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Serious adverse reactions are uncommon when verapamil therapy is initiated with upward dose titration within the recommended single and total daily doseSee WARNINGS for discussion of heart failurehypotensionelevated liver enzymesAV blockand rapid ventricular responseReversibleupon discontinuation of verapamilnon-obstructiveparalytic ileus has been infrequently reported in association with the use of verapamilThe following reactions to orally administered verapamil occurred at rates greater than 1.0or occurred at lower rates but appeared clearly drug-related in clinical trials in 4,954 patients.
Older adults may be more sensitive to the side effects of this drugespecially constipationor swelling ankles/feet.
CarbamazepineVerapamil may increase carbamazepine concentrations during combined therapyThis may produce carbamazepine side effects such as diplopiaheadacheataxiaor dizziness.
Some products have ingredients that could raise your heart rate or blood pressureTell your pharmacist what products you are usingand ask how to use them safelyespecially cough-and-cold productsdiet aidsor NSAIDs such as ibuprofen/naproxen
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