verapamil
Used for Hypertension and Unstable Angina
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Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
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verapamil Uses, Side Effects, Interactions, Warnings & Dosing
What dosages is verapamil available in?
verapamil is available as a 120 mg, 180 mg, 240 mg, and 360 mg extended-release oral tablet.
What is verapamil used for?
verapamil is a calcium channel blocker (CCB) used for high blood pressure
How does verapamil work?
verapamil is a calcium channel blocker (CCB). It works by blocking calcium from entering your heart muscle. This helps lower how much your heart works to squeeze (contract) and relax. It also relaxes and opens up your blood vessels, including those of your heart. By relaxing your heart muscle and blood vessels, verapamil helps lower your blood pressure.
How do I take verapamil?
verapamil is typically taken by mouth once daily in the morning. Your dose might differ if you’re of older age, have low body weight, or have liver or kidney problems.
Is it safe for me to take verapamil?
verapamil is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not take this medication if you have severe left ventricular dysfunction, hypotension (systolic pressure less than 90 mm Hg) or cardiogenic shock, sick sinus syndrome (except in patients with a functioning artificial ventricular pacemaker), second- or third-degree AV block (except in patients with a functioning artificial ventricular pacemaker), or atrial flutter or atrial fibrillation and an accessory bypass tract (eg, Wolff-Parkinson-White, Lown-Ganong-Levine syndromes).
verapamil Common Side Effects
Common side effects of verapamil include:
- Constipation
- Dizziness
- Nausea
- Low blood pressure
- Headache
- Sleepiness
- Stomach discomfort (e.g., nausea, diarrhea)
verapamil Serious Side Effects
Serious side effects are rare with verapamil. Contact your healthcare provider immediately if you experience any of the following.
- Heart rhythm problems: chest pain, dizziness, shortness of breath, fainting, feeling like your heart skipped a beat, severe tiredness
- Heart failure: shortness of breath, cough, tiredness, swelling of arms or legs, quick weight gain, dizziness
- Liver problems: yellowing of the skin or eyes (jaundice), stomach pain or swelling, loss of appetite, dark urine, nausea, vomiting, confusion
- Low blood pressure: dizziness, lightheadedness, weakness or tiredness, blurred vision, feeling thirsty, sweating, cold or pale skin, confusion, fast breathing
Effects of other drugs, drug classes and over-the-counter products on verapamil
The following medications may interact with verapamil:
- Cytochrome inducers/inhibitors – Clinically significant interactions have been reported with inhibitors of CYP3A4 (e.g., erythromycin, ritonavir) causing elevation of plasma levels of verapamil while inducers of CYP3A4 (e.g., rifampin) have caused a lowering of plasma levels of verapamil
- HMG-CoA reductase inhibitors – The use of HMG-CoA reductase inhibitors that are CYP3A4 substrates in combination with verapamil has been associated with reports of myopathy/rhabdomyolysis.
- Ivabradine – Concurrent use of verapamil increases exposure to ivabradine and may exacerbate bradycardia and conduction disturbances. Avoid co-administration of verapamil and ivabradine.
- Aspirin – In a few reported cases, co-administration of verapamil with aspirin has led to increased bleeding times greater than observed with aspirin alone
- Grapefruit juice – Grapefruit juice may increase plasma levels of verapamil
- Alcohol – verapamil may increase blood alcohol concentrations and prolong its effects
- Lithium – Increased sensitivity to the effects of lithium (neurotoxicity) has been reported during concomitant verapamil-lithium therapy; lithium levels have been observed sometimes to increase, sometimes to decrease, and sometimes to be unchanged. Patients receiving both drugs must be monitored carefully
Who makes verapamil?
Various FDA-approved generic manufacturers
Is verapamil safe in pregnancy?
It is not known if verapamil will harm your unborn baby. If you become pregnant while receiving verapamil, talk to your healthcare provider.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
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Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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