Brand
name: CALAPTIN (Verapamil, Calan, Isoptin)
Pronounced: CAL-an
Generic name: Verapamil hydrochloride
Other brand names: CALAPTIN (Verapamil, Calan, Isoptin) SR, Covera-HS, Isoptin, Isoptin SR, Verelan,
Verelan PM
Why is CALAPTIN (Verapamil, Calan, Isoptin) prescribed?
Verapamil-based medications can be prescribed for several heart and
blood pressure problems. The fast-acting brands (CALAPTIN (Verapamil, Calan, Isoptin) and Isoptin)
are taken for angina (chest pain due to clogged cardiac arteries),
as well as irregular heartbeat and high blood pressure. The longer-acting
brands (CALAPTIN (Verapamil, Calan, Isoptin) SR, Isoptin SR, Verelan, and Verelan PM) are typically
used only for high blood pressure. Covera-HS is prescribed for both
high blood pressure and angina.
Verapamil is a type of medication called a calcium channel blocker.
It eases the heart's workload by slowing down the passage of nerve
impulses through it, and hence the contractions of the heart muscle.
This improves blood flow through the heart and throughout the body,
reduces blood pressure, corrects irregular heartbeat, and helps prevent
angina pain.
Some doctors also prescribe verapamil to prevent migraine headache
and asthma and to treat manic depression and panic attacks.
Most important fact about CALAPTIN (Verapamil, Calan, Isoptin)
If you have high blood pressure, you must take verapamil regularly
for it to be effective. Since blood pressure declines gradually, it
may be several weeks before you get the full benefit of verapamil;
and you must continue taking it even if you are feeling well. Verapamil
does not cure high blood pressure; it merely keeps it under control.
How should you take CALAPTIN (Verapamil, Calan, Isoptin)
without prescriptions?
CALAPTIN (Verapamil, Calan, Isoptin), Isoptin, and Verelan can be taken with or without food. CALAPTIN (Verapamil, Calan, Isoptin)
SR and Isoptin SR should be taken with food.
Covera-HS, CALAPTIN (Verapamil, Calan, Isoptin) SR, Isoptin SR, Verelan and Verelan PM must be swallowed
whole and should not be crushed, broken, or chewed.
You may open Verelan capsules and sprinkle the pellets on a spoonful
of cool applesauce. Swallow all of the mixture immediately, and then
drink a glass of cool water.
Take CALAPTIN (Verapamil, Calan, Isoptin) exactly as prescribed, even if you are feeling well. Try
not to miss any doses. If the drug is not taken regularly, your condition
can get worse.
Check with your doctor before you stop taking CALAPTIN (Verapamil, Calan, Isoptin); a slow reduction
in the dose may be required.
If you miss a dose...
Take it as soon as you remember. If it is almost time for your next
dose, skip the one you missed and go back to your regular schedule.
Never take 2 doses at the same time.
Storage instructions...
Store at room temperature away from heat, light, and moisture.
CALAPTIN (Verapamil, Calan, Isoptin) side effects
Side effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine
if it is safe for you to continue taking verapamil.
* Side effects may include:
Congestive heart failure, constipation, dizziness, fatigue, fluid retention,
headache, low blood pressure, nausea, rash, shortness of breath, slow heartbeat,
upper respiratory infection
Why should CALAPTIN (Verapamil, Calan, Isoptin) not be prescribed?
If you have low blood pressure or certain types of heart disease or
heartbeat irregularities, you should not take verapamil. Make sure
the doctor is aware of any cardiac problems you may have.
If you are sensitive to or have ever had an allergic reaction to CALAPTIN (Verapamil, Calan, Isoptin)
or any other brands of verapamil, or other calcium channel blockers,
do not take CALAPTIN (Verapamil, Calan, Isoptin).
Special warnings about CALAPTIN (Verapamil, Calan, Isoptin)
Verapamil can reduce or eliminate angina pain caused by exertion or
exercise. Be sure to discuss with your doctor how much exertion is
safe for you.
Verapamil may cause your blood pressure to become too low. If you
experience dizziness or light-headedness, notify your doctor.
Congestive heart failure and fluid in the lungs have occurred in people
taking verapamil together with other heart drugs known as beta blockers.
Make sure your doctor is aware of all medications you are taking.
If you have a heart condition, liver disease, kidney disease, myasthenia
gravis, or Duchenne's dystrophy (the most common type of muscular dystrophy),
make certain your doctor knows about it. Verapamil should be used with
caution.
If you are taking Covera-HS and you have a narrowing in your stomach
or intestines, be sure your doctor was aware of it when the drug was
prescribed.
The outer shell of Covera-HS does not dissolve; do not worry if you
see it in your stool.
Possible food and drug interactions when taking CALAPTIN (Verapamil, Calan, Isoptin)
If verapamil is taken with certain other drugs, the effects of either
could be increased, decreased, or altered. It is especially important
to check with your doctor before combining verapamil with the following:
ACE inhibitor-type blood pressure drugs such as Capoten and Vasotec
Beta-blocker-type blood pressure drugs such as Lopressor, Tenormin,
and Inderal
Vasodilator-type blood pressure drugs such as Loniten
Other high blood pressure drugs such as Minipress
Alcohol
Aspirin
Amiodarone (Cordarone)
Carbamazepine (Tegretol)
Chloroquine (Aralen)
Cimetidine (Tagamet)
Cyclosporine (Sandimmune, Neoral)
Dantrolene (Dantrium)
Digitalis (Lanoxin)
Disopyramide (Norpace)
Diuretics such as Lasix and HydroDIURIL
Erythromycin (E.E.S., Ery-Tab, PCE)
Flecainide (Tambocor)
Glipizide (Glucotrol)
Grapefruit juice
Imipramine (Tofranil)
Lithium (Lithonate)
Nitrates such as Transderm Nitro and Isordil
Phenobarbital
Phenytoin (Dilantin)
Quinidine (Quinidex)
Rifampin (Rifadin)
Ritonavir (Kaletra, Norvir)
Theophylline (Theo-Dur)
Special information if you are pregnant or breastfeeding
The effects of verapamil during pregnancy have not been adequately
studied. If you are pregnant or plan to become pregnant, inform your
doctor immediately. The drug appears in breast milk and could affect
a nursing infant. If CALAPTIN (Verapamil, Calan, Isoptin) is essential to your health, your doctor
may advise you to discontinue breastfeeding until your treatment is
finished.
Recommended dosage for CALAPTIN (Verapamil, Calan, Isoptin)
FOR CALAPTIN (Verapamil, Calan, Isoptin) AND ISOPTIN
Overdosage
Any medication taken in excess can have serious consequences. If you
suspect an overdose, seek medical attention immediately.
An overdose of CALAPTIN (Verapamil, Calan, Isoptin) can cause fluid buildup in the lungs, kidney
problems, seizures, dangerously low blood pressure, and life-threatening
heart problems such as a slow or irregular heartbeat.
