Betapace medication - online prescription available

Betapace (sotalol) can help if you are suffering from an irregular heartbeat. Get a same-day prescription or refill of Betapace from a caring, board-certified doctor online.*

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Treats certain types of arrhythmias

Helps the heart beat more slowly and regularly

Follow full course for effective treatment

*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Betapace

Betapace is considered a antiarrhythmic, which functions by slowing the heart rate and helping it beat more slowly and regularly. Like any antiarrhythmic, this medication can only be used for those diagnosed with certain heart conditions that cause an abnormal rhythm.

Some conditions that Betapace is used to treat include certain types of arrhythmias. Betapace is available only by prescription. It is available in a generic formulation as sotalol, as well as under different brand names, including Sorine, Sotylize, and Betapace AF. 

Betapace may be prescribed as tablets and oral sotalol. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage that you are prescribed.

If you are prescribed Betapace, be sure to take as prescribed and follow up with your doctor to monitor specific measurements of your heartbeat.

If you don’t complete your prescription, the antiarrhythmic may not fully treat your irregular heartbeat, which can be dangerous.

Betapace uses

There are many FDA-approved uses for Betapace, but it may also be used off-label to treat other conditions. Your online clinician may prescribe it for any of the following common reasons. It’s also possible that your doctor may prescribe it for other reasons not listed here. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • Atrial fibrillation or flutter (AFib)

    Atrial fibrillation and atrial flutter are abnormal heartbeats that can cause heart attacks and strokes.

  • Ventricular arrhythmias

    Ventricular arrhythmias are one of the most dangerous heartbeats and can be life-threatening if not treated immediately.

  • Supraventricular tachycardia

    Betapace may be used off-label to treat supraventricular tachycardia, which is a fast heartbeat that can turn into a life-threatening situation.

Betapace side effects

  • The side effects associated with taking sotalol are typically mild, but can be severe if not monitored properly. Any medication may cause side effects, and Betapace is no exception. Common mild possible side effects of sotalol treatment include:

    Serious side effects, which are less common, could include:

    • Slower heartbeat

    • Chest pain

    • Trouble breathing

    • Prolonged QT interval on a ECG

    • Pain in your legs or arms

    • Low blood pressure

    • Skin sensitivities

    • Pulmonary edema

    You should call your doctor for medical advice if you notice any of these side effects, or if you develop any other new or concerning symptoms. Get medical help if any of these side effects do not go away.

How to take Betapace prescription medication

Your pharmacist will provide you with instructions on how to take your Betapace prescription.

Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Betapace can come in different forms and doses, so be sure to follow the specific instructions on your prescription. It is typically prescribed twice daily. Initial starting dose amounts may be increased based on response and tolerability. Your doctor will prescribe the appropriate dosing interval for you.

The starting dosage of Betapace is usually an 80 mg dose of sotalol taken twice a day.

Always follow your doctor’s dosing instructions. Your doctor may recommend regular blood tests while taking this medication.

What to avoid while taking Betapace

Betapace has 159 drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

Betapace can cause serious interactions with other medications. Tell your doctor and pharmacist about all of your medications (prescription, over-the-counter, natural products, and vitamins) to make sure it is safe to take. Especially be sure to mention if you take any of the following:

  • Other beta-blockers like propranolol (Inderal), atenolol (Tenormin), or metoprolol (Lopressor)

  • Antacids containing magnesium hydroxide and aluminum oxide

  • Calcium channel blockers like diltiazem (Dilacor, Cardizem, Tiazac) or verapamil (Isoptin, Verelan, Calan, Covera-HS)

  • Digoxin

  • Insulin

Do not start, stop, or change the dose of Betapace without checking with your doctor. It is important to check your blood pressure and heart rate when taking Betapace.

Ask your doctor if it is acceptable to drink alcohol while taking Betapace.

Medication alternatives to Betapace

If your healthcare provider prefers to put you on another treatment altogether, they may suggest another beta-blocker or an antiarrhythmic in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Betapace prescription FAQs

  • How much does Betapace cost?

    The generic for Betapace, sotalol, can cost around $15 for a supply of 60 80mg tablets. Price varies with insurance coverage and depending on the pharmacy. You can find the lowest price at nearby pharmacies and save up to 80% on prescriptions as a PlushCare member with our in-app Rx Price Finder and prescription discount card.

  • How can I refill my Betapace prescription?

    Betapace is only available by prescription, so you can book an appointment with one of our board-certified doctors to get a refill on your prescription online. Your prescription will then be sent to your local pharmacy for pickup if you qualify.

  • Who should not take Betapace?

    While Betapace is generally considered safe, it is not appropriate for everybody. Always tell your doctor about your current prescriptions, allergies, and past and current medical history before taking any medication, including Betapace.

    Betapace should not be taken if you have certain medical conditions. Always disclose your full medical history with your doctor. With Betapace, be especially sure to mention any of the following:

    • Heart problems like coronary artery disease, recent heart attack, heart failure, or family or personal history of long QT Syndrome

    • Severe kidney problems

    • Thyroid problems

    • Slow heartbeats that have made you faint

    • Diabetes

    • Asthma or other breathing disorders

    • Electrolyte imbalances like low potassium or magnesium levels

  • What happens if I miss a dose of Betapace?

    Skip the missed dose of Betapace and go back to your normal time. Do not take two doses at the same time or extra doses.

  • What happens if I take too much Betapace?

    Overdose can cause deadly heartbeats and death. Call your local poison control center or seek medical attention immediately if you think you took too much of this medication.

  • What are the benefits of Betapace?

    Betapace slows fast or irregular heartbeats which can be potentially fatal.

  • What does the drug sotalol do?

    Sotalol helps slow your heart rate to safe levels and works against abnormal heart rhythms.

  • Is sotalol a high risk medication?

    Sotalol can be a life-saving medication when used as prescribed.

  • Is sotalol and metoprolol the same?

    Sotalol and metoprolol are similar in chemical makeup, but are not the same drug.

  • Does Betapace lower blood pressure?

    Betapace lowers your blood pressure and heart rate.

3 simple steps to request your Betapace prescription online

Step 1

Book a Betapace prescription request appointment.

Book a same-day appointment from anywhere.

Step 2

Talk to your clinician regarding your Betapace prescription.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up your Betapace prescription.

We can send prescriptions to any local pharmacy.

Betapace prescription pricing details

How pricing works

To get a new or refill on your Betapace prescription, join our monthly membership and get discounted visits.

Paying with insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • Cigna

Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

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If we're unable to treat you, we'll provide a full refund.


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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.