Evigrade
Moderate

Acetylsalicylic acid × Verapamil

Antiplatelet agents (low dose) / NSAIDs (analgesic dose)×Non-dihydropyridine calcium channel blocker

Mechanism

At high doses, aspirin weakens verapamil's antihypertensive effect via vasodilator prostaglandin suppression. At cardioprotective doses, there is no clinically significant effect.

Symptoms

Gradual blood pressure rise at high aspirin doses. At cardioprotective doses, no significant changes.

Management

Cardioprotective aspirin doses (75–100 mg) are acceptable without adjustment. At high doses, monitor blood pressure and increase verapamil if needed. Alternative analgesic: paracetamol.

Sources

All interactions

Acetylsalicylic acid and Verapamil: interaction, management, sources – Evigrade