Methadone and Sotalol interaction

Methadone and Sotalol: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Methadone (METHADOSE) label · effective 2026-04-27

Moderate

Examples: Drugs known to have potential to prolong QT interval: Class I and III antiarrhythmics, some neuroleptics and tricyclic antidepressants, and calcium channel blockers.

Drug interactionsby drug classView label on DailyMed

From the Sotalol (Sotalol hydrochloride) label · effective 2025-07-31

Moderate

Additive to other QT-prolonging drugs ( 7.1 , 7.2 )

Drug interactionsby drug classView label on DailyMed
Moderate

Antiarrhythmic and other QT Prolonging Drugs Withdraw other Class I or Class III antiarrhythmic agents prior to dosing with sotalol.

Drug interactionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

Open in the checker

Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.