Verapamil HCl

Therapeutic Group

Treatment Of Supraventricular Arrhythmias:

By Slow IV Inj:

Adult: 5-10 Mg, Given Over 2 Minutes, Preferably With ECG Monitoring
Elderly: 5-10 Mg, To Be Given Over 3 Minutes, Preferably With ECG Monitoring
Children 1-18 Yrs: 100-300 Mcg/kg (max 5 Mg) As A Single Dose, IV Injection Over 2-3 Minutes; Repeated After 30 Minutes If Necessary.

Paroxysmal Tachyarrhythmias:

By Slow IV Inj:

Adult: Initially 5-10 Mg, Followed By 5 Mg After 5-10 Minutes If Required, To Be Given Over 2 Minutes, Preferably With ECG Monitoring
Elderly: Initially 5-10 Mg, Followed By 5 Mg After 5-10 Minutes If Required, To Be Given Over 3 Minutes, Preferably With ECG Monitoring

Angina:

Hypertension:

Adult: 240-480 Mg Daily In 2-3 Divided Doses
Children 1-2 Yrs: 20 Mg 2-3 Times Daily;
2-18 Yrs: 40-120 Mg 2-3 Times Daily. Modified Release Preparation Not Licensed For Use In Children.

Prophylaxis Of Cluster Headache:

Prophylaxis After Myocardial Infarction Where Beta-blockers Not Appropriate:

Adult: 360 Mg Daily In Divided Doses, Started At Least 1 Week After Infarction, Given As Either 240mg Sr Tab In The Morning And 120mg In The Evening Or 120mg 3 Times Daily

Consult with Doctor Or Caution Advised

Acute Porphyrias, Second- And Third-degree Av Block, Sick Sinus Syndrome, Sino-atrial Block, Atrial Flutter Or Fibrillation Associated With Accessory Conductingpathways (e.g. Wolff-parkinson-white-syndrome), Bradycardia, Cardiogenic Shock, History Of Heart Failure (even If Controlled By Therapy), History Of Significantly Impaired Left Ventricular Function (even If Controlled By Therapy), hypotension,

Acute Porphyrias, Second- And Third-degree Av Block, Sick Sinus Syndrome, Sino-atrial Block, Atrial Flutter Or Fibrillation Associated With Accessory Conductingpathways (e.g. Wolff-parkinson-white-syndrome), Bradycardia, Cardiogenic Shock, History Of Heart Failure (even If Controlled By Therapy), History Of Significantly Impaired Left Ventricular Function (even If Controlled By Therapy), hypotension,