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Drug interactions

Isradipine + Sotalol

Severity: Moderate

Isradipine and Sotalol: moderate 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

Isradipine is a dihydropyridine calcium channel blocker that lowers blood pressure, and sotalol adds beta-blockade, so hypotension may be more pronounced. Reflex tachycardia from isradipine may be blunted.

What this interaction means in plain words

Isradipine and Sotalol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Additive antihypertensive effects from calcium channel blockade and beta-blockade.

What to do

Monitor blood pressure and heart rate when starting or adjusting either drug, and adjust doses if symptomatic hypotension or bradycardia develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Isradipine with Sotalol?

MediHelp rates the interaction as moderate. Isradipine and Sotalol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Isradipine is a dihydropyridine calcium channel blocker that lowers blood pressure, and sotalol adds beta-blockade, so hypotension may be more pronounced. Reflex tachycardia from isradipine may be blunted.

How serious is the interaction between Isradipine and Sotalol?

MediHelp rates it moderate, 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 when starting or adjusting either drug, and adjust doses if symptomatic hypotension or bradycardia develops.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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