Precautions
Mar 11, 2020 · Common medications that may interact with verapamil include: alpha-blockers, such as prazosin. anticonvulsants, such as carbamazepine, phenytoin, or phenobarbital. antidepressants, such as nefazodone. antifungal agents, …
Should I avoid certain foods while taking verapamil ER?
List verapamil ER side effects by likelihood and severity ; Who should not take verapamil ER? Does verapamil ER interact with other medications? …
Can I drink alcohol while taking verapamil?
You should avoid consuming grapefruit or grapefruit juice as much as possible during treatment with verapamil. If you have been regularly consuming grapefruit or grapefruit juice with verapamil, do not increase or decrease the amounts of these products in your diet without first talking to your doctor. Grapefruit juice can increase the blood levels and effects of verapamil. Contact …
What medications can interact with verapamil?
Dec 29, 2021 · You should not use verapamil if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker ), severe heart failure, Wolff-Parkinson-White, Lown-Ganong-Levine syndrome, or slow heartbeats that have caused you to faint. Before taking this medicine
What should I know before taking verapamil with grapefruit?
For people with low blood pressure: Don't take verapamil if you have low blood pressure (systolic pressure less than 90 mm Hg). Verapamil may decrease your blood pressure too much, which may lead to dizziness. What are the side effects of taking verapamil? Common side effects of Isoptin SR (verapamil HCl) include: dizziness, slow heartbeat, constipation,
Before Taking This Medicine
You should not use verapamil if you are allergic to it, or if you have a serious heart condition such as: 1. "sick sinus syndrome" or "AV block" (u...
How Should I Take Verapamil?
Take verapamil exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dos...
What Happens If I Miss A Dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...
What Happens If I Overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of verapamil can be fatal.
What Should I Avoid While Taking Verapamil?
If you also take disopyramide, avoid taking it within 48 hours before or 24 hours after you take verapamil.Verapamil may impair your thinking or re...
What Other Drugs Will Affect Verapamil?
Many drugs can interact with verapamil. Some drugs can raise or lower your blood levels of verapamil, which may cause side effects or make it less...
Can you stop taking vitamins without talking to your doctor?
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Switch to professional interaction data.
Can you take verapamil with ethanol?
verapamil Alcohol (Ethanol) Ask your doctor before using verapamil together with ethanol. Verapamil may increase the blood levels and intoxicating effects of ethanol. This can cause symptoms of extreme drowsiness, confusion, and nausea.
Can you take grapefruit juice with verapamil?
If you have been regularly consuming grapefruit or gra pefruit juice with verapa mil, do not increase or decrease the amounts of these products in your diet without first talking to your doctor. Grapefruit juice can increase the blood levels and effects of verapamil.
Can you take verapamil and multivitamin together?
Using verapamil together with multivitamin with minerals can decrease the effects of verapamil. Talk with your doctor before using verapamil and multivitamin with minerals together. You may need a dose adjustment or need your blood pressure checked more often if you take both medications.
What are the side effects of Verapamil?
Verapamil side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: chest pain, fast or slow heart rate; a light-headed feeling, like you might pass out;
Can you crush Verapamil?
Swallow a capsule or tablet whole and do not crush, chew, break, or open it. Your blood pressure will need to be checked often. Your liver function may also need to be checked. If you need surgery, tell the surgeon ahead of time that you take verapamil.
Can verapamil cause dizziness?
Drinking alcohol with verapamil can cause side effects. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.
Can you take Verapamil if you have a heart condition?
You should not use verapamil if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker ), severe heart failure, Wolff-Parkinson-White, Lown-Ganong-Levine syndrome, or slow heartbeats that have caused you to faint.
What is a verapamil?
VERAPAMIL (ver AP a mil) is a calcium channel blocker. It relaxes your blood vessels and decreases the amount of work the heart has to do. It treats high blood pressure.
What is the CYP3A4 inhibitor?
Verapamil is an inhibitor of CYP3A4, an isoenzyme partially responsible for the metabolism of marijuana's most psychoactive compound, delta-9-tetrahydrocannabinol (Delta-9-THC).
Does verapamil contain caffeine?
Many non-prescription drugs and diet aids may also contain caffeine. · Notes for Professionals: Verapamil reduces the clearance of caffeine and increases serum caffeine concentrations, presumably via inhibition of hepatic metabolism.
Can Verapamil cause sleeplessness?
Side effects from Caffeine may get worse if you take Verapamil. Too much Caffeine can cause effects like nausea, nervousness, or sleeplessness. You may need to limit your Caffeine intake. Common foods and beverages containing caffeine include coffee, teas, colas and chocolate.
Can you drink alcohol while on verapamil?
If the blood pressure is too low, you may experience dizziness, falls, or fainting. Do not drive or operate machinery or perform other hazardous tasks if you drink alcohol while on verapamil, as the effects of alcohol may be greater.
Can you take Verapamil with grapefruit juice?
Verapamil Hydrochloride 240mg, Oral tablet, extended release. · Notes for Consumers: Avoid taking Verapamil with grapefruit juice. Grapefruit juice and grapefruit-containing foods may increase the effects of Verapamil. If your heart rate or blood pressure drops too low while taking this medicine, you may become dizzy or feel faint;
How long does verapamil last?
6 On the first-pass metabolism, verapamil is broken down by the liver into an active metabolite. Verapamil's half-life is about eight hours.
What is the class IV of verapamil?
Here are some of verapamil's uses: Verapamil is a class-IV antiarrhythmic drug. 11 Before physicians used verapamil to treat arrhythmias, propranolol and digoxin were often used.
What is Verapamil 1 used for?
Richard N. Fogoros, MD. Updated on November 17, 2019. Verapamil 1 is a potent medication used to treat heart disease. Because it dilates the blood vessels of the heart and body both, it has numerous clinical applications.
Where is Verapamil located?
Verapamil is a calcium-channel blocker (antagonist) which decreases the entry of calcium ions through L-type calcium channels located in heart cells and smooth muscle cells of the peripheral vasculature. 3
Is verapamil a cardiologist?
Although rare under the close monitoring of a cardiologist, verapamil toxicity is always a concern. 12 In addition to its own adverse effects, verapamil can also interact with a wide variety of other drugs.
Does verapamil slow atrioventricular node conduction?
Slowed atrioventricular node conduction. In addition to the above effects, verapamil also interferes with the energy metabolism of cardiac cells , increasing the heart's dependence on carbohydrates rather than free fatty acids. 5 Moreover, verapamil inhibits pancreatic production of insulin.
Does grapefruit juice affect Verapamil?
Additionally, grapefruit juice also affects the P450 system and may increase verapamil blood concentrations. 15 . Please keep in mind that when used as advised and in a safe manner, verapamil can be of great benefit to those who need it.
What to tell your doctor before taking Verapamil?
Before taking verapamil, tell your doctor and pharmacist if you are allergic to verapamil, any other medications, or any ingredients in verapamil. Ask your pharmacist for a list of the ingredients. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take.
What is Verapamil used for?
Expand Section. Verapamil is used to treat high blood pressure and to control angina (chest pain). The immediate-release tablets are also used alone or with other medications to prevent and treat irregular heartbeats. Verapamil is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so ...
What is the phone number to call for poison control?
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.
How to control blood pressure?
In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.
What happens if you don't treat high blood pressure?
High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body . Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle ...
Where to report a serious side effect?
fever. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).
Can you store Verapamil?
Do not store the mixture for future use. Your doctor will probably start you on a low dose of verapamil and gradually increase your dose. Verapamil controls arrhythmias, high blood pressure, and angina but does not cure these conditions. Continue to take verapamil even if you feel well.
How it works
Verapamil is a calcium channel blocker. It works to relax your blood vessels and improve blood flow, which helps to lower blood pressure.
Serious side effects
If you experience any of these serious side effects, call your doctor right away. If your symptoms are potentially life threatening, or if you think you’re experiencing a medical emergency, call 911.
Cholesterol drugs
Combining certain cholesterol drugs with verapamil may cause you to have increased levels of the cholesterol drug in your body. This may lead to side effects, such as serious muscle pain.
Heart rhythm drugs
Dofetilide. Taking verapamil and dofetilide together may increase the amount of dofetilide in your body by a large amount. This combination may also cause a serious heart condition called torsade de pointes. Don’t take these medications together.
General anesthetics
Verapamil can decrease your heart’s ability to work during general anesthesia. Doses of verapamil and general anesthetics will both need to be adjusted very carefully if they’re used together.
Other drugs
Verapamil may increase or decrease the levels of the following drugs in your body:
Food Interactions
Grapefruit juice: Grapefruit juice may increase the amount of verapamil in your body. This may lead to increased side effects. Avoid drinking grapefruit juice while taking verapamil.
