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Md wishes to add clonidine 0.1 mg (1 tab only) to daily verapramil during office visits at 6 mos. To lower white coat blood pressure. prescription conflict?

1 doctor weighed in
Dr. Bennett Werner
Internal Medicine - Cardiology

In brief: No

The 2 drugs can be used together - they have different mechanisms of action.
However, both drugs can slow intracardiac conduction so their combined use must be monitored. Some people won't tolerate them due to excessively slow heart rate or development of atrioventricular block. Finally, white coat HTN does not require treatment. By definition, it's artifactual elevation from anxiety.

In brief: No

The 2 drugs can be used together - they have different mechanisms of action.
However, both drugs can slow intracardiac conduction so their combined use must be monitored. Some people won't tolerate them due to excessively slow heart rate or development of atrioventricular block. Finally, white coat HTN does not require treatment. By definition, it's artifactual elevation from anxiety.
Dr. Bennett Werner
Dr. Bennett Werner
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