The following conditions are contraindicated with this drug. Check with your physician if you have any of the following:


  • glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • low amount of potassium in the blood
  • methemoglobinemia, a type of blood disorder
  • myasthenia gravis, a skeletal muscle disorder
  • partial heart block
  • Wolff-Parkinson-White syndrome
  • severe heart block
  • Adams-Stokes syndrome
  • atrial fibrillation
  • sinus bradycardia
  • chronic heart failure
  • decreased lung function
  • liver problems
  • a condition where the body is unable to maintain adequate blood flow called shock
  • decreased oxygen in the tissues or blood
  • decreased blood volume
  • anemia from pyruvate kinase and G6PD deficiencies
  • systemic lidocaine toxicity
  • chronic kidney disease stage 4 (severe)
  • overactive thyroid gland
  • diabetes
  • a type of movement disorder called parkinsonism
  • closed angle glaucoma
  • high blood pressure
  • a heart attack
  • angina, a type of chest pain
  • coronary artery disease
  • sinus tachycardia, a type of fast heart rate
  • abnormal heart rhythm
  • abnormal EKG with QT changes from birth
  • hardening of the arteries in the brain
  • blood circulation failure due to serious heart condition
  • shock caused by significant blood loss
  • dilated cardiomyopathy

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.