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Sotalol, also known by its brand name Betapace, is a medication prescribed for managing certain types of fast and irregular heart rhythms, such as sustained ventricular tachycardia and atrial fibrillation/flutter. It is particularly beneficial for patients experiencing severe symptoms like weakness and shortness of breath. Sotalol functions as both a non-selective beta blocker and a potassium channel blocker, effectively slowing the heart rate and promoting a more regular heartbeat by blocking specific potassium channels and beta receptors in the heart. It is generally administered orally, typically twice a day, and treatment often begins in a hospital setting where healthcare professionals can closely monitor your heart rhythm and check for any potential side effects. This medication may interact with other drugs, including some blood pressure medications and antacids, so it is important to consult with your healthcare provider for advice specific to your condition. Sotalol is available in both generic and brand name forms.