Page 32 - RxExam's Naplex Theory Review Part-1
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               Digitalis glycoside    Additive A.V. node suppression has been reported when concurrently use
                                      with Diltiazem and Verapamil.

               Estrogen               May cause sodium and water retentions which reduce the pharmacological
                                      effects of Calcium-channel blockers.

               Prazosin               Concurrent use with calcium-channel blockers may produce an additive
                                      hypotensive effect.

               Rifampin               May reduce the serum concentration of calcium channel blockers by
                                      inducing CP450 enzyme.

               Disopyramide           May produce an additive A.V. node suppression when concurrently used
                                      with calcium-channel blockers.

               Grapefruit juice       May increase serum concentration and toxicities of calcium channel
                                      blockers (except Amlodipine).



















































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