Drug & supplement interaction

Hoodia + Sotalol

Sotalol brand names: Betapace AF, Betapace, Sotacor, Sorine.

Moderate Interaction
The bottom line Moderate

Hoodia has a moderate interaction with Sotalol. Evidence from in vitro research shows that hoodia may stimulate beta-adrenergic receptors.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Hoodia and Sotalol

Here is the interaction we found between these two, with the evidence behind it.

Moderate

BETA-BLOCKERS

Why this applies to Sotalol

Sotalol falls under BETA-BLOCKERS — the group Hoodia interacts with.

Evidence from in vitro research shows that hoodia may stimulate beta-adrenergic receptors. Also, clinical research shows that hoodia can increase blood pressure and heart rate. Theoretically, using hoodia with beta-blockers might decrease the effects of these medications. Some beta-blocker drugs include atenolol (Tenormin), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal).
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing to understand about sotalol: it's a beta-blocker, so it works by quieting down certain signals on your heart to steady your rhythm and keep your heart rate in check. Hoodia, on the other hand, may do the opposite in the body. Lab research and some human studies suggest it can nudge those same beta receptors in the stimulating direction, which can bump up heart rate and blood pressure. So in theory, taking hoodia could push back against what your sotalol is trying to do.

For a heart rhythm drug like sotalol, even small swings matter, so I'd rather you not gamble on it. That said, this concern is theoretical and based mostly on how things work on paper, not strong human proof. Please run it by your pharmacist or doctor before trying hoodia.

References
  1. Blom WAM, Abrahamse SL, Bradford R, et al. Effects of 15-d repeated consumption of Hoodia gordonii purified extract on safety, ad libitum energy intake, and body weight in healthy, overweight women: a randomized controlled trial. Am J Clin Nutr 2011;94(5) PubMed
  2. Roza O, Lovász N, Zupkó I, Hohmann J, Csupor D. Sympathomimetic activity of a Hoodia gordonii product: a possible mechanism of cardiovascular side effects. Biomed Res Int. 2013;2013:171059.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Hoodia Also Interacts With Other Medications

Hoodia has 261 moderate known drug interactions in our database — the Sotalol one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Hoodia

Covers the 2,830 medications we’ve checked against Hoodia. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Sotalol

This page covers Hoodia only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sotalol page lists 43 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).

By severity: 8 major · 26 moderate · 9 minor.

From our pharmacist’s overview on the Sotalol page

“Sotalol controls heart rhythm by lengthening the heart's electrical reset time, the QT interval, which is why this list of 43 interacting supplements deserves a careful read, not a skim. Eight are rated major, and most of the serious entries stack further QT prolongation on top of what sotalol already causes, raising the risk of a dang…”

Reviewed by 2 · Jul 18, 2026

Open the Sotalol interaction page

One more smart check

Taking Hoodia as Part of a Dietary Supplement Product? Check It for Interactions

We hold 283 real supplement products containing Hoodia, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Hoodia. Your product may carry other ingredients that interact with Sotalol too, on top of Hoodia — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Hoodia and Sotalol Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Hoodia
Top half

#413 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Sotalol
Top 25%

#571 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Hoodia

What is Hoodia?

Hoodia
  • Appetite suppression
  • Weight loss
  • Reducing food cravings
  • Traditional use for hunger and thirst on long journeys

Hoodia is a succulent plant from southern Africa that is marketed as an appetite suppressant for weight loss, but solid human evidence that it actually works is lacking. The few quality studies done have not shown meaningful weight loss, and some products on the market may not even contain real hoodia. Talk with your pharmacist or doctor before trying it, and avoid it if you are pregnant or breastfeeding.

Read the full Hoodia monograph & all interactions
Medication

About Sotalol

What Is Sotalol Used For?

Brand names: Betapace AF, Betapace, Sotacor, Sorine

Sotalol is used to treat documented, life-threatening ventricular arrhythmias (dangerous irregular heart rhythms originating in the lower chambers of the heart), such as sustained ventricular tachycardia (a rapid, sustained abnormal heartbeat). Because it carries real risks of its own, it is generally reserved for arrhythmias serious enough to be life-threatening — not for mild or symptom-only rhythm problems.

It is not recommended for people with less severe arrhythmias, even if those arrhythmias cause symptoms, and it should be avoided in people with asymptomatic (no-symptom) extra heartbeats called ventricular premature contractions.

See full Sotalol drug information
Keep checking

Other Drugs & Hoodia

Browse every other medication we’ve checked against Hoodia — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
261Moderate
0Minor
2,568No known interaction
Moderate

261 interactions

Showing 60 of 261 moderate interactions — see all 261 on the Hoodia page.

No interaction 2,568 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Hoodia and Sotalol Together: Common Questions

Can you take Hoodia with Sotalol?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Hoodia and Sotalol interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.