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Drug side effects

sotalol Side Effects

The reactions most often reported to the FDA for sotalol (also sold as Betapace), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

16,062
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2002 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of sotalol come from 16,062 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 16,062 reports to the FDA Adverse Event Reporting System (FAERS) for sotalol (Betapace): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

16,062

Reports Mentioning Death

1,665

10.4% of reports — not proof the medicine caused the death

Hospitalizations

6,822

42.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

ATRIAL FIBRILLATION
1,179
DYSPNOEA
912
FATIGUE
868
DIZZINESS
734
DIARRHOEA
721
NAUSEA
693
ASTHENIA
625
HYPOTENSION
580
FALL
555
DRUG INTERACTION
503
DEATH
497
MALAISE
474
HEADACHE
453
ELECTROCARDIOGRAM QT PROLONGED
437
PAIN
425
VOMITING
423
GASTROINTESTINAL HAEMORRHAGE
393
ARTHRALGIA
389

Who Reports Side Effects

Gender Distribution

Female 7,412 (50%)
Male 7,287 (50%)
Unknown 21

Age Distribution

0-17 227 (2%)
18-44 526 (5%)
45-64 2,340 (21%)
65-74 3,560 (31%)
75+ 4,755 (42%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 1,665 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 496
COMPLETED SUICIDE 128
CARDIAC ARREST 111
ATRIAL FIBRILLATION 102
DYSPNOEA 91
HYPOTENSION 90
TOXICITY TO VARIOUS AGENTS 86
PNEUMONIA 79
FALL 70
GASTROINTESTINAL HAEMORRHAGE 69
RENAL FAILURE 68
ANAEMIA 66
ACUTE KIDNEY INJURY 64
ASTHENIA 64
FATIGUE 60
RESPIRATORY FAILURE 58
CARDIAC FAILURE CONGESTIVE 56
CARDIO-RESPIRATORY ARREST 54
NAUSEA 53
DIARRHOEA 51

Reactions in Hospitalization Reports

Top reactions in 6,822 reports where hospitalization was an outcome.

Reaction Reports
ATRIAL FIBRILLATION 715
DYSPNOEA 468
HYPOTENSION 394
FALL 370
GASTROINTESTINAL HAEMORRHAGE 364
ASTHENIA 340
FATIGUE 317
DRUG INTERACTION 294
DIARRHOEA 292
DIZZINESS 292
NAUSEA 289
PNEUMONIA 283
BRADYCARDIA 257
ANAEMIA 254
ACUTE KIDNEY INJURY 243
VOMITING 235
ELECTROCARDIOGRAM QT PROLONGED 216
CARDIAC FAILURE CONGESTIVE 213

Compare sotalol vs adenosine →

What the FAERS Data Reveals About sotalol Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 16,062 voluntary reports linked to sotalol and its brand equivalents (Betapace), spanning 2002 through 2025. Of those, 1,665 (10.4%) listed death as an outcome and 6,822 (42.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 50% were female and 50% male; age distribution skews toward 75+, with 4,755 reports in that bracket. The single most reported reaction is atrial fibrillation with 1,179 submissions, followed by dyspnoea and fatigue.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.