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Sotalol

Sotalol Side Effects

Robert Chad Hakim, PharmD, BCCCPConnie Zheng, PharmD
Reviewed by Robert Chad Hakim, PharmD, BCCCP, Connie Zheng, PharmD
Last reviewed on June 20, 2023

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Tiredness (up to 20%)
  • Dizziness (up to 16%)
  • Low heart rate (up to 13%)
  • Headache (up to 12%)
  • Trouble breathing (up to 10%)

Less Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • General weakness

Sotalol serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Abnormal heart rhythm: chest pounding, irregular heart beat, chest pain, trouble breathing, feeling faint or lightheaded
  • Dangerously low heart rate or blood pressure: dizzy or lightheaded, faint, chest pain, shortness of breath, fatigue, pale skin
  • Heart failure: unexplained weight gain, fluid buildup in legs or feet, trouble catching your breath
  • Bronchospasm: trouble breathing, tightness in the chest, wheezing, cough, tiredness, dizziness
  • Severe allergic reaction: swelling of your lips, tongue, throat, or face, trouble breathing, rash
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Source: DailyMed

The following Sotalol side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Blurred vision

chest pain or discomfort

confusion

difficult or labored breathing

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

fast, slow, irregular, pounding, or racing heartbeat or pulse

lightheadedness, dizziness, or fainting

nausea and vomiting

sweating

swelling of the face, fingers, feet, or lower legs

tightness in the chest

unusual tiredness or weakness

Less common

Abdominal or stomach pain or swelling

body aches or pain

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

cough or hoarseness

decreased alertness

difficulty with speaking

dilated neck veins

double vision

extreme fatigue

feeling of warmth or heat

fever or chills

flushing or redness of the skin, especially on the face and neck

headache

inability to move the arms, legs, or facial muscles

inability to speak

irregular breathing

joint pain or swelling

loss of voice

lower back or side pain

nervousness

noisy breathing

painful, burning, or difficult urination

pounding in the ears

slow speech

weight gain

Rare

Fast breathing

pinpoint red spots on the skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Anxiety

cold sweats

cool, pale skin

depression

increased hunger

nightmares

seizures

shakiness

slurred speech

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Acid or sour stomach

difficulty with sleeping

heartburn or indigestion

pain in the arms or legs

Less common

Changes in vision

decreased sexual performance or desire

loss of appetite

mood changes

night blindness

passing gas

skin rash

weight changes

Rare

Feeling of constant movement of self or surroundings

hair loss or thinning of the hair

itching skin

muscle aching or cramping

muscle pains or stiffness

quick to react or overreact emotionally

sensation of spinning

severe sunburn

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Robert Chad Hakim, PharmD, BCCCP, started his full-time career as a clinical pharmacist at UCLA Health in the general medicine, general cardiology, and ICU units after completing residency in 2016. He also was the preceptor for the general medicine rotation from 2017 to 2021, which was a required rotation for all pharmacy residents.
Connie Zheng, PharmD, is a drug information pharmacist at GoodRx and a licensed pharmacist in California. She has over 6 years of experience working in independent pharmacies.

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