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The other brand names for verapamil are verelan pm, verelan, covera-hs, isoptin sr and isoptin.

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Heart FailureVerapamil has a negative inotropic effect whichin most patientsis compensated by its afterload reductiondecreased systemic vascular resistanceproperties without a net impairment of ventricular performanceIn clinical experience with 4,954 patients871.8developed congestive heart failure or pulmonary edemaVerapamil should be avoided in patients with severe left ventricular dysfunctione.gejection fraction less than 30or moderate to severe symptoms of cardiac failureand in patients with any degree of ventricular dysfunction if they are receiving a beta adrenergic blockersee DRUG INTERACTIONSPatients with milder ventricular dysfunction shouldif possiblebe controlled with optimum doses of digitalis and/or diuretics before verapamil treatmentNote interactions with digoxin underPRECAUTIONS

HypotensionOccasionallythe pharmacologic action of verapamil may produce a decrease in blood pressure below normal levels which may result in dizziness or . symptomatic hypotensionThe incidence of hypotension observed in 4,954 patients enrolled in clinical trials was 2.5In hypertensive patientsdecreases inblood pressure below normal are unusualTilt table testing60 degreeswas not able to induce orthostatic hypotension.

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