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CLASSIFICATION
Anti hypertensive; calcium channel blockers
SIDE EFFECTS AND ADVERSE EFFECTS CNS: headache,dizziness,fatigue. CV: Peripheral edema, angina, bradycardia, hypotension, palpitations. GI: Gingival hyperplasia, nausea. DERM: flushing
NURSING RESPONSIBILITIES
Alert: monitor patient carefully. Some patients, especially those with severe coronary obstructive disease, have developed frequency, duration, or severity of angina or acute MI after initiation of calcium channel blocker therapy or at time of dosage increase. Monitor blood pressure frequently during initiation of therapy. Because drug induced vasodilation has a gradual onset, acute hypotension is rare. Notify prescriber if signs of heart failure occur, such as swelling of hands and feet or shortness of breath.
Antihypertensives; adrenergics
Indication: PO, Transdermal: Management of mild to moderate hypertension. Epidural: Management of cancer pain unresponsive to oploids alone. Unlabeled Use: Management of oploid withdrawal. Treatment of attention-deficit hyperactivity disorder (ADHD). Adjunctive treatment of neuropathic pain. Contraindication: Contraindicated in: Hypersensitivity; Epidural injection site infection, anticoagulant therapy or bleeding problems. Use Cautiously in: Serious cardiac or cerebrovascular disease; Renal insufficiency; Pedi: Evaluation of cardiac disease should precede initiation of therapy for ADHD in children; Geri: Appear on Beers list due to increased risk of orthostatic hypotension and adverse CNS effects in geriatric patients( dose recommended); OB, Lactation: Safety not established.