Junctional bradycardia with verapamil in renal failure–care required even with mild hyperkalaemia
Journal of Clinical Pharmacy and Therapeutics, 05/10/2012
Hegazi MO et al. – Renal failure patients with baseline mild hyperkalaemia are particularly liable to bradyarrhythmias with SR verapamil. In such cases, authors would recommend verapamil dose reduction and avoidance of SR formulation. In cases of verapamil toxicity, actively treating any level of hyperkalaemia is recommended.