| DRUG | SUPPLIED | DOSE | COMMENTS |
|---|---|---|---|
| VERAPAMIL (Paeds) Mechanism of action: Non-dihydropyridine calcium channel blocker Ref: 111 Last update: 2022-09-12 |
tablet: 80 mg, 120 mg. (long-acting preparation is not available at BCCH) injection: 2.5 mg/mL |
Children > 1 year: 1-8 mg/kg/dose PO TID (may decrease dosing interval to QID if symptoms emerge at the end of each dosing interval) (4-17 mg/kg/24 hr) Adults: 80 mg PO x 1 PRN for stable SVT or verapamil-sensitive VT |
Calcium chloride should be available to treat hypotension. Avoid use in infants due to severe apnea, severe sinus bradycardia, hypotension and cardiac arrest. Contraindications: cardiogenic shock, AV Block, left ventricular failure, severe chronic heart failure, severe hypotension, sick sinus syndrome, Wolff-Parkinson-White Pattern. Standard Prescription: verapamil__mg PO Q__H (__mg/kg/24hr) verapamil__mg PO x 1 dose |