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Do not skip doses or stop using Betapace without your doctor’s adviceStopping suddenly may make your condition worseFollow your doctor’s instructions about tapering your dose.

Long-term administration of beta blockers should not be routinely discontinued before major surgeryhoweverimpaired ability of the heart to respond to reflex adrenergic stimuli may augment the risks of general anesthesia and surgical procedures.

Sotalol is used to treat abnormal heart rhythms such as ventricular arrhythmiasfor exampleventricular tachycardiathat are life threatening and atrial fibrillationIt is not used for less severe abnormal heart rhythmsSotalol should not be used in patients with bronchial asthmasinus bradycardiasecond and third degree AV blockunless a functioning pacemaker is presentIt also should not be used in people with congenital or acquired long QT syndromescardiogenic shockuncontrolled congestive heart failureand people who are allergic to sotalol.

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