Verapamil HCl 180mg 24 Hour Capsule – Generic Verelan
Actual product appearance may differ slightly.
Verapamil is used for:
Treating supraventricular tachycardia, a rhythm disturbance
of the heart. It is also used for controlling heart rate response to other
rhythm disturbances, specifically atrial fibrillation and atrial flutter. It may
also be used for other conditions as determined by your doctor.
Verapamil is a calcium channel blocker. It works by slowing
the electrical conduction in the heart, slowing heart rate, and/or normalizing
Do NOT use Verapamil if:
- you are allergic to any
ingredient in Verapamil
- you have certain heart problems (eg,
left ventricular dysfunction, sick sinus syndrome, second- or third-degree
heart block and do not have a pacemaker); verylow
blood pressure; or moderate to severe congestive heart failure (CHF)
- you have atrial fibrillation or
flutter and a pre-excitation syndromes (extra conduction pathway in the
heart), such as Wolff-Parkinson-White syndrome (WPW) or Lown-Ganong-Levine
- you have shock due to seriousheart
- you are taking dofetilide
Before using Verapamil :
Some medical conditions may interact with Verapamil . Tell
your doctor or pharmacist if you have any medical conditions, especially if any
of the following apply to you:
- if you are pregnant, planning to
become pregnant, or are breast-feeding
- if you are taking any
prescription or nonprescription medicine, herbal preparation, or dietary
- if you have allergies to
medicines,foods, or other substances
- if you have heart failure or a
attackwith lung congestion; low blood pressure; heart problems (eg,
a very slow heart rate, heart block, heart valve disease)
- if you have kidney or liver
problems, muscular dystrophy, or a neuromuscular disease
- if you are taking another blood
Some MEDICINES MAY INTERACT with Verapamil . Tell your health
care provider if you are taking any other medicines, especially any of the
- Beta-blockers (eg, propranolol),
disopyramide, ketolides (eg, telithromycin), or macrolides (eg,
erythromycin) because the actions and the risk of side effects of Verapamil
, some potentially life-threatening, may be increased
- Phenobarbital, rifampin, or St.
John’s wort because they may decrease Verapamil ‘s effectiveness
- Aldosterone blockers (eg,
eplerenone), beta-blockers (eg, propranolol), other blood pressure
cyclosporine, digitoxin, digoxin, dofetilide, dronedarone, eletriptan,
erythromycin, everolimus, flecainide, HMG-CoA reductase inhibitors (eg,
lovastatin, simvastatin), lithium, narcotic pain relievers (eg, fentanyl),
nondepolarizing muscle relaxants (eg, atracurium), quinazolines (eg,
metolazone), quinidine, ranolazine, theophyllines, or tolvaptan because the
actions and the risk of side effects, some potentially life-threatening, may
be increased by Verapamil
How to use Verapamil :
Use Verapamil as directed by your doctor. Check the label
on the medicine for exact dosing instructions.
- Verapamil is usually given as
an injection at your doctor’s office, hospital, orclinic.
If you will be using Verapamil at home, a health care provider will
teach you how to use it. Be sure you understand how to use Verapamil .
Follow the procedures you are taught when you use a dose. Contact your
health care provider if you have any questions.
- Do not use Verapamil if it
contains particles, is cloudy or discolored, or if the vial is cracked
- Keep this product, as well as
syringes and needles, out of the reach ofchildren
and pets. Do not reuse needles, syringes, or other materials. Ask your
health care provider how to dispose of these materials after use. Follow
all local rules for disposal.
- If you miss a dose of
Verapamil , take it as soon as possible. If it is almost time for your
next dose, skip the missed dose and go back to your regular dosing
schedule. Do not take 2 doses at once.
- Verapamil is usually given as
Important safety information:
- Verapamil may cause dizziness.
This effect may be worse if you take it with alcohol or certain medicines.
Use Verapamil with caution. Do not drive or perform other possibly unsafe
tasks until you know how you react to it.
- Do not drink alcohol or use
medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while
you are using Verapamil ; it may add to their effects. Ask your pharmacist
if you have questions about which medicines may cause drowsiness.
- Verapamil may cause dizziness,
lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may
increase these effects. To prevent them, sit up or stand slowly, especially
Sit or lie down at the first sign of any of these effects.
- Lab tests, including liver
function, kidney function, complete blood cell counts, electrocardiogram (ECG),
and blood pressure, may be performed while you use Verapamil . These tests
may be used to monitor your condition or check for side effects. Be sure to
keep all doctor and lab appointments.
- Use Verapamil with caution in the
ELDERLY; they may be more sensitive to its effects.
- Verapamil should not be used in
CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If
you become pregnant, contact your doctor. You will need to discuss the
benefits and risks of using Verapamil while you are pregnant. Verapamil is
found in breast milk. Do not breast-feed while taking Verapamil .
Possible side effects of Verapamil :
All medicines may cause side effects, but many people have
no, or minor, side effects. Check with your doctor if any
of these most COMMON side effects persist or become bothersome:
Dizziness; fatigue; headache; lightheadedness.
Seek medical attention right away if any of these SEVERE
side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty
breathing; tightness in the chest; swelling of the mouth, face, lips, or
pain; lightheadedness, especially when standing; severe dizziness;
shortness of breath; swelling of the feet or hands; unusually fast, slow or