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  1. Home
  2. Medicine

  3. Sotagard 40mg Tablet

Prescription drug
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Sotagard 40mg Tablet, Pack of 1 Tablet
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Extra 15% Off with Bank Offers

Composition :

SOTALOL-40MG

Manufacturer/Marketer :

GlaxoSmithKline Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

About Sotagard 40mg Tablet

Sotagard 40mg Tablet is used to treat arrhythmia or any other heart condition associated with an irregular heartbeat, such as fibrillation (irregular heartbeat) and tachycardia (too fast heartbeat). Arrhythmia is a problem with the rate at which the heart beats.

Sotagard 40mg Tablet contains Sotalol, which works by blocking abnormal electrical signals in the heart, helping control the heart's irregular and normal beats.

In some cases, this medicine may cause side effects such as fatigue, slow heart rate, dizziness, weakness, and breathlessness. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Sotagard 40mg Tablet should be taken as prescribed by your doctor. It can be taken with or without food. You are advised to take Sotagard 40mg Tablet for as long as your doctor has prescribed it, depending on your medical condition.

Sotagard 40mg Tablet should be avoided if allergic to it or other components of the formulation. Inform your doctor if you are pregnant or are planning to get pregnant, are breastfeeding, have liver disease, kidney disease, thyroid problems, heart failure, a heart valve problem, or have a history of a heart attack.

Uses of Sotagard 40mg Tablet

Sotagard 40mg Tablet is used in the treatment of Arrhythmia (irregular heartbeat). The detailed uses of Sotagard 40mg Tablet are as follows:

  • Treats Irregular Heartbeat (Arrhythmia): Sotagard 40mg Tablet helps regulate heart rate and rhythm by controlling abnormal electrical signals in the heart.
  • Prevents recurrence of cardiac rhythm issues: Sotagard 40mg Tablet lowers the risk of complications by preventing episodes of rapid or irregular heartbeats, including atrial fibrillation and ventricular arrhythmias.

Have a query?

Directions for Use

  • Take Sotagard 40mg Tablet one to two hours before meals, or as advised by the doctor. Do not take it with milk.
  • Adhere to your doctor’s guidance regarding the dosage and timing of this medication for optimal effectiveness.
  • Swallow Sotagard 40mg Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

Medicinal Benefits

  • Sotagard 40mg Tablet belongs to a group of medications known as 'anti-arrhythmia' drugs, containing Sotalol.
  • It works by blocking abnormal electrical signals in the heart, which helps control irregular heartbeats and restore normal heart rhythm.
  • It effectively helps to treat problems associated with an irregular heartbeat.

How Sotagard 40mg Tablet Works

Sotagard 40mg Tablet contains Sotalol, a beta-blocker primarily used to treat an irregular heartbeat. It works by blocking abnormal electrical signals in the heart, which helps control the heart's uneven beating and normal beat in conditions such as atrial or ventricular fibrillation (a rapid contraction of heart muscle), atrial flutter (pounding or racing heartbeat), and tachycardia (heavy heartbeat more than 100 beats/min).

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.
Side effects of Sotagard 40mg 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.

What if I have taken an overdose of Sotagard 40mg Tablet

Do not take more than the prescribed dose of Sotagard 40mg Tablet as it may cause serious adverse effects. If you suspect you have taken an overdose, please consult a doctor immediately.

Drug Warnings

  • Inform your doctor if you have had an allergic reaction to Sotagard 40mg Tablet, 
  • Also, let your doctor know if you are pregnant or are planning to get pregnant, are breastfeeding, or have liver disease, kidney disease, untreated phaeochromocytoma (vascular tumour of adrenal medulla), a thyroid problem, heart failure, a heart valve problem, or a history of a heart attack.
  • Tell your doctor about all the prescription and over-the-counter medications you use, including vitamins, minerals, herbal products and drugs prescribed by other doctors.
  • You must closely monitor your blood pressure and heart rate while taking Sotagard 40mg Tablet.
  • Do not start using a new medication without telling your doctor.
  • Lifestyle changes are beneficial for achieving optimal outcomes with Sotagard 40mg Tablet and for keeping blood pressure under control.
  • Do not abruptly stop taking Sotagard 40mg Tablet, as it may lead to withdrawal symptoms like an irregular heartbeat, which can be really fatal.

Drug-Drug Interactions

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SotalolLevofloxacin
Critical
SotalolOfloxacin
Critical

Drug-Drug Interactions

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SotalolLevofloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Using Sotagard 40mg Tablet together with levofloxacin 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 Levofloxacin with Sotagard 40mg Tablet is generally avoided as it can result in an interaction, it can be taken if your doctor has advised it. 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.
SotalolOfloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Coadministration of Ofloxacin with Sotagard 40mg Tablet can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Ofloxacin with Sotagard 40mg 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.
SotalolThioridazine
Critical
How does the drug interact with Sotagard 40mg Tablet:
Using thioridazine together with Sotagard 40mg 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 Sotagard 40mg 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.
SotalolLomefloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Using Sotagard 40mg 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 Sotagard 40mg 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.
SotalolMoxifloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Combining Moxifloxacin with Sotagard 40mg 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 Sotagard 40mg 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.
SotalolCiprofloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Coadministration of Sotagard 40mg Tablet together with ciprofloxacin can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Taking Sotagard 40mg 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.
SotalolArbutamine
Critical
How does the drug interact with Sotagard 40mg Tablet:
Coadministration of Sotagard 40mg Tablet and arbutamine can affect the rhythm of heart.

How to manage the interaction:
Taking Sotagard 40mg 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 Sotagard 40mg Tablet:
Co-administration of Ziprasidone together with Sotagard 40mg 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 Sotagard 40mg 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.
SotalolGatifloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Taking Sotagard 40mg 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 Sotagard 40mg 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.
SotalolSparfloxacin
Critical
How does the drug interact with Sotagard 40mg Tablet:
Using Sotagard 40mg 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 Sotagard 40mg 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.

Drug-Food Interactions

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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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Diet & Lifestyle Advise

  • Keep your weight under control with a BMI of 19.5-24.9.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Limit your intake of sodium chloride (table salt) to 2300 mg per day or less; 1500 mg or less is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two servings for men is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily, and if there is excessive fluctuation, contact your doctor immediately.
  • Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to help lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTIARRHYTHMICS

Sotagard 40mg Tablet Substitute

Substitutes safety advice
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Alcohol

Unsafe

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

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Pregnancy

Consult your doctor

Sotagard 40mg Tablet 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

Sotagard 40mg Tablet is known to pass through the breast milk. So, breastfeeding women should not take Sotagard 40mg Tablet.

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Driving

Caution

Sotagard 40mg Tablet 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 Sotagard 40mg Tablet. 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 Sotagard 40mg Tablet. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

bannner image

Children

Unsafe

Sotagard 40mg Tablet is not recommended for children below 12 years of age as the safety and efficacy of this medicine are not established.

FAQs

Sotagard 40mg Tablet 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.

Sotagard 40mg Tablet contains Sotalol that works by blocking abnormal electrical signals in the heart, which helps control the uneven beating of the heart and helps to beat normally.

Taking Sotagard 40mg Tablet 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 Sotagard 40mg Tablet.

Do not abruptly stop taking Sotagard 40mg Tablet 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.

Sotagard 40mg Tablet 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.

Sotagard 40mg Tablet is known to cause fluctuations in sugar level. So, if a patient has diabetes, Sotagard 40mg Tablet should be taken with caution and regular monitoring of blood sugar level is required.

Sotagard 40mg Tablet 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.

Sotagard 40mg Tablet 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 Sotagard 40mg Tablet, 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.

Sotagard 40mg Tablet 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. Sotagard 40mg Tablet 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 Sotagard 40mg Tablet, as it may worsen the dizziness.

Country of origin

India
Other Info - SO66858

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Oct 30, 2025 | 11:00 AM IST

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Reference

  1. https://www.drugs.com/mtm/sotalol.html
  2. https://www.medicines.org.uk/emc/files/pil.7039.pdf
  3. https://www.nhs.uk/medicines/sotalol/#:~:text=Sotalol%20is%20a%20type%20of,pump%20blood%20around%20your%20body.
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