Verapamil precautions
Verapamil precautions
Side effects, contraindications, and precautions. A transient decrease in arterial pressure may be noted because of peripheral vasodilation in response to verapamil. Verapamil may affect impulse conduction and should therefore be used with caution in patients with bradycardia or first degree AV block. Cardiac insufficiency: Cardiac insufficiency patients with ejection fraction higher than 35% should be compensated before starting verapamil treatment and should be adequately treated throughout sick sinus syndrome. Contraindications Verapamil hydrochloride injection is contraindicated in: 1. Bij een contra-indicatie voor een β-blokker is diltiazem geïndiceerd, tenzij er sprake is verapamil precautions van hartfalen WARNINGS. • Monitor liver function, kidney function,. If you notice any other effects, check with your healthcare professional.. Neuromuscular Blocking Agents: Clinical data and animal studies suggest that verapamil may potentiate the activity of depolarizing and nondepolarizing neuromuscular blocking agents Use of IV verapamil in patients with wide-complex ventricular verapamil precautions tachycardia (QRS ≥0. In patients with normal or mildly impaired left ventricular function, verapamil's vasodilator and negative inotropic effects are counterbalanced. Maintenance and digitalization doses should be reduced when verapamil is administered, and the patient should be carefully monitored to avoid over- or under-digitalization Digoxin: If verapamil is administered concomitantly with digoxin, digoxin dose is to be reduced (see Interactions). Overleg dan met uw arts Cardioversion has been used safely and effectively after verapamil hydrochloride injection. In hypertensive patients, verapamil precautions decreases in blood pressure below normal are unusual Gebruik geen grapefruitsap zolang u verapamil gebruikt. With severe left ventricular dysfunction, however, treatment with verapamil can result in abrupt decompensation and development of overt pulmonary edema and hypotension. 1 Heart Failure Verapamil has a negative inotropic effect which, in most patients, is compensated by its afterload reduction (decreased systemic vascular resistance) properties without a net impairment of ventricular performance. De volgende bijwerkingen komen het meest voor: Hoofdpijn. ) Known hypersensitivity to verapamil or any ingredient in the formulation. Verlaging van de bloeddruk (hypotensie) Constipatie (verstopping van de darm) Rood hoofd / blozen. This combination should be avoided. Hypotension (systolic pressure less than 90 mm Hg) or cardiogenic shock - 3. Common side effects of verapamil include: constipation. Other side effects not listed may also occur in some patients. Syndromes) [see Warnings and Precautions (5. These conditions may cause you to lose too much water or salt and may lead to low blood pressure. See the “Drug Precautions” section. Swelling, medically known as edema Verapamil may reduce total body clearance and extrarenal clearance of digitoxin by 27% and 29%, respectively. Digoxin Verapamil has been shown to increase the serum concentration of digoxin and caution should therefore be exercised with regard to digitalis toxicity. Low blood pressure, medically known as hypotension. Common side effects may include: nausea, constipation; headache, dizziness; or. Diltiazem's relative lack of negative inotropic effects may allow it to be used safely in patients with congestive heart failure, particularly when control of supraventricular tachyarrhythmia is required.. Possible precipitation or acute worsening of heart failure Gebruik geen grapefruitsap zolang u verapamil gebruikt. De meeste bijwerkingen gaan binnen enkele weken over. In hypertensive patients, decreases in blood pressure below normal are unusual When verapamil proves ineffective in the management of PSVT, synchronized cardioversion is recommended. Verapamil (Oral Route) Precautions - Mayo Clinic Precautions Drug information provided by: IBM Micromedex It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects. In hypertensive patients, decreases in blood pressure below normal are unusual Check with your doctor right away if you become sick while taking this medicine, especially with severe or continuing nausea, vomiting, or diarrhea. Stomach discomfort, upset, or pain.