, tablet strengths, and safe handling, and supports US delivery from Canada so you can plan refills without insurance concerns.

What Betapace Is and How It Works

Betapace® contains sotalol hydrochloride, a medicine that blocks beta receptors and prolongs cardiac repolarization. These combined effects can slow the heart rate and help stabilize rhythm. The AF-specific product, Betapace AF, is approved to maintain normal sinus rhythm after conversion in symptomatic atrial fibrillation or atrial flutter. The ventricular formulation is used for life-threatening ventricular arrhythmias.

Sotalol belongs to class III antiarrhythmics with nonselective beta-blocking properties. It can lengthen the QT interval, which is why careful ECG monitoring is recommended during initiation and dose changes. Because kidney function affects how the body clears this medicine, dosing often considers creatinine clearance.

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

Many patients begin therapy under hospital or monitored outpatient conditions. This approach helps reduce the risk of serious rhythm problems during early titration. The goal is to balance rhythm control benefits with safety checks that include electrolyte management and renal assessment.

When reviewing medication choices, your prescriber may compare class benefits, prior rhythm history, and concomitant therapies like anticoagulation for stroke prevention in atrial fibrillation.

Some listings and labels distinguish between products indicated for ventricular arrhythmias versus atrial fibrillation. Pharmacists and prescribers use the appropriate product to match the clinical need.

Our catalog may include Sotalol HCl tablets, subject to prescription and availability.

Who It’s For

This medicine is used to help maintain sinus rhythm in adults with symptomatic atrial fibrillation or flutter, and to treat documented life-threatening ventricular arrhythmias. It is generally reserved for clinically significant rhythm disorders where benefits may outweigh risks.

People with certain conditions should avoid or use caution. Contraindications commonly include baseline QT prolongation, congenital long QT syndrome, significant bradycardia, second- or third-degree AV block without a pacemaker, cardiogenic shock, and uncontrolled heart failure. History of bronchial asthma or severe bronchospasm is also a concern due to beta-blocking effects.

Use requires caution in reduced kidney function, electrolyte abnormalities, and with other QT-prolonging drugs. A clinician will determine suitability and arrange ECG and lab monitoring.

Dosage and Usage

Follow your prescriber’s directions and the official product label. Initiation and dose changes are usually performed with ECG monitoring. Many adults start with twice-daily dosing, then adjust according to response, QT interval, heart rate, and kidney function.

Tablets are taken orally with water, at the same times each day. Avoid abrupt discontinuation unless directed by a clinician. If antacids containing aluminum or magnesium are used, separate administration by at least two hours to avoid reduced absorption.

Some patients begin on Sotalol 80 mg tablets and titrate as clinically indicated. For atrial fibrillation, maintenance regimens are selected to preserve sinus rhythm while balancing safety. For ventricular arrhythmias, dosing focuses on suppression of life-threatening episodes with careful monitoring.

If uncertainty arises about a missed dose, timing, or a new symptom, seek advice from your healthcare professional and consult the official label.

Strengths and Forms

Sotalol is typically available as oral tablets in multiple strengths. Commonly published strengths include 80 mg, 120 mg, 160 mg, and 240 mg tablets. Packaging, markings, and suppliers can vary by market, and selection may differ by prescription and pharmacy stock.

Clinicians select a strength based on clinical response and kidney function. In some regions, alternative presentations may exist, but availability is not guaranteed. Always use the exact product and strength prescribed.

Listings may include Sotalol 120 mg tablets among other strengths. Availability can change over time.

Missed Dose and Timing

If a dose is missed, take it as soon as remembered unless it is close to the next dose. If it is nearly time for the next scheduled dose, skip the missed one and resume the regular schedule. Do not double doses. Contact a healthcare professional if multiple doses are missed or if there are symptoms such as dizziness, fainting, or palpitations.

Storage and Travel Basics

Store tablets at room temperature as directed on the label, away from excess heat and moisture. Keep in the original container with the label intact. Use child-resistant closures and keep out of reach of children and pets.

When traveling, carry the medicine in your hand luggage with a copy of your prescription. Keep the container sealed and protected from humidity. If crossing borders, allow extra time for security screening and carry documentation. Replace damaged tablets and do not use if the package is compromised.

Our partner pharmacies support safe handling; we use encrypted checkout and temperature-controlled handling when required.

Benefits

Antiarrhythmic therapy may help maintain a steadier rhythm in atrial fibrillation or flutter, potentially improving symptoms such as palpitations and fatigue. The class effect can reduce episodes of certain ventricular arrhythmias in carefully selected patients. Twice-daily tablet dosing can fit routine schedules, and standardized strengths support titration when clinically appropriate.

Consistent adherence and follow-up visits help clinicians adjust therapy for stability and tolerability. Many patients appreciate clear dosing schedules and predictable monitoring plans.

Side Effects and Safety

Common effects can include tiredness, slow heart rate, dizziness, nausea, and shortness of breath. Some people notice sleep changes or cold extremities due to beta-blocking activity. Gastrointestinal upset may occur when starting or adjusting doses.

• Fatigue or low energy
• Bradycardia or palpitations
• Dizziness or lightheadedness
• Nausea or stomach discomfort
• Shortness of breath

Serious risks include marked QT prolongation, torsades de pointes, severe bradycardia, hypotension, and worsening heart failure. Risk can rise with low potassium or magnesium, renal impairment, or use of other QT-prolonging drugs. Seek urgent help for fainting, sustained palpitations, or severe dizziness. People with diabetes should know beta-blockers may mask some hypoglycemia symptoms.

Drug Interactions and Cautions

High-level interactions include other QT-prolonging agents (for example, certain class I/III antiarrhythmics, some macrolides, fluoroquinolones, antipsychotics), which can increase proarrhythmic risk. Calcium channel blockers affecting the AV node, digoxin, and other rate-lowering drugs may compound bradycardia or conduction effects.

Antacids with aluminum or magnesium may reduce absorption if taken too close together; separate dosing by at least two hours. Clonidine and other agents affecting sympathetic tone warrant caution. Always provide your prescriber with a complete medication list, including over-the-counter products and supplements.

What to Expect Over Time

During early therapy, clinicians monitor ECGs, labs, and symptoms to confirm safe dosing. Many patients experience a gradual reduction in symptomatic episodes if the regimen is effective. Follow-up often includes rhythm checks and periodic assessments of potassium, magnesium, and kidney function.

If treatment is tolerated and beneficial, the plan may continue with scheduled reviews. If rhythm instability or side effects arise, prescribers may adjust dose or consider alternatives. Long-term success depends on adherence, routine monitoring, and addressing contributors such as sleep apnea, electrolyte imbalance, or interacting medicines.

Compare With Alternatives

Other antiarrhythmics may be considered when appropriate. For broad-spectrum rhythm control in complex cases, prescribers sometimes consider Amiodarone. For selected adults with atrial fibrillation, another option is Multaq (dronedarone), depending on clinical factors. Your clinician will weigh risks, benefits, and monitoring needs for each option.

Pricing and Access

We align with Canadian listings so you can review options and discuss value with your prescriber. Compare strengths, read label details, and see transparent updates. Our team supports cross-border fulfilment that Ships from Canada to US with prescription validation.

To estimate your Sotalol price, visit the product page to view current options. If you pay cash, you can still compare choices and plan ahead. If you use a health savings account, check your plan rules for reimbursement steps and documentation.

For occasional coupons or seasonal offers, see our Promotions page.

Availability and Substitutions

Availability can vary by strength and supplier. If a specific tablet is unavailable, a prescriber may recommend a clinically appropriate alternative or a different strength with a revised schedule. Supply updates change over time, and we do not guarantee stock dates.

Some markets list Sotalol 160 mg tablets; your prescriber will specify if that strength is appropriate. Pharmacists will dispense the exact medicine written on the prescription or a permitted generic per local rules.

Patient Suitability and Cost-Saving Tips

This treatment may suit adults with symptomatic atrial fibrillation/flutter needing rhythm maintenance and those with documented life-threatening ventricular arrhythmias. It may not suit people with marked QT prolongation, severe bradycardia, acute decompensated heart failure, or bronchospasm history. Kidney function and electrolytes are important in every case.

To manage out-of-pocket costs, ask your prescriber about multi-month fills if appropriate. Longer supplies may reduce pharmacy fees per month. Set refill reminders so you do not miss doses, especially before travel. Keep a medication list and bring it to each appointment for review.

When discussing affordability, your clinician can consider alternatives, dose adjustments, or supportive therapies. Transparent pricing helps you make decisions with your care team.

Questions to Ask Your Clinician

• Rhythm goal and monitoring: how will success be measured and tracked?
• ECG schedule: when should I get rhythm and QT checks?
• Kidney function: how does renal status affect my dose?
• Drug interactions: which medicines or supplements should I avoid?
• Side effects: what symptoms require urgent evaluation?
• Travel: how should I store tablets and carry documentation?
• Alternatives: if rhythm control fails, what are the next options?

Authoritative Sources

DailyMed: Sotalol Hydrochloride

FDA: Betapace AF Overview

Health Canada Drug Product Database

Related Reading and Categories

Learn more about the condition and related care pathways: see Atrial Fibrillation, Ventricular Arrhythmia, and explore Cardiovascular options. For background on rhythm medicines and stroke prevention choices, see Amiodarone Uses Dosage and Eliquis For Atrial Fibrillation. For country-of-origin details, visit Canada. You can also review Xarelto Uses and Apixaban Side Effects for anticoagulant education relevant to AF care.

Ready to proceed? Order sotalol online with prompt, express shipping and US shipping from Canada. Prescription required; always follow your clinician’s directions. This page is informational and not a substitute for professional medical advice or the approved product label.