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Verapamil
Verapamil
Pronunciation
(ver AP a mil)
Brand Names
Calan®; Calan® SR; Covera-HS®; Isoptin®; Isoptin® SR; Verelan®
Canadian/Mexican Brand Names
Apo-Verap® (Canada); Dilacoran-HTA® (Mexico); Dilacoran (Mexico);
Dilacoran-Retard® (Mexico); Novo-Veramil (Canada); Nu-Verap (Canada); Veraken
(Mexico); Verdilac (Mexico)
Therapeutic Categories
Antianginal Agent; Antiarrhythmic Agent, Class IV; Antihypertensive Agent;
Calcium Channel Blocker
What is this medicine used for?
- This medicine is used for the treatment of high blood pressure and/or chest
pain from the heart. This is called angina.
- It is also used for irregular heartbeats (arrhythmias) and prevention of
migraine headaches.
How does it work?
- Verapamil blocks certain channels in blood vessels that cause relaxation.
This results in a lowering of blood pressure and an increased blood flow to the
heart, resulting in less chest pain.
How is it best taken?
- Take liquid (suspension)/tablets with or without food. Take with food if
this medicine causes an upset stomach.
- A suspension is available if you cannot swallow tablets or who have feeding
tubes. Flush the feeding tube before and after medicine administration. Shake
well first.
- Take sustained-release capsules with food. Swallow whole. Do not chew,
break, or crush.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your
regular schedule.
- Do not take a double dose or extra doses.
- Do not change dose or stop taking medicine without talking with healthcare
provider.
What are the precautions when taking this
medicine?
- Wear disease medical alert identification for heart disease.
- Limit alcohol intake (includes wine, beer, and liquor). Can increase blood
pressure.
- Do not use over-the-counter products that increase blood pressure. These
include cough or cold remedies, diet pills, stimulants, ibuprofen or like
products, and certain herbs or supplements. Talk with healthcare provider.
- Tell healthcare provider if you are allergic to any medicine. Make sure to
tell about the allergy and how it affected you. This includes telling about
rash; hives; itching; shortness of breath; wheezing; cough; swelling of face,
lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting pregnant.
- Tell healthcare provider if you are breast-feeding.
What are the common side effects of this
medicine?
- Lightheaded. Avoid driving, doing other tasks or hobbies that require you
to be alert until you see how this medicine affects you.
- Dizziness is common. Rise slowly over several minutes from sitting or lying
position. Be careful climbing stairs.
- Constipation. More liquids, regular exercise, or a fiber-containing diet
may help. Talk with healthcare provider about a stool softener or laxative.
What should I monitor?
- Check blood pressure regularly.
- Follow diet plan and exercise program as recommended by healthcare
provider.
- Follow up with healthcare provider.
Reasons to call healthcare provider
immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in
the chest; fever; itching; bad cough; blue skin color; fits; swelling of face,
lips, tongue, or throat.
- Severe headaches.
- Passing out, fainting, dizziness, or lightheadedness.
- Chest pains, fast heartbeats, shortness of breath, or decreased ability to
walk.
- No bowel movement in 3 days.
- Any rash.
How should I store this medicine?
- Store in a tight container at room temperature.
- Store liquid (suspension) in a refrigerator. Throw away after 30 days.
General statements
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant)
- Talk with healthcare provider before starting any new medicine, including
over-the-counter or natural products (herbs, vitamins).
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