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ISOPTIN regularly reduces the total systemic resistanceafterloadagainst which the heart works both at rest and at a given level of exercise by dilating peripheral arterioles.

Treatment of Acute Cardiovascular Adverse ReactionsThe frequency of cardiovascular adverse reactions that require therapy is rarehenceexperience with their treatment is limitedWhenever severe hypotension or complete AV block occurs following oral administration of verapamilthe appropriate emergency measures should be applied immediatelye.gintravenously administered isoproterenol HCInorepinephrine bitartrateatropine sulfateall in the usual dosesor calcium gluconate10solutionIn patients with hypertrophic cardiomyopathyIHSSalpha-adrenergic agentsphenylephrine HClmetaraminol bitartrate or methoxamine HClshould be used to maintain blood pressureand isoproterenol and norepinephrine should be avoidedIf further support is necessarydopamine HCl or dobutamine HClmay be administeredActual treatment and dosage should depend on the severity of the clinical situation and the judgment and experience of the treating physician.

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