Veral Contraindications

Verapamil must not be used in cases of: Hypersensitivity (allergy) to the active substance verapamil hydrochloride or to any of the other excipients.
Cardiovascular shock.
Pronounced conduction disturbances (such as SA or AV block degrees II and III; except in patients with an artificial pacemaker).
Sick sinus syndrome (except in patients with an artificial pacemaker).
Cardiac insufficiency with reduced ejection fraction of less than 35% and/or pulmonary wedge pressure above 20 mmHg (unless secondary to a supraventricular tachycardia amenable to verapamil therapy.
Atrial fibrillation/flutter in the presence of an accessory bypass tract (e.g., WPW or Lown-Ganong-Levine syndrome). These patients are at risk to develop ventricular tachyarrhythmia including ventricular fibrillation if verapamil hydrochloride is administered.
Combination with ivabradine (see Interactions).
Beta-blockers must not be used concurrently intravenously in patients treated with verapamil (exception intensive care medicine) (see also Interactions).