Table 2

 Patient groups requiring particular care

Potential for enhanced effects of adenosineElderly people
Sinus node dysfunction
Dipyridamole
Carbamazepine
Drugs affecting AV conduction (digoxin, verapamil, β blockers)
Potential for reduced effect of adenosineTheophylline
Caffeine
Potential for induction of tachyarrhythmiasHistory of recurrent palpitation (suggesting possibility of latent pre-excitation or dual AV node physiology54,55)