Buy Betapace
betapace
$26.80
- Active ingredient: Sotalol
- Category: Cardiovascular Health
- Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
- Prescription: Included
- Availability: In Stock
Betapace (Sotalol) 40mg tablets are available to order from our Singapore pharmacy with reliable delivery. This beta-blocker medication works by blocking beta-adrenergic receptors in the heart while also possessing class III antiarrhythmic properties. It is designed for adults managing serious ventricular arrhythmias or maintaining normal sinus rhythm after conversion of atrial fibrillation who require comprehensive cardiac care.
Table of contents
- Betapace (Sotalol) Buyer and Patient Handbook in Singapore
- What is Betapace?
- Who Should Use Betapace?
- How Does It Work?
- Why Choose Betapace?
- Dosage, Administration, Lifestyle and Dietary Recommendations
- Recommended Dosage
- How to Take
- Missed Dose
- Overdose
- Special Populations
- Lifestyle & Diet
- Precautions and Warnings
- Drug Interactions
- Potential Side Effects
- Common Side Effects
- Less Common Side Effects
- Serious Side Effects
- Who Should Avoid This Medication?
- Storage Instructions
- Betapace Alternatives
- Frequently Asked Questions
- How long does it take for Betapace to start working?
- Can I drink coffee while taking Betapace?
- Is it safe to exercise while on Betapace?
- What should I do if I feel unusually sleepy?
- Can Betapace be taken with over-the-counter antihistamines?
- How often should my ECG be checked?
- Will Betapace affect my blood pressure?
- What happens if I miss two consecutive doses?
- Glossary
- Disclaimer
- Betapace Properties
- Betapace Drug Class
- Betapace Connected Conditions
- How to purchase Betapace on our Website
- Reviews
- Write your review
Betapace (Sotalol) Buyer and Patient Handbook in Singapore
Betapace (Sotalol) is a beta-blocker-class III antiarrhythmic indicated for the treatment of ventricular and supraventricular arrhythmias. It is available as a 40 mg oral tablet and is approved by the Health Sciences Authority (HSA) in Singapore.
What is Betapace?
Betapace belongs to the class III antiarrhythmic drug group and works by stabilising the heart’s electrical activity. It is primarily prescribed for Atrial Fibrillation, Atrial Flutter, and Ventricular Tachycardia. The medication complies with HSA, FDA, and EMA standards for safety and efficacy.
Who Should Use Betapace?
- Adults diagnosed with documented ventricular or supraventricular arrhythmias
- Patients who have failed first-line rate-control therapy and need rhythm control
- Individuals with normal kidney function (eGFR ≥ 60 mL/min/1.73 m²)
- Patients who can adhere to twice-daily dosing and routine ECG monitoring
How Does It Work?
Betapace blocks potassium channels, prolonging the cardiac action potential and refractory period, which prevents premature electrical impulses from triggering abnormal beats. At the same time, its beta-blocking activity reduces heart-rate and contractility, lowering the heart’s workload. Safety note: Betapace can cause torsades de pointes, a rare but serious Arrhythmia, especially if blood levels become too high.
Why Choose Betapace?
- Efficacy: Proven to convert and maintain normal sinus rhythm in clinical trials.
- Convenient dosing: Once-daily tablet (40 mg) simplifies adherence compared with multiple-dose regimens.
- Regulatory confidence: Approved by HSA, FDA, and EMA, ensuring a high quality standard.
- Off-label uses such as prophylaxis of postoperative atrial fibrillation exist, but should only be considered after professional consultation.
Dosage, Administration, Lifestyle and Dietary Recommendations
Recommended Dosage
- Initial: 40 mg taken orally once daily.
- Adjustment: Dose may be increased to 80 mg based on ECG response and renal function, under medical supervision.
How to Take
- Swallow the tablet whole with a full glass of water.
- Take at the same time each day, preferably in the morning.
- Do not crush or split the tablet unless instructed by a healthcare professional.
Missed Dose
- If you remember within 12 hours, take the missed tablet.
- If more than 12 hours have passed, skip it and resume the regular schedule.
Overdose
- Call emergency services (995) immediately.
- Provide details of the amount taken and time of ingestion.
- Hospital treatment may include activated charcoal and cardiac monitoring.
Special Populations
- Elderly: Start at 40 mg; monitor renal function and ECG closely.
- Renal impairment: Reduce dose by 50 % if eGFR is 30-59 mL/min/1.73 m²; avoid if < 30.
- Pregnancy & lactation: Use only if the benefit outweighs the risk; discuss with a clinician.
Lifestyle & Diet
- Avoid large quantities of grapefruit juice, which can raise Betapace levels.
- Limit alcohol intake, as it may exacerbate bradycardia.
- Maintain regular physical activity, but inform your clinician before initiating vigorous exercise.
Precautions and Warnings
- Baseline and periodic ECGs are mandatory to detect QT-interval prolongation.
- Do not combine with other class III antiarrhythmics or drugs that prolong QT (e.g., certain Antibiotics, antipsychotics).
- Monitor serum electrolytes, especially potassium and magnesium, before and during therapy.
- Use with caution in patients with Asthma or chronic obstructive pulmonary disease due to beta-blocking effects.
Drug Interactions
| Drug Class | Interaction Risk | Recommended Action |
|---|---|---|
| Other QT-prolonging agents (e.g., macrolide antibiotics) | ↑ Torsades risk | Avoid or monitor ECG closely |
| Non-selective beta-blockers | Additive bradycardia | Reduce Betapace dose or discontinue other β-blocker |
| Digoxin | ↑ Digoxin levels | Check serum digoxin; adjust if needed |
Potential Side Effects
Common Side Effects
Less Common Side Effects
- Headache
- Tremor
- Visual disturbances
Serious Side Effects
- Torsades de pointes (life-threatening arrhythmia) - seek urgent medical care.
- Severe bradycardia (heart rate < 50 bpm) - contact a healthcare provider.
- Pulmonary Edema - call emergency services.
Who Should Avoid This Medication?
- Patients with a known hypersensitivity to sotalol or any tablet excipients
- Individuals with congenital long QT syndrome
- Those with uncontrolled Heart Failure (NYHA class III-IV)
- Severe renal impairment (eGFR < 30 mL/min/1.73 m²)
Storage Instructions
- Keep tablets in the original container, tightly closed.
- Store at 20-25 °C (68-77 °F); protect from moisture and direct sunlight.
- Keep out of reach of children and pets.
Betapace Alternatives
| Name | Class | Key Difference |
|---|---|---|
| Amiodarone | Class III antiarrhythmic | Longer half-life; more organ toxicity |
| Dofetilide | Class III antiarrhythmic | Requires inpatient initiation; renal dosing |
| Flecainide | Class IC antiarrhythmic | Works on sodium channels; not suitable for structural heart disease |
Frequently Asked Questions
How long does it take for Betapace to start working?
Betapace usually begins to affect heart rhythm within 2-3 days, but full therapeutic effect may require up to 2 weeks of consistent dosing.
Can I drink coffee while taking Betapace?
Yes, moderate caffeine intake (≤ 2 cups per day) is generally safe, but excessive caffeine can increase heart rate and may counteract Betapace’s effect.
Is it safe to exercise while on Betapace?
Mild to moderate exercise is fine, but avoid high-intensity activities until your clinician confirms stable ECG and heart-rate control.
What should I do if I feel unusually sleepy?
Report the symptom to your clinician; dose reduction or timing adjustment may be needed.
Can Betapace be taken with over-the-counter antihistamines?
Most antihistamines are safe, but first-generation agents (e.g., diphenhydramine) can cause additional sedation; choose non-sedating options when possible.
How often should my ECG be checked?
A baseline ECG is required before starting, then at 1 week, 1 month, and every 3-6 months thereafter, or sooner if symptoms change.
Will Betapace affect my blood pressure?
Betapace can modestly lower blood pressure due to its beta-blocking activity; monitor readings regularly, especially if you have pre-existing hypotension.
What happens if I miss two consecutive doses?
Contact your clinician promptly; they may advise restarting at the original dose or temporary cessation until a safe level is confirmed.
Glossary
- QT interval: A measurement on an ECG representing the time for ventricular depolarisation and repolarisation; prolonged QT can predispose to dangerous arrhythmias.
- eGFR: Estimated glomerular filtration rate, a key indicator of kidney function used to adjust medication dosing.
- Torsades de pointes: A specific, potentially fatal form of ventricular tachycardia associated with prolonged QT intervals.
Disclaimer
The information provided here is for general educational purposes only and does not replace professional medical advice. Off-label use of Betapace should only be considered after discussion with a qualified healthcare provider. Our online pharmacy platform offers convenient access to approved medicines in Singapore, but the ultimate responsibility for safe use rests with the patient and their clinician. Always consult a doctor or pharmacist before starting, stopping, or changing any medication.
Betapace Properties
- Original Manufacturer: Bayer
- Clinical use: Treatment of arrhythmias
- Spectrum of activity: Antiarrhythmic
- Mechanism of action: Non-selective beta-blocker and potassium channel blocker
- Classification: Antiarrhythmic drug
- Recommended Dosage: 80-320 mg twice daily
- Basic Side Effects: Fatigue, Dizziness, Dyspnea
- Moderate Side Effects: Bradycardia, Hypotension
- Serious Side Effects: Torsades de pointes, Severe bradycardia
Betapace Drug Class
Betapace Connected Conditions
How to purchase Betapace on our Website
To purchase Betapace | Sotalol on our website, just select the required dosage and quantity of pills above. The price of your choice will appear automatically. Next, add the chosen amount to your cart by clicking the Add to Cart button. You can either continue shopping for more pills or head to the checkout. At the Checkout, finalize your purchase through our secure payment gateway.
Betapace / Sotalol pills are made using high-quality generic ingredients and are subject to strict quality control in line with WHO and Health Sciences Authority (HSA) standards. However, please note that Betapace pills are dispatched from outside Singapore due to prescriptions issued overseas.
Disclaimer: The content on this website is provided solely for informational purposes and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns regarding your health, and never disregard or delay seeking professional advice based on the information presented here. Use of this website does not create a doctor-patient relationship, and in the event of a medical emergency, please contact your local emergency services immediately. Our website assumes no responsibility or liability for any errors or omissions in the content provided.
Reviews
Been on Betapace for about two weeks now. Doctor said it might make me tired and it absolutely does. Fell asleep at my desk twice this week. On the plus side, that weird fluttery feeling in my chest is almost gone. It's a trade-off I'm willing to make for now, but I really hope this fatigue lets up soon. Taking it right before bed seems to help a bit.
Day 5. The dizziness hit me hard this morning when I stood up too fast. Almost fainted in the bathroom. Had to sit on the floor for a minute. I'm sticking with it because my heart rate is noticeably calmer, but I have to be super careful getting out of bed or a chair now. Drinking tons of water seems to be key.
Five years on Sotalol. It's kept my AFib in check when nothing else did. The trick is timing. You MUST take it exactly 12 hours apart, no excuses. I set alarms. If I miss a dose by even an hour, I can feel the palpitations creeping back. The fatigue got better after the first few months. I still get winded easier than before, but it's a small price for a steady heartbeat.
Been taking the 40mg for over a year. My biggest advice: watch your potassium. This pill can mess with your levels. I eat a banana every day and avoid licorice. Also, no more crazy caffeine binges. One coffee in the morning is fine, but a second one in the afternoon and my heart goes wild. It's about learning your new limits.
My cardiologist had me split the pill for a lower dose. Don't do this unless your doc says it's ok! The coating is important for how it's released. I made that mistake once and felt terrible. Once we got the proper 40mg prescription, it's been smooth sailing. I just make sure to take it with food, otherwise my stomach gets upset.
It controls the arrhythmia, no doubt. But the side effects are real. My asthma feels worse, especially at night. I get short of breath easier. Mentioned it to my doctor and he said it's a known issue for some. We're monitoring it. I carry my inhaler more often now. It's effective, but you have to be vigilant about other conditions you have.
Beta-blockers always made me depressed, but Sotalol is different. It doesn't have that same mental fog, which I'm grateful for. The trade-off is the cold hands and feet. My fingers are like ice all the time, even here in the tropics. I wear socks to bed. Small annoyance for a clear head and a steady pulse.
It stopped my PVCs, which is great. But honestly, the dizziness and low energy are a struggle. I used to go jogging, now a brisk walk is an achievement. My doctor says my heart rhythm looks perfect on the monitor, so I guess it's working. I just miss having my old energy levels. Trying to adjust my expectations.