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Calcium channel blockers

Verapamil

Also sold as: Isoptin, Calan

Prescription neededCalcium channel blockers
Comes as:TabletInjection

Usual adult dose

Usual adult dose: 80 to 120 mg three times a day, or long-acting tablets 240 to 480 mg a day. For heart rhythm problems the dose is set by your doctor.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • constipation
  • dizziness
  • headache
  • swollen ankles

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • very slow heartbeat
  • fainting
  • worsening heart failure

Do not take it, or take care, if

  • Very slow heartbeat or heart block
  • Heart failure with weak heart muscle
  • Low blood pressure
  • Taking a beta blocker (dangerous combination)

Interactions

Medicines that can react with this one.

Serious9 medicinesDo not take these together unless your doctor says so.
  • Atenolol

    Verapamil with a beta blocker can cause very slow heartbeat, heart block and heart failure.

  • Bisoprolol

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Together they can cause very slow heartbeat, heart block and heart failure.

  • Carvedilol

    Together they can cause very slow heartbeat, heart block and heart failure.

  • Digoxin

    Verapamil raises digoxin levels and can cause toxicity and heart block.

  • Labetalol

    Together they can cause very slow heartbeat, heart block and heart failure.

  • Metoprolol

    Verapamil with a beta blocker can cause very slow heartbeat, heart block and heart failure.

  • Show 3 more
    • Propranolol

      Together they can cause very slow heartbeat, heart block and heart failure.

    • Simvastatin

      Verapamil raises simvastatin levels and the risk of muscle damage.

    • Timolol

      Together they can slow the heart too much.

    Diltiazem
  • Amlodipine
  • Nifedipine
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.