Drug interactions
Hawthorn + Sotalol
Severity: Minor
Hawthorn and Sotalol: minor interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Hawthorn has vasodilating and mild negative chronotropic and inotropic effects. In combination with sotalol it could add to the lowering of blood pressure and heart rate, although clinical data are limited.
What this interaction means in plain words
Hawthorn and Sotalol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Hawthorn belongs to Gastrointestinal Tract; Sotalol belongs to Cardiovascular.
Why it happens
Theoretical additive hypotensive and negative chronotropic effects of hawthorn and beta-blockade.
What to do
Monitor blood pressure and heart rate if hawthorn is used with sotalol, and discourage unsupervised use of herbal products in patients with arrhythmia.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Sotalol
- Arsenic trioxide + Sotalol Contraindicated
- Artemether / lumefantrine + Sotalol Contraindicated
- Disopyramide + Sotalol Contraindicated
- Dofetilide + Sotalol Contraindicated
- Dronedarone + Sotalol Contraindicated
- Droperidol + Sotalol Contraindicated
Other interactions of Hawthorn
- Amiodarone + Hawthorn Moderate
- Digoxin + Hawthorn Moderate
- Disopyramide + Hawthorn Moderate
- Encainide + Hawthorn Moderate
- Hawthorn + Ibutilide Moderate
- Hawthorn + Procainamide Moderate
Frequently asked questions
Can I take Hawthorn with Sotalol?
MediHelp rates the interaction as minor. Hawthorn and Sotalol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Hawthorn has vasodilating and mild negative chronotropic and inotropic effects. In combination with sotalol it could add to the lowering of blood pressure and heart rate, although clinical data are limited.
How serious is the interaction between Hawthorn and Sotalol?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate if hawthorn is used with sotalol, and discourage unsupervised use of herbal products in patients with arrhythmia.
What other medicines interact with Sotalol?
MediHelp also lists interactions of Sotalol with, for example, Arsenic trioxide, Artemether / lumefantrine, Disopyramide. The full list is on the Sotalol page.
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