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What the FDA labels say about taking them together

Moxifloxacin and sotalol

Moxifloxacin's FDA label of March 17, 2026 names sotalol in its drug interactions section; the sotalol labels PlainMeds reads (3) do not name moxifloxacin. The moxifloxacin label: “Sotalol, a Class III antiarrhythmic, has been shown to further increase the QTc interval when combined with high doses of intravenous moxifloxacin in dogs.”

Check it at the source: the moxifloxacin FDA label on DailyMed (effective March 17, 2026, Macleods Pharmaceuticals Limited); the sotalol FDA label on DailyMed (effective December 16, 2024, Legacy Pharma USA, Inc.).

What does the moxifloxacin label say about sotalol?

Moxifloxacin label, drug interactions

Sotalol, a Class III antiarrhythmic, has been shown to further increase the QTc interval when combined with high doses of intravenous moxifloxacin in dogs.

Moxifloxacin label, warnings and precautions

Known prolongation of the QT interval Ventricular arrhythmias including torsade de pointes because QT prolongation may lead to an increased risk for these conditions Ongoing proarrhythmic conditions, such as clinically significant bradycardia and acute myocardial ischemia, Uncorrected hypokalemia or hypomagnesemia Class IA (for example, quinidine, procainamide) or Class III (for example, amiodarone, sotalol) antiarrhythmic agents Other drugs that prolong the QT interval such as cisapride, erythromycin, antipsychotics, and tricyclic antidepressants Elderly patients using intravenous moxifloxacin may be more susceptible to drug-associated QT prolongation [see Use In Specific Populations ( 8.5 …

Moxifloxacin label (Fresenius Kabi USA, LLC, May 6, 2024), warnings and precautions

The drug should be avoided in patients with known prolongation of the QT interval, patients with uncorrected hypokalemia and patients receiving Class IA (for example, quinidine, procainamide) or Class III (for example, amiodarone, sotalol) antiarrhythmic agents, due to the lack of clinical experience with the drug in these patient populations.

Source: FDA drug label (Moxifloxacin, NDA205572), Fresenius Kabi USA, LLC, effective May 6, 2024 (SPL set a4e28b09-714b-46e7-b4e6-0163cad78fc5), via openFDA

Source: FDA drug label (Moxifloxacin), Macleods Pharmaceuticals Limited, effective March 17, 2026 (SPL set 182ecd0f-714f-42f0-9b16-fb604cf15786), via openFDA; the full label on DailyMed

What does the sotalol label say about moxifloxacin?

Sotalol's label (effective December 16, 2024) and its 2 other brand-application labels do not name moxifloxacin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (BETAPACE), Legacy Pharma USA, Inc., effective December 16, 2024 (SPL set a6a7702f-36c9-45db-b640-453dc324baee), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

32Moxifloxacin generic labelers
18Sotalol generic labelers
MoxifloxacinSotalol
Labeled forBacterial infectionsAtrial fibrillation
Boxed warningYesYes
Pharmacy cost (NADAC)$1.60 per mL 0.5% eye drops$0.0707 per tablet 80 mg tablet
Shortage nowA presentation being discontinuedNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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