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Introduction to Sotalol IV

Initiate and discharge patients in less than 1 day* with Sotalol IV.1

Sotalol IV is a faster way to initiate or uptitrate sotalol treatment compared to oral sotalol alone. Just one hour1 of Sotalol IV infusion can achieve the same maximum serum concentration as three days2 of oral sotalol. This faster protocol can lead to patients being discharged from the hospital within 20 to 24 hours,* potentially saving time and resources.

Learn more about Sotalol IV

Case Study: Advantages of Using Sotalol IV as a Loading Dose

Brad Knight, MD discusses the advantages of Sotalol IV at his practice for both patients and nursing staff. Dr. Knight's appearance in this video was sponsored by AltaThera

How to Administer a Loading Dose of Sotalol IV in Adults

This video provides a comprehensive, step-by-step guide to the recommended administration of Sotalol IV as a loading dose in adults, including important steps to complete before, during, and after the drug infusion.

Expedited Loading with Intravenous Sotalol and Mobile ECG Monitoring – Primary Results of the Prospective Evaluation Analysis and Kinetics of IV Sotalol (PEAKS) Registry.

Steinberg BA, Deering TF, Holubkov R, et al. Expedited Loading with Intravenous Sotalol and Mobile ECG Monitoring - Primary Results of the Prospective Evaluation Analysis and Kinetics of IV Sotalol (PEAKS) Registry. Poster Presented at Heart Rhythm Society 2023; May 19 -21, 2023; New Orleans, LA.

Download an introduction to Sotalol IV.

One document containing the basics of dosing, ordering, and more.

Considerations When Implementing Sotalol IV In Your Practice

Brad Knight, MD discusses some considerations when integrating Sotalol IV into your hospital workflow. Dr. Knight's appearance in this video was sponsored by AltaThera. 

Case Study: Advantages of Using Sotalol IV as a Loading Dose

Brad Knight, MD discusses the advantages of Sotalol IV at his practice for both patients and nursing staff. Dr. Knight's appearance in this video was sponsored by AltaThera

How to Administer a Loading Dose of Sotalol IV in Adults

This video provides a comprehensive, step-by-step guide to the recommended administration of Sotalol IV as a loading dose in adults, including important steps to complete before, during, and after the drug infusion.

Case Study: Achieving success when implementing Sotalol IV

We explored what success looked like when implementing a Sotalol IV protocol at an institution with Benjamin Steinberg, MD, MHS, FACP, FACC, FHRS

Review of a Sotalol IV Retrospective Study Presented at ACC.24

We explored a retrospective study on Sotalol IV presented at ACC.24 by Keturah DelGrosso, PharmD, BCPS

An Overview of the Sotalol IV PEAKS Registry

We discussed the Prospective Evaluation Analysis and Kinetics of IV Sotalol (PEAKS) Registry with T. Jared Bunch, MD.

Trends in AFib Practice Patterns

We sat down with T. Jared Bunch, MD to discuss trends in atrial fibrillation and practice patterns in usage of intravenous sotalol.

Expedited Loading with Intravenous Sotalol and Mobile ECG Monitoring – Primary Results of the Prospective Evaluation Analysis and Kinetics of IV Sotalol (PEAKS) Registry.

Steinberg BA, Deering TF, Holubkov R, et al. Expedited Loading with Intravenous Sotalol and Mobile ECG Monitoring - Primary Results of the Prospective Evaluation Analysis and Kinetics of IV Sotalol (PEAKS) Registry. Poster Presented at Heart Rhythm Society 2023; May 19 -21, 2023; New Orleans, LA.

Implementation of an intravenous sotalol initiation protocol: Implications for feasibility, safety, and length of stay.

Liu AY, Charron J, Fugaro D, et al.  Implementation of an intravenous sotalol initiation protocol: Implications for feasibility, safety, and length of stay. J Cardiovasc Electrophysiol. 2023; 34:502‐506. doi:10.1111/jce.15819

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Formulary Resources

Enhance your cardiac treatment options by adding Sotalol IV to your hospital or health system's drug formulary.

Workflow Integration

Learn best practices for integrating Sotalol IV into your clinical workflow.

*Discharge depends on clinical evaluation, renal function, and response to therapy. Patients with GFR ≥ 60 mL/min may be discharged within 20-24 hours; however, timing may vary.

REFERENCES
1 Sotalol IV [package insert]. Chicago, IL: AltaThera Pharmaceuticals; 07/2025.
2 BetaPace AF (sotalol hydrochloride) [Full Prescribing Information]. Zug, CH: Covis Pharma; 06/2023.

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Highlights of Prescribing Information

Boxed Warning, Indications, and Important Safety Information

WARNING: LIFE THREATENING PROARRHYTHMIA

Sotalol can cause life threatening ventricular tachycardia associated with QT interval prolongation. To minimize the risk of drug induced arrhythmia, initiate or uptitrate intravenous sotalol in a facility that can provide continuous electrocardiographic monitoring and cardiac resuscitation [see Dosage and Administration (2.3) and Warnings and Precautions (5.1)].
Do not initiate intravenous sotalol therapy if the baseline QTc is longer than 450 ms. If the QTc prolongs to 500 ms or greater, reduce the dose or discontinue.