Verapamil Hydrochloride Tablets (80mg, 120mg, 240mg)

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, especially:

• ivabradine (for heart disease)
• alpha or beta-blockers (particularly important if having a beta-blocker by injection) and other drugs to treat high blood pressure e.g. prazosin
• cimetidine (to treat stomach ulcers)
• phenobarbital, carbamazepine or phenytoin (to treat epilepsy)
• rifampicin, erythromycin, clarithromycin or telithromycin (to treat infections)
• ritonavir (to treat HIV)
• lithium (to treat depression)
• theophylline (to treat asthma)
• digoxin (to treat certain heart conditions)
• midazolam (used as sedative or anaesthetic)
• statins e.g. simvastatin, atorvastatin (to lower cholesterol levels)
• imipramine (to treat depression, anxiety and panic disorder)
• aspirin (for pain, fever or to prevent blood clots)
• almotriptan (to treat migraine)
• dabigatran (medicine to prevent the formation of blood clots)
• quinidine or flecainide (to treat arrhythmias)
• colchicine or sulfinpyrazone (for gout)
• glibenclamide (to treat certain types of diabetes)
• doxorubicin (used in chemotherapy to treat some cancers)
• immunosupressants such as ciclosporin, sirolimus, everolimus and tacrolimus (to prevent organ transplant rejection)
• St. Johns Wort (for mild anxiety)
• if you are about to receive surgery where an anaesthetic will be used (including dentistry).

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Do not eat or drink products containing grapefruit juice whilst taking verapamil, as grapefruit juice increases the effects of verapamil.

Verapamil may increase the amount of alcohol in the body and the time it takes for alcohol to leave the body. You should avoid excessive amounts of alcohol whilst taking Verapamil tablets.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Do not take Verapamil Hydrochloride tablets if you:

• are allergic to verapamil hydrochloride or any of the other ingredients of this medicine
• have heart failure or severe problems with the impulses and rhythms of the heart (second or third-degree atrioventricular block or sick sinus syndrome) unless you have a pacemaker
• have heart failure and are taking beta-blockers
• have recently suffered a heart attack
• suffer from a slow heart rate (bradycardia)
• have low blood pressure (hypotension)
• have Wolff-Parkinson-White syndrome (rapid heart rate sometimes associated with dizziness or faintness)
• are already taking a medicine containing ivabradine for the treatment of certain heart diseases.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Verapamil Hydrochloride tablets should not be taken by anyone with the following health problems:

Low blood pressure: If you have low blood pressure, avoid taking verapamil (systolic pressure less than 90 mm Hg). Verapamil may cause dizziness by lowering your blood pressure.

Heart disease: This involves cardiac failure and severe left ventricular dysfunction. If you have major damage to the left side of your heart or have moderate to severe heart failure and are taking a beta-blocker, avoid taking verapamil.

 Liver disease: Liver and kidney disease can influence how well this medicine is processed and cleared by your body. If you have impaired kidney or liver function, the medicine may build up in your system, increasing the risk of side effects.

Irregular heartbeats: Sick sinus syndrome, ventricular arrhythmias, Wolff-Parkinson-White syndrome, 2nd or 3rd degree atrioventricular (AV) block, or Lown-Ganong-Levine syndrome are examples of these conditions. Verapamil may cause ventricular fibrillation or atrioventricular block if you have any of these diseases.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Verapamil is safe for most individuals. It can also be administered to children over the age of one year. However, you should see your doctor before taking it if you are attempting to conceive, pregnant, or breastfeeding.

Yes, however, it is due to water weight most of the time. Oedema (Swollen legs and feet) can occur in around 2% of people who use verapamil. The excess water being trapped in your body tissue could be the cause behind this.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

When you stop taking verapamil, your blood pressure may rise. If you’re taking it for high blood pressure, you should keep taking it even if you’re feeling fine because high blood pressure often goes unnoticed.

Important note: Do not stop any medication without seeking advice from your doctor.

Administering Verapamil Hydrochloride Tablets during pregnancy can damage the fetus by causing low blood pressure, low heart rate, and irregular cardiac rhythm. If you’re pregnant or planning to conceive, tell your doctor. During pregnancy, verapamil should only be used if the possible benefit outweighs the risk to the fetus.

Verapamil is a medication that passes through breast milk and is unsafe for breastfeeding women. It has the potential to harm a breastfeeding baby. Before breastfeeding while using this medicine, see your doctor.

Yes. Verapamil causes reduced heart rates of less than 50 beats per minute, an uncommon side effect. It may cause your heart rate to drop too low, making you feel fatigued or weak. You should seek medical help if this happens.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

While using verapamil, avoid or restrict the amount of alcohol you consume. Drinking alcohol while taking this medication can cause dizziness or reduce your blood pressure more than is healthy.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

In the event of an overdose, dial 1-800-222-1222 for immediate help. If the person has passed out, had a seizure, is having problems breathing, or cannot be woken, dial 999 right away.

Symptoms of overdose are:

• Blurred vision
• Changes in heartbeat
• Dizziness
• Seizures
• Difficulty breathing
• Difficulty swallowing

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

There is no conclusive evidence that taking verapamil will diminish fertility in men or women. If you’re having trouble getting pregnant while taking verapamil, talk to your doctor. If you’re trying for a baby, talk to your doctor because your treatment may need to be reviewed.

Your contraception will not be affected by verapamil. Some hormonal contraception techniques, such as the combination pill and contraceptive patch, are not suggested for high blood pressure women. If you’re on combined hormonal contraceptives, talk to your doctor.

The best pain reliever to take when taking verapamil is paracetamol. Try ibuprofen if paracetamol doesn’t work. Talk to your doctor if you need to use painkillers more than a few times each week.

Verapamil can cause dizziness in some people. Do not drive a car, ride a bike, or operate tools or machinery until you recover from these issues.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Store Verapamil Hydrochloride tablets in a cool, dry place away from children. Do not use Verapamil tablets after the expiry date on the box.

Store this medication tightly shut in the container it came in and out of the reach of children. It should be kept at room temperature, free from heat and moisture.

Unused prescriptions should be disposed of in a certain manner to prevent children, pets and others from ingesting them.

You can find all this information and more in the patient information leaflet for Veramapil tablets.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

You can buy Verapamil tablets online from registered online prescribers such as e-Surgery.

Whenever you are buying Verapamil tablets or any other medication, make sure you check for the green GPhC logo on the bottom of each page of the website you are using.

Use the GPhC website to check if a pharmacy is registered.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Before you buy Verapamil online you can read more information in the patient information leaflet for Veramapil tablets.

You can also use our completely free Ask-a-Pharmacist service to get health advice from a trained professional.

We’re here to help!

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

When you buy Verapamil online they will come in blister packs that are not currently recyclable, so once they have been used can be disposed of in a general waste bin. If the Verapamil tablets are unfinished dispose of the medication safely and drop them off at a local pharmacy. Cardboard packaging and paper patient information leaflets are recyclable.

Use a medicine take-back programme as an ideal approach to get rid of your medication. To find out about take-back programmes in your area, talk to your pharmacist or call your local garbage/recycling department.

For any more information on the disposal of Verapamil tablets, you can use our free Ask-a-Pharmacist service.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

High blood pressure can lead to heart attacks, stroke, and even death. Taking medication such as Verapamil tablets is a great way to reduce high blood pressure.

In combination with a healthy diet and exercise (where possible), you can reduce the effects of high blood pressure.

It is also really easy to order Verapamil online and avoid the GP wait times and trips to the pharmacy. You can buy Verapamil online from a trusted online pharmacy such as e-Surgery, simply answer a quick 2 minute questionnaire, and have your medications delivered to you with free shipping.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Store Verapamil Hydrochloride tablets in a cool, dry place away from children. Do not use Verapamil tablets after the expiry date on the box.

You can find all this information and more in the patient information leaflet for Veramapil tablets.

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

Before you buy Verapamil online you can read more information in the patient information leaflet for Veramapil tablets.

You can also use our completely free Ask-A-Pharmacist service to get health advice from a trained professional.

We’re here to help!

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil.

The e-Surgery health hub has advice, guidance, and updates on all areas of health, wellness, and pharmacy. You might find these resources useful:

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High blood pressure in winter

Can High Blood Pressure Cause Migraines?

5 Home Remedies To Reduce Blood Pressure

We advise that our patients consult with either their prescriber or doctor before you buy or use Verapamil. If you have any more questions on this topic, you can also use our free Ask-a-Pharmacist service!