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Veracal 40mg Tablet 1 Strip
Verapamil Hydrochloride
- Hypertension (High blood pressure)
- Angina pectoris (chest pain of cardiac origin)
- Supraventricular arrhythmias, including:
- Atrial fibrillation and flutter with rapid conduction (except WPW syndrome)
- Paroxysmal supraventricular tachycardia
- Extrasystoles (ectopic heartbeats)
- Prevention of re-infarction post-myocardial infarction
- Acute coronary insufficiency
- Tachycardia in halothane anaesthesia with adrenaline
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Cash on Delivery - All over Bangladesh
Regular Delivery - 8-12 Hours, Dhaka City*- Regular Delivery - 24-48 Hours, All Over Bangladesh*
✅ Description:
Verapamil blocks calcium entry into cardiac and vascular smooth muscle cells. This:
- Relaxes blood vessels → reduces blood pressure
- Decreases myocardial oxygen demand → relieves angina
- Slows conduction through the AV node → controls arrhythmias
- Prevents coronary artery spasms and reduces afterload
Relevant Products / প্রাসঙ্গিক পণ্য
✔️ Words of Advice:
- Take at the same time daily, with food.
- Avoid alcohol during therapy.
- Stand up slowly to prevent dizziness or fainting.
- Do not stop abruptly—can worsen the condition.
- Inform the doctor if you are pregnant, breastfeeding, or have heart/liver issues.
- May impair alertness—avoid driving until you know how it affects you.
✔️ Common Side Effects
- Headache
- Dizziness
- Constipation
- Peripheral edema (swelling in ankles/feet)
- Nausea
- Fatigue
- Rash
- Flushing
- Sleep disturbances
- Less common:
- Gingival hyperplasia
- Increased liver enzymes
- Hypotension
- Dyspnea
✔️ Dosage & Administration
Adults
Hypertension (Immediate-release):
- Start: 80 mg orally every 8 hours
- Maintenance: 80–320 mg/day divided q8h
Hypertension (Extended-release):
- Start: 180 mg once daily (lower if elderly/small frame)
- Max: 480 mg/day
Angina:
- IR: 80–120 mg every 8 hours, up to 480 mg/day
- ER: 180–480 mg/day at bedtime
Arrhythmias:
- 240–480 mg/day in divided doses
✔️ Drug Interactions
- Increased bradycardia & conduction issues: Beta-blockers, digoxin, clonidine
- Increased verapamil levels: Protease inhibitors, cimetidine
- Decreased verapamil levels: Rifampin, phenobarbital
- Increased levels of other drugs: Doxorubicin, cyclosporine, statins, buspirone
- Alcohol: May increase its blood levels
- Potentially fatal: Combined use with amiodarone, dofetilide, dantrolene, etc.
✔️ Contraindications
- Severe hypotension (SBP <90 mmHg)
- Cardiogenic shock
- Marked bradycardia
- 2nd or 3rd degree AV block (without pacemaker)
- Sick sinus syndrome
- Uncompensated heart failure
- WPW or LGL syndromes with atrial arrhythmias
✔️ Precautions & Warnings
- Caution in bradycardia, first-degree AV block, hepatic or renal impairment
- Avoid abrupt withdrawal
- Monitor: BP, heart rate, ECG, Liver function tests
- Use in pregnancy and lactation only if clearly needed (distributed in breast milk)
✔️ Storage:
Store below 25°C, in a cool & dry place. Keep away from light. Keep out of the reach of children.
⚠️Disclaimer:
At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.
