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- W2001226784 abstract "Sotalol is a beta-blocking drug devoid of membrane stabilizing properties, as well as intrinsic sympathomimetic actions, or cardioselectivity. In addition, sotalol prolongs atrial and ventricular repolarization (Class III antiarrhythmic activity). It appears to have less myocardial depressant effect than other beta-blocking agents. Given orally, bioavailability of the drug reaches 100%. Sotalol's plasma half-life is 15 hours (range 7-18) and is dependent only on renal function. In clinical practice, it has been found effective in the suppression of nearly all supraventricular and ventricular dysrhythmias except those related to prolonged ventricular repolarization. Most common adverse effects are dyspnea, bradycardia, and fatigue, which results in drug termination in 16% of the cases. Torsades de pointes usually associated with bradycardia and drug induced QTc prolongation has been reported in 1.9%-3.5% of the patients receiving sotalol. This complication may be reduced by limiting the dose (< 640 mg/day) especially in patients with impaired renal function. In addition hypokalemia must be avoided. To sum up, the combination of Class II and Class III effects may carry additional benefits. However, further studies are required to test such hypotheses." @default.
- W2001226784 created "2016-06-24" @default.
- W2001226784 creator A5057472580 @default.
- W2001226784 creator A5068751818 @default.
- W2001226784 date "1995-03-01" @default.
- W2001226784 modified "2023-10-16" @default.
- W2001226784 title "Sotalol: From Just Another Beta Blocker to The Prototype of Class III Antidysrhythmic Compound" @default.
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- W2001226784 doi "https://doi.org/10.1111/j.1540-8159.1995.tb02545.x" @default.
- W2001226784 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/7770366" @default.
- W2001226784 hasPublicationYear "1995" @default.