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Like other antiarrhythmic agents, sotalol can cause new or worsening ventricular arrhythmias for example, ventricular tachycardia or ventricular fibrillation. Sotalol may cause or worsen congestive heart failure, and it can block the symptoms of low blood glucose in diabetics. Safe use by pregnant women has not been established. Sotalol is excreted in human milk. A decision should be made whether to discontinue nursing or to discontinue the drug due to risk of adverse effects in the infant.

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