Cimetidine tagemet ; clonidine catapres ; digoxin digitalis, lanoxin ; ritonavir norvir, kaletra ; terbinafine lamisil ; a diuretic water pill ; cold medicines, stimulant medicines, or diet pills; anti-malaria medications such as chloroquine aralen or hydroxychloroquine plaquenil, quineprox ; medicine to treat depression or mental illness, such as bupropion wellbutrin, zyban , fluoxetine prozac, sarafem , paroxetine paxil , thioridazine mellaril , and others; an mao inhibitor such as furazolidone furoxone , isocarboxazid marplan , phenelzine nardil , rasagiline azilect , selegiline eldepryl, emsam, zelapar , or tranylcypromine parnate ;; a diabetes medication such as insulin, glyburide diabeta, micronase, glynase , glipizide glucotrol , chlorpropamide diabinese , or metformin glucophage ; a heart medication such as diltiazem cardizem, cartia, dilacor, diltia, diltzac, taztia, tiazac , nifedipine procardia, adalat , propafenone rythmol , quinidine quin-g , reserpine serpasil , verapamil calan, covera, isoptin, verelan, tarka ; or medicine for asthma or other breathing disorders, such as albuterol ventolin, proventil , bitolterol tornalate , metaproterenol alupent , pirbuterol maxair , terbutaline brethaire, brethine, bricanyl , and theophylline aquaphyllin, asmalix, elixophyllin, theolair, theosol .
Information about Isoptin.
Postmarketing reportsAngina pectoris/chest painAV dissociationECG abnormalclaudicationhypertensionmyocardial infarctionsinus arrest with asystoledecreased myocardial contractilitycardiogenic shockbradyarrhythmia in atrial fibrillationvasculitiserythromelalgiaRef]
Verapamil is excreted in human milkBecause of the potential for adverse reactions in nursing infants from verapamilnursing should be discontinued while verapamil is administered.
Accessory Bypass TractWolff-Parkinson-White or Lown-Ganong-LevineSome patients with paroxysmal and/or chronic atrial fibrillation or atrial flutter and a coexisting accessory AV pathway have developed increased antegrade conduction across the accessory pathway bypassing the AV nodeproducing a very rapid ventricular response or ventricular fibrillation after receiving intravenous verapamilor digitalisAlthough a risk of this occurring with oral verapamil has not been establishedsuch patients receiving oral verapamil may be at risk and its use in these patients is contraindicatedsee CONTRAINDICATIONS
Overdose with verapamil may lead to pronounced hypotensionbradycardiaand conduction system abnormalitiese.gjunctional rhythm with AV dissociation and high degree AV blockincluding asystoleOther symptoms secondary to hypoperfusione.gmetabolic acidosishyperglycemiahyperkalemiarenal dysfunctionand convulsionsmay be evident.
Postmarketing reportsEcchymosisbruisingalopecia/hair losshyperkeratosismaculesStevens-Johnson syndromehyperhidrosis/sweatingerythema multiformeQuincke’s edema/angioneurotic edemaRef]
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