Is nausea a side effect of a high dosage of Verapamil?
Don't combined unless under strict supervision.
1. Nausea is a well reported side effect of verapamil, occurring in nearly 2% of subjects especially at high doses. Hence the nausea may may be related to high dose verapamil intake.
2. It is not advisable to combine verapamil with procoralan (ivabradine) except under strict supervision of your physician. As these two drugs have different mechanism of action on same site in heart , it may decrease your heart rate to very low levels which may be dangerous.
3. Usually when heart rates are very high but they originate from normal site in heart (sinus tachycardia) we try to look for a secondary cause of high rate. These may be smoking, alcohol, anxiety, stress, fever, anti-asthma drugs, thyroid diseases, low hemoglobin, lung diseases etc. Very rarely the cause of such a sinus tachycardia is primary i.e. INAPPROPRIATE SINUS TACHYCARDIA. I would like you to discuss this thing with your doctor. You must avoid any precipitating agent.
4. Since you are having nausea you must discuss it out with your GP, cardiologist or ER physician, whosoever is available. Because if your nausea is related to verapamil, you may develop more serious side effects of the drug. Hence a consultation on priority is a must.
Feel free to discuss further.
Do visit a healthcare facility
I am so sorry to say that I can not assure you that it will go away with time. The reasons for same is that
1. The exact mechanism of nausea has to ascertained. It should not be a manifestation of some other important side effect like fall in blood pressure.
2. The presence of nausea necessitates that we should watch for other side effects and be alert for other side effects. If I get such a case in my practice reducing the dose of verapamil will be high on cards.
3. The literature is not forthcoming on natural history of nausea caused by verapamil. So we do not have support of literature about the future behavior of this side effect induced by verapamil.
Hence I will still recommend you to visit your nearest healthcare facility and get yourself examined and take a decision as per the assessment of physician.
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