Cleveland Clinic logo
Search

Potassium Channel Blockers

Medically Reviewed.Last updated on 04/06/2026.

Potassium channel blockers are medicines that you take for abnormal heart rhythms (arrhythmias). They’re called Class III antiarrhythmics and come in various forms and strengths. Each medicine has side effects and drug interactions. They treat heart rhythm problems that start in your heart’s upper or lower chambers.

What Are Potassium Channel Blockers?

Potassium channel blockers are Class III antiarrhythmic drugs. They treat and prevent abnormal heart rhythms (arrhythmias). These rhythms may happen in your lower heart chambers (ventricles) or upper heart chambers (atria). Examples include atrial fibrillation, atrial flutter, SVTs and ventricular arrhythmias.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

By blocking potassium channels, these drugs give your heart a longer resting period between beats. This helps your heart beat in a normal rhythm.

Examples of this drug include:

  • Amiodarone (Cordarone®, Pacerone®)
  • Bretylium
  • Dofetilide (Tikosyn®)
  • Dronedarone (Multaq®)
  • Ibutilide (Corvert®)
  • Sotalol (Betapace®, Sotylize®)

What forms do potassium channel blockers come in?

A healthcare provider can give you these medicines by injection into a vein. You can also take them as a tablet, capsule or oral solution you swallow.

How should I take this drug?

For injected versions of this drug, you’ll receive them from a healthcare provider. You may need to start taking certain potassium channel blockers while you’re in the hospital. This allows your healthcare team to monitor you and make sure the drug isn’t causing an abnormal heart rhythm.

When you go home from the hospital, follow your provider’s instructions for taking this medicine. For example, they might tell you to take it once a day. For another drug, it might be twice a day. Contact your provider if you miss a dose.

What are the side effects of potassium channel blockers?

Side effects of potassium channel blockers include:

  • Digestive problems like vomiting, diarrhea or constipation
  • Fatigue
  • Headache
  • Low blood pressure
  • Lung scarring (pulmonary fibrosis)
  • Numbness or tingling
  • Shortness of breath
  • Skin discoloration
  • Thyroid problems
  • Tremors

Advertisement

Some of these medicines increase your risk of an abnormal heart rhythm called Torsades de Pointes. This can cause dizziness, fainting and cardiac arrest.

What other medications and products can interact with this drug?

Grapefruit juice and St. John’s wort interact with some potassium channel blockers. These medicines can also interact with other drugs, including:

  • Antacids
  • Blood thinners like warfarin and dabigatran
  • Certain high blood pressure drugs, like calcium channel blockers and diuretics
  • Certain statins for high cholesterol
  • Cyclosporine (immune system suppressant)
  • Digoxin (heart failure drug)
  • Sofosbuvir (antiviral)
  • Some antibiotics and antifungals

What should I tell my healthcare provider before starting potassium channel blockers?

Before taking this medicine, tell your provider if you have:

Frequently Asked Questions

Are these drugs harmful to a fetus or breastfeeding baby?

Yes, potassium channel blockers may harm a fetus. Also, this medicine passes into breast milk. Healthcare providers don’t recommend breastfeeding while taking this drug.

A note from Cleveland Clinic

An abnormal heart rhythm can interfere with your life. But potassium channel blockers may help get your heart back to a typical rhythm. Still, every medicine has side effects. Talk to your healthcare provider about the best treatment for your situation.

Advertisement

Cleveland Clinic icon
Health Essentials logo
Subscription icon

Better health starts here

Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more.

Experts You Can Trust

Medically Reviewed.Last updated on 04/06/2026.

Learn more about the Health Library and our editorial process.

References

Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.

Care at Cleveland Clinic

When your heart needs some help, the cardiology experts at Cleveland Clinic are here for you. We diagnose and treat the full spectrum of cardiovascular diseases.

Ad