Studies on breastfeeding and sotalol show that the medication passes through breast milk in significant amounts. These amounts are probably high enough to cause a slow heart rate or other problems in the nursing infant. Before starting sotalol, women should first consult their healthcare providers when breastfeeding. In general, this drug is not recommended for nursing mothers.
Is Sotalol Safe for Breastfeeding Women?
Sotalol (Betapace®, Sorine®) passes through breast milk in humans and is generally not recommended for breastfeeding women. It is an arrhythmia medication that can cause dangerous, life-threatening side effects and could cause problems in a nursing infant. Therefore, you should talk with your healthcare provider before taking sotalol if you are breastfeeding or plan to start.
Research on Breastfeeding and Sotalol
Studies have shown that sotalol passes through breast milk in significant amounts, probably enough to cause complications in a nursing infant, such as a slow heart rate. Therefore, if your healthcare provider decides that it is okay for you to take this drug while breastfeeding, your baby should be monitored to make sure that no serious problems occur. In most cases, this medication is not recommended for breastfeeding women, and alternative medications are usually chosen, or breastfeeding is discouraged if no other alternatives are acceptable.
Talking With Your Healthcare Provider
You should discuss breastfeeding and sotalol with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
Written by/reviewed by: Kristi Monson, PharmD;Arthur Schoenstadt, MD
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