Sotalol
Antiarrhythmic — CARDIOVASCULAR SYSTEM
Also known as: DL-Sotalol, sotalol HCl, sotalol hydrochloride, sotylize
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Sotalol is an ofp drug in the Antiarrhythmic class catalogued in DrugCentral. It was first approved by the FDA in 1992. Its mechanism of action is classified as Adrenergic beta-Antagonists. DrugCentral lists 5 molecular targets, including ADRB2, ADRB2 and ADRB1. Recorded indications include Atrial fibrillation and Life-Threatening Ventricular Tachycardia.
- Approval status: ofp (first approved 1992 by the FDA).
- Drug class: Antiarrhythmic.
- Mechanism of action: Adrenergic beta-Antagonists.
- Molecular targets: ADRB2, ADRB2, ADRB1 and ADRB2 (5 listed in DrugCentral).
- Indications: Atrial fibrillation and Life-Threatening Ventricular Tachycardia.
- ATC code: C07AA07 (Beta blocking agents, non-selective).
- Molecular formula: C12H20N2O3S; molecular weight 272.36 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (2)
- Atrial fibrillation
- Life-Threatening Ventricular Tachycardia
Contraindications (18)
- Anaphylaxis
- Asthma
- Bronchospasm
- Cardiogenic shock
- Complete atrioventricular block
- Congenital long QT syndrome
- Decompensated cardiac failure
- Diabetes mellitus
- Hypokalemia
- Hypomagnesemia
- Impaired renal function disorder
- Low blood pressure
- Pregnancy, function
- Prolonged QT interval
- Second degree atrioventricular block
- Sick sinus syndrome
- Sinus bradycardia
- Torsades de pointes
Mechanism & targets
| Mechanism of action (MoA) | Adrenergic beta-Antagonists |
|---|---|
| Established pharmacologic class | Antiarrhythmic |
Molecular targets (5)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Beta-2 adrenergic receptor | ADRB2 | antagonist | Ki 6.90 |
| Beta-2 adrenergic receptor | ADRB2 | unknown | Kd 6.24 |
| Beta-1 adrenergic receptor | ADRB1 | antagonist | Ki 6.10 |
| Beta-2 adrenergic receptor | ADRB2 | unknown | IC50 5.30 |
| Potassium voltage-gated channel subfamily H member 2 | KCNH2 | blocker | Ki 4.00 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1992-10-30 | FDA | — | COVIS PHARMA SARL | Yes |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
C07AA07 | CARDIOVASCULAR SYSTEM › BETA BLOCKING AGENTS › BETA BLOCKING AGENTS › Beta blocking agents, non-selective |
C07BA07 | CARDIOVASCULAR SYSTEM › BETA BLOCKING AGENTS › BETA BLOCKING AGENTS AND THIAZIDES › Beta blocking agents, non-selective, and thiazides |
C07FX02 | CARDIOVASCULAR SYSTEM › BETA BLOCKING AGENTS › BETA BLOCKING AGENTS, OTHER COMBINATIONS › Beta blocking agents, other combinations |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Accidental poisoning | 1463.7 |
| Electrocardiogram QT prolonged | 674.6 |
| Atrial fibrillation | 546.5 |
| Torsade de pointes | 517.6 |
| Bradycardia | 386.0 |
| Ventricular tachycardia | 366.6 |
| Drug interaction | 210.3 |
| Hypotension | 190.2 |
| Arrhythmia | 145.4 |
| International normalised ratio increased | 138.0 |
| Long QT syndrome | 134.5 |
| Palpitations | 123.0 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Sotalol is on its molecule page.
| Molecular formula | C12H20N2O3S |
|---|---|
| Molecular weight | 272.36 g/mol |
| CAS number | 3930-20-9 |
| InChIKey | ZBMZVLHSJCTVON-UHFFFAOYSA-N |
| PubChem CID | 5253 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Sotalol used for?
DrugCentral lists the following indications for Sotalol: Atrial fibrillation and Life-Threatening Ventricular Tachycardia.
How does Sotalol work?
Sotalol is classified as Adrenergic beta-Antagonists; its molecular targets in DrugCentral include ADRB2 (antagonist), ADRB2, ADRB1 (antagonist) and ADRB2.
When was Sotalol first approved?
Sotalol was first approved by the FDA in 1992.
What drug class does Sotalol belong to?
Sotalol is in the Antiarrhythmic class.
What is the chemical formula of Sotalol?
Sotalol has the molecular formula C12H20N2O3S and a molecular weight of 272.36 g/mol.
Browse: all drugs starting with S · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 2464 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1700 — compound record and bioactivity
- PubChem CID 5253 — chemical identifiers
- DrugBank DB00489 — drug record
- FDA UNII A6D97U294I — substance identity
- DailyMed: FDA labels for Sotalol — current prescribing information (label search)
- UniProt P07550 (ADRB2) — target protein
- UniProt P08588 (ADRB1) — target protein
- UniProt Q12809 (KCNH2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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