Verapamil Flashcards
1
Q
What is the class of drug of verapamil?
A
Non dihydropyridine CCBs - phenylalkamine
Class IV antiarrhythmic
2
Q
What are the uses of verapamil?
A
Supraventricular arrhythmias
Angina
Cluster headaches
Hypertension
3
Q
What is the mechanism of action verapamil?
A
calcium channel blocker
- blocks L type calcium channels > slows Ca2+ influx > prolongs plateau (refractory) phase in myocytes
- in SA nose prolongs depolarisation by blocking L type Ca2+ channels
4
Q
What are the adverse effects of verapamil?
A
Bradycardia
Heart block
Constipation
Headaches + dizziness
5
Q
What are the important drug drug interactions of verapamil?
A
- Beta blockers - slows heart rate to much + increases risk of heart block
- Other antihypertensives or antiarrhythmics
- Statins - increases [plasma]