Verapamil: Risk Groups

Pregnant women:
Can be given (allowed even for pregnancy hypertension).

Nursing mothers:
Verapamil reaches relatively high concentrations in breast milk but it can be given.

Children:
Neonates/infants: 20 mg orally every 8 to 12 hours (slowly i.v.: 0.1-0.2 mg/kg. Older children: 40 mg every 8 to 12 hours.

Elderly people:
Mind risk of orthostatic hypertension (and potential liver problems). Cautious dosage.

Renal failure:
No problems, no dose adjustment necessary.

Liver insufficiency:
Increased plasma levels and thus reinforced effect when there is liver insufficiency. Start with small dose!

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