skip to main content

Verapamil contraindication — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyCardiovascular TherapeuticsVerapamil contraindicationGPhC CRA

A 66-year-old man with AF needs rate control. His PMH includes heart failure with reduced ejection fraction. He takes bisoprolol, ramipril and furosemide, and the GP is considering verapamil. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Avoid verapamil and seek specialist advice

Rate-limiting calcium-channel blockers such as verapamil can worsen HFrEF and increase bradycardia risk with beta-blockers. Specialist advice is appropriate for complex rate control here. Combining rate-limiting agents without review may cause conduction problems.

Reference: BNF; NICE CKS