Can sotalol cause hyperkalemia? Hyperkalemia, along with reduced renal clearance of sotalol, can lead to cardiac arrhythmias. Are beta blockers over the counter? Beta - blockers are a prescription medication and cannot be purchased over the counter. Why is sotalol prescribed? It is also used to treat certain fast/irregular heartbeats (atrial fibrillation/flutter) in patients with severe symptoms such as weakness and shortness of breath. Sotalol helps to lessen these symptoms. It slows the heart rate and helps the heart to beat more normally and regularly.
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