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midwestbeth
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Verapamil Dosage
« on: Jan 10th, 2007, 5:01pm » |
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What is a good starting dosage for verapamil? The meds the Dr has me on are not helping and from what I've been reading, many of you are taking verap, but the dosages are all over the place. I'm going through a really bad cycle (4-6 hits daily lasting 10-45min & 7-9 on kip scale) and I can barely function. Going to call the Dr. tomorrow and discuss verap, just wanted some input first. Thanks, Beth
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UN solved
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Please don't increase your dosage of any meds unless you're told to do so by your doctor !
Verapamil can be effective at a dose ranging anywhere from 240mg/day to 960mg/day.
WARNING: Some people can't handle high doses of Verapamil (like me). It can dangerously lower your blood pressure and heart rate. (400mg/day just about stopped my clock  
Goodluck & PF Wishes
UNsolved
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midwestbeth
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Re: Verapamil Dosage
« Reply #2 on: Jan 10th, 2007, 5:13pm » |
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I'm not taking verapamil and I wouldn't mess with any meds without talking to the Dr. 1st, I just want to talk to the Dr about verapamil and wondered what dosage most people start at
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pubgirl
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Re: Verapamil Dosage
« Reply #3 on: Jan 10th, 2007, 6:18pm » |
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Dear Beth
Unsolved is right. Verapamil can actually be a killer with other drugs or with someone with a heart defect so you must be checked out via an ECG before taking it with your GP's blessing.
The usual dosage regime recommended below is from one of the most eminent CH experts in the world. It is followed until prevention is achieved and the two week interval is because it takes time to work.
It is recommended that it should be BP not SR (not slow or sustained relief) and also that you may prefer to take a larger dose before bedtime if you are mainly a nocturnal sufferer.
Also: Not trying to put you off if you really need it but there is increasing evidence that prevents may worsen the condition in the longer term.
Morning Midday Evening
For 2 weeks take: 80mgs 80mgs 80mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 80mgs 80mgs 160mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 80mgs 160mgs 160mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 160mgs 160mgs 160mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 160mgs 160mgs 240mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 160mgs 240mgs 240mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 240mgs 240mgs 240mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 240mgs 240mgs 320mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 240mgs 320mgs 320mgs
Arrange to have an ECG performed ? if the ECG is normal then:
For 2 weeks take: 320mgs 320mgs 320mgs
Hope this helps
Wendy
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| « Last Edit: Jan 10th, 2007, 7:20pm by pubgirl » |
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Jonny
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Re: Verapamil Dosage
« Reply #4 on: Jan 10th, 2007, 7:13pm » |
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You ROCK, UNsolved!!
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It is up to YOU to educate yourself and then help your doctor plan your treatment. If you just sit down in front of your doctor and say "make me better" you are setting yourself up for a great deal of pain.
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JeffB
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Re: Verapamil Dosage
« Reply #5 on: Jan 10th, 2007, 7:25pm » |
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What meds have they given you so far?
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midwestbeth
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Re: Verapamil Dosage
« Reply #6 on: Jan 10th, 2007, 7:45pm » |
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Thanks for the info about verapamil. If the Dr gives me a perscription, I'll definately be watching out for any side effects.
I'm taking 50 mg of Atenolol daily and 2.5 mg Frova as abortive. Since the Dr increased the Atenolol from 25 mg to 50 mg the clusters have been worse in frequency and intensity.
I have had a CAT scan and have an MRI scheduled for tomorrow am. Dr appt scheduled for next week.
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Ferrit
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Re: Verapamil Dosage
« Reply #7 on: Jan 11th, 2007, 1:17pm » |
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Started my verapimil at 180 with no real effect cept i was tired.
Then boosted to 240 and found the intensity is considerably less for the severity of the attacks.
Am now up to 360 and i get 2 to 3 days with no attacks and then when i do get them they are severely limited in intensity.
A real blessing I can tell you cause O2 kills even the smalls ones dead
One thing does anyone get severe lower back pain on verapimil?
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birdman
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Re: Verapamil Dosage
« Reply #8 on: Jan 11th, 2007, 2:47pm » |
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All great info provided. I currently take 720 mgs per day and all at once in the AM. Looking at Pubgirl post makes me wonder if I should spread it out through the day? Also, anyone know what the SA in Verapamil SA stands for? Is it the right one?
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pubgirl
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Re: Verapamil Dosage
« Reply #9 on: Jan 12th, 2007, 3:13am » |
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on Jan 11th, 2007, 2:47pm, birdman wrote:| All great info provided. I currently take 720 mgs per day and all at once in the AM. Looking at Pubgirl post makes me wonder if I should spread it out through the day? Also, anyone know what the SA in Verapamil SA stands for? Is it the right one? |
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If you are taking the dose once a day it will be the sustained release version you are taking (it is called SR here but may be SA over there)
This works OK for some people, but it doesn't give you the option of varying your dose, and in fact will be weakest at night when you may need it most.
Porf Goadsby actually feels quite strongly that the sustained release version should not be used at all and always advocates multiple smaller doses of the BP to keep the levels high enough in the body.
Wendy
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karma
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Re: Verapamil Dosage
« Reply #10 on: Jan 12th, 2007, 10:04am » |
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Quote:| One thing does anyone get severe lower back pain on verapimil? |
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Ferrit,
This could be due to constipation that affect many on Verap.
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