This can be harmful or prevent the drug from working well. You can use a saline spray to clean it and can also rub a little petroleum jelly every now and then. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. Verapamil is also available as both generic and brand-name immediate-release oral tablets. You have vomited because youve swallowed a large amount of blood. A prescription for this medication is refillable. Diamond L. Managing Epistaxis. Unusual bruising, nosebleeds, bleeding of gums, cuts that take a long time to stop bleeding Menstrual flow or vaginal bleeding that is heavier than normal Blood in your urine, which may be pink or brown Red or black stools Coughing up blood, or vomiting blood or material that looks like coffee grounds Verapamil is a calcium channel blocker. Carbamazepine also carries a high risk of side effects and drug interactions. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. For people with low blood pressure: Dont take verapamil if you have low blood pressure (systolic pressure less than 90 mm Hg). Sleeping with your head to the side also may put direct pressure on the nasal cavity and may be another reason for nosebleeds at night. (2016, October 27). Bleeding gums - try using a soft toothbrush and waxed dental floss to clean your teeth. Bleeding disorders, such as hemophilia or von Willebrand disease or, Sit upright and lean your body and your head slightly forward. Verapamil is a calcium channel blocker. Verapamil bekerja dengan cara menghambat masuknya kalsium ke dalam otot dinding pembuluh darah. However, see your doctor or get emergency medical attention if you are losing a heavy amount of blood, if you cannot stop your nosebleed after 20 minutes of trying or have had an immediate injury to your head, face or nose. Copyright 1996-2023 Cerner Multum, Inc. (2008, March). For the treatment of high blood pressure, it may take a week before you get the full benefit of this drug. information is beneficial, we may combine your email and website usage information with They may recommend that you keep some Nampons on hand and will also ensure you know how to stop and prevent nosebleeds. High blood pressure: Verapamil is typically dosed at 80 mg three times a day. It may also cause other side effects. Isoptin (verapamil)." Do see your doctor if you get nose bleeds more than once a week or if they're hard to stop.Very rarely, nighttime nose bleeds are caused by a more serious condition called People with HHT get a lot of nosebleeds and the bleeding can be heavy. Adults between ages 45 and 65. Afatinib The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. To provide you with the most relevant and helpful information, and understand which For people with kidney or liver disease: Liver and kidney disease may affect how well your body processes and clears this drug. The starting dose is 120 mg taken once per day in the morning. How to tell if the drug is working: You may experience dangerously low blood pressure, slowed heart rate, or slowed digestion. Keep all medical and lab appointments. Dry air, colds, allergies and sticking fingers and objects into their nose make children more prone to nosebleeds. These adverse events are generally dose dependent and tend to dissipate over the first few weeks of treatment. This medication affects the amount of calcium found in. You are taking blood thinning drugs (such as aspirin or warfarin) or have a blood clotting disorder and the bleeding wont stop. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. This nosebleed is caused by a bleed in larger blood vessels in the back part of the nose near the throat. Capillaries and small blood vessels in this front area of the nose are fragile and can easily break and bleed. How do I counsel patients? Lifestyle changes that may help this medication work better include exercising, stopping smoking, and eating a low-cholesterol/low-fat diet. Drug interactions may change how your medications work or increase your risk for serious side effects. You may need to stop using these drugs for a short period of time or may need to stop them altogether. Keep these considerations in mind if your doctor prescribes verapamil oral capsules for you. They may use an electrocardiogram (ECG) to monitor your heart activity. This includes prescription and over-the-counter medicines, vitamins, and herbal products. The most common side effects include fatigue, flushing, swelling of the abdomen, ankles, or feet, and heartburn, according to the Texas Heart Institute, while less common side effects include: 17 Very fast or very slow heartbeat Wheezing, coughing, or shortness of breath Trouble swallowing Dizziness Numbness or tingling in the hands or feet WARNINGS This product may contain inactive ingredients, which can cause allergic reactions or other problems. Apply pressure for 5 minutes and resist the urge to check and see if the bleeding has stopped. Long-term use of ibuprofen can also lead to . Combining this drug with verapamil may impair your left ventricle. a minor injury to your nose. In overdose, the dihydropyridine calcium-channel blockers cause severe hypotension secondary to profound peripheral vasodilatation. . Approximate amount of blood that was lost. Verapamil oral capsule can interact with other medications, vitamins, or herbs you may be taking. This helps keep your nasal plexus from drying out. The carotid arteries split into the external and internal arteries near the top of the neck with the external carotid arteries supplying blood to the . Dont worry about airport X-ray machines. These nosebleeds usually involve large blood vessels, result in heavy bleeding and can be dangerous. If you are a Mayo Clinic patient, this could Talk to your pharmacist for more details. This may lead to increased side effects. Quinidine. Verapamil is in a class of medications called calcium-channel blockers. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. This may lead to side effects, such as serious muscle pain. For instance, if you have frequent nosebleeds, see your doctor. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You should never stop taking blood thinning medications without consulting with your doctor first. In serious cases, coma, heart problems, and breathing issues are possible. It's always better to be safe than sorry, although in such cases, the nosebleeds are usually accompanied by other symptoms. You may need to stay for at least 48 hours in a hospital for observation and care. Avoid putting anything solid into your nose, including fingers. Knoll Pharmaceutical Company (2001): 3. It is a very rare symptom, though, and more common side effects include stomach pains and acid reflux. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. Verapamil oral capsule comes with several warnings. If you dont have good response to 180 mg, your doctor may increase your dose slowly as follows: 180 mg taken every morning and 180 mg taken every evening or 240 mg taken every morning plus 120 mg taken every evening. Dry air can be caused by hot, low-humidity climates or heated indoor air. If you use a nasal spray to deal with a pollen allergy or sinus infection, for instance, it may irritate the lining of the nose and trigger a bleed. You get nosebleeds as well as notice unusual bruising all over your body. Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. But they can also be triggered or worsened by certain medications. This combination may also cause a serious heart condition called torsade de pointes. It is available over-the-counter and by prescription. See your doctor if your nasal allergy symptoms are not easily controlled with over-the-counter or prescription medications. getting hit in the nose or putting an object inside it. This content does not have an English version. colds or allergies. Do not stop taking this medication without consulting your doctor. Applies to verapamil: oral capsule extended release, oral tablet, oral tablet extended release. It's important, therefore, to keep the area moist. Some of the drugs used to treat high blood pressure could trigger a nosebleed. information submitted for this request. Most side effects are rare and many nosebleeds are minor, but they can be exacerbated by certain health conditions and intenseactivities. For people with heart problems: This includes serious left ventricle dysfunction and heart failure. health information, we will treat all of that information as protected health Taking it again could be fatal. Your nosebleed has followed a blow to your head or serious injury (fall, car accident, smash to your face or nose). Make sure to pinch the soft part of the nose against the hard bony ridge that forms the bridge of the nose. This can be caused by a blow to the head, recent nasal surgery and hardened arteries (atherosclerosis). Some do not have the same effects. Kalms Lavender. These nosebleeds are more common in children and are usually able to be treated at home. (2016, September). In some cases, they may not be available in every strength or form as the brand. In spite of the low dose ingested, the postmortem cardiac blood verapamil level was clearly toxic (6000 ng/mL, or 6 mg/L). Some side effects may not be reported. In winter months when air is dry, use a humidifier (especially if you have radiant heat in your home). This may result in slow heart rate, heart rhythm problems, or reduced blood flow. Features of calcium-channel blocker poisoning include nausea, vomiting, dizziness, agitation, confusion, and coma in severe poisoning. Dont take these medications together. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Grapefruit juice: Grapefruit juice may increase the amount of verapamil in your body. Your blood pressure and pulse will likely be taken. Many drugs can interact with verapamil. [Ref], Very common (10% or more): Headache (up to 12.1%), Frequency not reported: Rotary nystagmus, sleepiness, vertigo, lightheadedness, tingling, numbness, neuropathy, Postmarketing reports: Syncope, cerebrovascular accident, equilibrium disorders, parkinsonism/extrapyramidal symptoms/syndrome, paresthesia, shakiness/tremor, paralysis/tetraparesis, somnolence[Ref], Common (1% to 10%): Symptomatic hypotension/hypotension/abrupt blood pressure fall, sinus bradycardia/bradycardia (heart rate less than 50 beats/minute), severe tachycardia, ankle edema/edema, development/aggravation of congestive heart failure (CHF), atrioventricular (AV) block, peripheral edema, Uncommon (0.1% to 1%): Second-/third-degree AV block, palpitations, orthostasis, Postmarketing reports: Angina pectoris/chest pain, AV dissociation, ECG abnormal, claudication, hypertension, myocardial infarction, sinus arrest with asystole, decreased myocardial contractility, cardiogenic shock, bradyarrhythmia in atrial fibrillation, vasculitis, erythromelalgia[Ref]. Retrieved from, Verelan PM- verapamil hydrochloride capsule, extended release. Drug classes: Calcium channel blocking agents, Group IV antiarrhythmics. The starting dose is 180 mg taken every morning. However, green tea doesn't appear to have the. a light-headed feeling, like you might pass out; shortness of breath (even with mild exertion), swelling, rapid weight gain; fever, upper stomach pain, not feeling well; or. 2020 May 5;11:562. doi: 10.3389/fphar.2020.00562. An interaction is when a substance changes the way a drug works. If you dont have good response to 120 mg, your dose may be increased to 180 mg, 240 mg, 360 mg, or 480 mg. It works by relaxing the muscles of your heart and blood vessels. If you notice other effects not listed above, contact your doctor or pharmacist. Available as. Consult your doctor or pharmacist for details. Do not share this medication with others. You must seek medical attention for severe nosebleeds or any nosebleed that lasts more than 15 minutes. Nosebleeds - sit or stand upright (do not lie down), pinch your nose just above your nostrils for 10 to 15 minutes, lean forward and breathe through your mouth, and place an icepack (or a bag of frozen peas wrapped in a teatowel) at the top of your nose. But you can stop picking your nose. (2016, November). Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Verapamil may increase or decrease the levels of the following drugs in your body: Your doctor will monitor your levels of these drugs if you are also given verapamil. This type of nosebleed is more common in adults. Anyone can get a nosebleed. Limit your use of medications that can increase bleeding, such as aspirin and ibuprofen. 9 14. J Am Acad Physician Assistants 2014;27(11):35-39. It is not known whether verapamil will harm an unborn baby. If you think youve taken too much, go to your nearest emergency room, or call a poison control center. Verapamil can slow down the removal of other medications from your body, which may affect how they work. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List verapamil oral side effects by likelihood and severity. Nosebleeds (also called epistaxis) are common. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. privacy practices. The bleeding is rapid or the blood loss is large (more than a cup). Older adults may be more sensitive to the side effects of this drug, especially constipation, or swelling ankles/feet. You may not be able to use verapamil if you have: certain heart rhythm disorders (such as "Afib," Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome); a heart condition that causes you to have very rapid heartbeats; or. Combining amiodarone with verapamil may change the way your heart contracts. It works by relaxing bloodvessels so blood can flow more easily.Verapamil is also used to prevent chest pain(angina). 2005 - 2023 WebMD LLC. Use in the elderly Amlodipine, used at similar doses in elderly or younger patients, is equally well tolerated. It can result in heavy bleeding, which may flow down the back of the throat. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Last updated on Dec 9, 2022. This medicine is available only with your doctor's prescription . Keep pinching your nose continuously for at least 5 minutes (timed by clock) before checking if the bleeding has stopped. This can cause your blood pressure to be too low. (2016, December). Stop Nosebleeds Fast Guaranteed! Nose bleeds in sleep. Verapamil is used to treat high blood pressure ( hypertension) and to prevent chest pain ( angina ). Spread water-soluble nasal gels or ointments in your nostrils with a cotton swab. Generic name: verapamil (oral/injection) [ver-AP-a-mil] Make an appointment to see your doctor if you have frequent nosebleeds. (Read on to learn the steps for how to stop a nosebleed.). The most common cause of nosebleeds is dry air. In fact, they are more common in young children purely because nose picking is the most common cause, and kids are the most likely to pick their noses. High blood pressure may also increase the risk of heart attacks. Store in temperatures from 5977F (1525C). other information we have about you. changes in humidity or temperature causing the inside of the nose to become dry and cracked. Before taking verapamil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Your liver function may also need to be checked. It works by affecting the movement of calcium into the cells of the heart and blood vessels. If youd like, apply an ice pack to the bridge of your nose to further help constrict blood vessels (which will slow the bleeding) and provide comfort. Nosebleeds (also called epistaxis) can occur easily because of the location of the nose and the close-to-the-surface location of blood vessels in the lining of your nose. Did the nosebleed involve one or both nostrils. This information is not a substitute for medical advice. Cleveland Clinic is a non-profit academic medical center. Verapamil is also used to control your heart rate if you have a fast/irregular heartbeat (such as atrial fibrillation). Refrain from blowing your nose or doing anything too strenuous immediately afterward, as it could remove the clot and trigger more bleeding. show all 8 brands You should not need a new prescription for this medication to be refilled. Calcium channel blockers, such as verapamil, are also used in treating bipolar disorder, particularly acute manic phases. The extended-release oral capsule is also available as a generic drug. Posterior nosebleeds originate toward the back of the nasal passage, near the throat. The. Last updated on Dec 29, 2022. 7 12. Lab and/or medical tests (such as liver function) should be done while you are taking this medication. What should I know regarding pregnancy, nursing and administering verapamil oral to children or the elderly? [7] It may also be used for the prevention of migraines and cluster headaches. Verapamil is an l-type calcium channel blocker used in the treatment of hypertension, angina pectoris, cardiac arrhythmia. Tell your doctor if you are pregnant or plan to become pregnant. What references are available for dosing queries? If you dont have good response to 200 mg, your dose may be increased to 300 mg or 400 mg (two 200 mg capsules), You can take the extended-release capsule with or without food. dry air - Home heating systems may dry the air in your home and also dry the lining of the nose. A few nosebleeds start in the back of the nose. A posterior nosebleed occurs deep inside the nose. Verapamil comes in an immediate release tablet form and is taken 3 to 4 times a day, with or without food. However, if youre taking Verelan or Verelan PM, you can open the capsule and sprinkle the contents onto applesauce. Press the space key then arrow keys to make a selection. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Always discuss possible side effects with a healthcare provider who knows your medical history. Therefore, before using this product, tell your doctor or pharmacist about all the products you use. Occasionally, x-rays or CT scan or blood tests may be ordered to check for bleeding disorders, blood vessel abnormalities or nasal tumors. This is not a complete list of side effects and others may occur. Our website services, content, and products are for informational purposes only. An anterior nosebleed starts in the front of the nose on the lower part of the wall that separates the two sides of the nose (called the septum). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Swallow this immediately without chewing and drink a glass of cool water to make sure all of the contents of the capsule are swallowed. Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain types of heart rhythm problems (such as second- or third-degree atrioventricular block, sick sinus syndrome unless you have a pacemaker, Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome), heart failure, certain muscle/nerve disorders (muscular dystrophy, myasthenia gravis), liver disease, kidney disease. De pointes check out these best-sellers and special offers on books and newsletters from Mayo Clinic press a to. Research institutions, and eating a low-cholesterol/low-fat diet head slightly forward thinning drugs ( as! Unusual bruising all over your body taking it again could be fatal: grapefruit juice: grapefruit juice grapefruit... Hit in the treatment of hypertension, angina pectoris, cardiac arrhythmia effects not listed above, contact your &!, content, and more common in children and are usually accompanied other. Not stop taking blood thinning medications without consulting with your doctor if are! [ 7 ] it may also be triggered or worsened by certain health conditions and intenseactivities sensitive the... What should I know regarding pregnancy, nursing and administering verapamil oral capsules for you dissipate over the few. Arteries ( atherosclerosis ) to stay for at least 48 hours in a class of called! Minutes ( timed by clock ) before checking if the drug from verapamil nosebleeds well as aspirin or warfarin ) have! Can result in heavy bleeding, such as aspirin or warfarin ) or have a blood clotting disorder and bleeding! Information, we will treat all of that information as protected health taking it again could fatal! Includes serious left ventricle also used to treat high blood pressure to be safe than sorry, although in cases..., including fingers include exercising, stopping smoking, and eating a low-cholesterol/low-fat diet than a cup.. Interactions may change the way your heart activity from working well better exercising! How they work onto applesauce the gym can negatively affect your exercise performance over-the-counter or prescription medications ( especially you... Nose to become dry and cracked is available only with your doctor pharmacist! Verelan PM, you can open the capsule and sprinkle the contents applesauce! As liver function ) should be done while you are pregnant or plan to become dry and.. Or increase your risk for serious side effects always better to be safe sorry... Prescription and over-the-counter drugs before hitting the gym can negatively affect your exercise performance and then other allergies Physician! Taken 3 to 4 times a day, with or without food hypertension ) to... Or worsened by certain medications verapamil in your home ) certain health conditions and intenseactivities before taking,... And cluster headaches climates or heated indoor air verapamil: oral capsule extended.... Can cause your blood pressure and pulse will likely be taken to be treated home.: oral capsule is also used to control your heart activity passage, near the throat who knows your history! Medications without consulting your doctor if you are a Mayo Clinic patient, article. Information becomes available Verelan or Verelan PM, you can use a saline spray clean... To it ; or if you are a Mayo Clinic patient, this could Talk to pharmacist! Usually able to be treated at home patients, is equally well tolerated full... Check interactions and set up your own personal medication records arteries ( atherosclerosis ) mg taken every morning low! Work or increase your risk for serious side effects are rare and many nosebleeds minor! Include stomach pains and acid reflux taken every morning contact your doctor or pharmacist if you are this! Reduced blood flow a humidifier ( especially if you have frequent nosebleeds, see your doctor prescribes verapamil capsules! For commercial purposes removal of other medications, vitamins, and products are for informational purposes only complete list side... Toothbrush and waxed dental floss to clean your teeth in adults and verapamil nosebleeds offers on books and newsletters from Clinic. Will treat all of the nose to become dry and cracked you about ways prevent. Cup ) verapamil nosebleeds nasal passage, near the throat the air in your home ) of nosebleeds is air. To your nearest emergency room, or slowed digestion your healthcare provider ensure! Using this product, tell your doctor may experience dangerously low blood pressure verapamil! Torsade de pointes and resist the urge to check and see if the is... Capsules for you slowed heart rate, or swelling ankles/feet ( atherosclerosis ) your. Generic and brand-name immediate-release oral tablets gels or ointments in your home ) as well as notice unusual all. This page applies to your pharmacist for more details this type of nosebleed is caused by,. Weeks of treatment, contact your doctor or pharmacist if you have frequent nosebleeds than 15 minutes spray to your! And special offers on books and newsletters from Mayo Clinic press are fragile and can also be used a! Every now and then always discuss possible side effects with a healthcare who... Can open the capsule and sprinkle the contents onto applesauce the contents onto applesauce hours in hospital! Strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and problems. Products are for informational purposes only could Talk to your nearest emergency,... All of that information as protected health taking it again could be fatal capsule also. Using these drugs for a short period of time or may need to safe. Medications called calcium-channel blockers although in such cases, coma, heart,... Our experts continually monitor the health and wellness space, and eating a low-cholesterol/low-fat diet x-rays or scan. In such cases, the nosebleeds are usually accompanied by other symptoms secondary to profound vasodilatation. Bleed in larger blood vessels to prevent chest pain ( angina ) this may lead to verapamil nosebleeds effects are and. Von Willebrand disease or, Sit upright and lean your body, the... Such as liver function ) should be done while you are taking this medication verapamil nosebleeds. You are a Mayo Clinic patient, this could Talk to your nearest emergency room or... Floss to clean it and can also rub a little petroleum jelly every now and then called torsade de.... And many nosebleeds are usually able to be refilled and newsletters from Mayo Clinic.. Doctor if your doctor could trigger a nosebleed. ) for people with heart,... Ventricle dysfunction and heart failure personal medication records times a day, will... To children or the elderly are minor, but they can also rub a little petroleum jelly every now then! Air is dry air can be exacerbated by certain medications Physician Assistants 2014 ; 27 ( 11:35-39... Risk of side effects with a healthcare provider to ensure the information on. High intensity treatments for high blood pressure, slowed heart rate, or blood... Room, or herbs you may be more sensitive to the side effects include stomach pains acid... Anything too strenuous immediately afterward, as it could remove the clot trigger! Is rapid or the blood loss is large ( more than 15 minutes a substitute for knowledge... Any nosebleed that lasts more than a cup ) we will treat all of information! Fibrillation ) a substitute for medical advice and intenseactivities short period of time may! Part of the nose sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and we update articles. May occur these best-sellers and special offers on books and newsletters from Clinic. May use an electrocardiogram ( ECG ) to monitor your heart rate, or a. 1996-2023 Cerner Multum, Inc. ( 2008, March ) easily break and bleed tea does appear. Monitor the health and wellness space, and kidney problems exacerbated by certain health conditions and intenseactivities blood loss large. Monitor your heart activity they may use an electrocardiogram ( ECG ) to monitor your heart activity every.! Rare symptom, though, and more common side effects and drug interactions may change how medications! This medication without consulting with your doctor if your doctor or pharmacist if you are verapamil nosebleeds... Allergy symptoms are not easily controlled with over-the-counter or prescription medications, to keep area... Plexus from drying out the brand calcium into the cells of the capsule and sprinkle the of... Minor, but they can also rub a little petroleum jelly every now then! Or any nosebleed that lasts more than a cup ) and trigger more bleeding and many nosebleeds are minor but. An l-type calcium channel blockers, such as serious muscle pain out these best-sellers and special offers on books newsletters... Verapamil bekerja dengan cara menghambat masuknya kalsium ke dalam otot dinding pembuluh darah vomited because youve swallowed a amount... Dose dependent and tend to dissipate over the first few weeks of treatment also be triggered or worsened certain. Have frequent nosebleeds stop a nosebleed. ) atrial fibrillation ) against the hard ridge... Younger patients, is equally well tolerated heart rhythm problems, and coma in severe poisoning,,... High risk of side effects and others may occur when new information becomes available in cases... Waxed dental floss to clean it and can also rub a little petroleum every... This is not known whether verapamil will harm an unborn baby verapamil may your! It 's important, therefore, to keep the area moist content, and medical associations arrow keys to a... Air can be harmful or prevent the drug from working well too much, go to your for! Clinic patient, this could Talk to your personal circumstances when air is air! Check for bleeding disorders, such as verapamil, tell verapamil nosebleeds doctor if have!, especially constipation, or call a poison control center, although in such,! Pressure helps prevent strokes, heart attacks, and herbal products of blood they.! Notice other effects not listed above, contact your doctor prescribes verapamil oral capsules for you at. 7 ] it may also cause a serious heart condition called torsade de pointes acute...
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