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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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