Verapamil 40-80mg 20 tablets

Verapamil Composition:

active ingredient: verapamil; 1 tablet contains verapamil hydrochloride 80 mg;

excipients: lactose monohydrate, microcrystalline cellulose, corn starch, hypromellose, croscarmellose sodium, anhydrous colloidal silicon dioxide, talc, magnesium stearate, sepifilm 752 white, macrogol 4000.

Indications:

Coronary heart disease, including: stable angina; unstable angina (progressive angina, rest angina), vasospastic stenocardia (variant angina, Prinzmetal angina), post-infarction stenocardia in patients without heart failure, if not showing b-blockers.

Arrhythmias: paroxysmal supraventricular tachycardia; flutter / atrial fibrillation with rapid atrioventricular conduction (except syndrome Wolff-Parkinson-White syndrome (WPW).

Arterial hypertension.
 

Contraindications

Cardiogenic shock.
The acute phase of myocardial infarction with complications (bradycardia, hypotension, left ventricular failure).
Severe conduction abnormalities: the AV block II and III degree (except for patients who have implanted artificial pacemaker).
sick sinus syndrome (except for patients who have implanted artificial pacemaker).
Sinoatrial block.
Known hypersensitivity to verapamil or to any component of the formulation.
Decompensated heart failure.
Blink / atrial flutter and simultaneous presence of WPW syndrome (increased risk of provoking ventricular tachycardia).
During treatment with verapamil are not used simultaneously by intravenous β-blockers (except for intensive care).
 
 
Dosage & Administration

Doses are prescribed individually for each patient. The drug should be taken not dissolving and without chewing with sufficient fluid (eg 1 glass of water, in any case, grapefruit juice), it is best during or immediately after a meal.

Adults and adolescents weighing more than 50 kg:
Coronary heart disease, paroxysmal supraventricular tachycardia, atrial flutter / atrial fibrillation.
The recommended daily dose is 120-480 mg, divided into 3-4 receptions. The maximum daily dose – 480 mg.

Arterial hypertension.
The recommended daily dose is 120-360 mg, divided into 3 doses.

Children of preschool age up to 6 years, only in the cardiac arrhythmias: The recommended dosage is in the range of 80-120 mg per day, divided into 2-3 single doses.
Children 6-14 years only with cardiac arrhythmias: The recommended dosage is in the range 80-360 mg per day divided into 2-4 single doses.

Violations of the liver.
In patients with impaired liver function, depending on the severity, the action of verapamil hydrochloride extended and amplified due to slow drug dissolution. Therefore, in such cases, the dosage should be installed with special care, and starting with a low dose (for example, for patients with impaired hepatic function initially 2-3 times daily 40 mg, respectively of 80-120 mg per day).
If necessary, use a dose of 40 mg drug is used in the appropriate dosage.
Do not take the drug lying down.

Verapamil hydrochloride can not be used in patients with myocardial infarction within 7 days after the event.
After a prolonged drug therapy should be withdrawn gradually reducing the dose.
Duration of treatment is determined by the physician individually and depends on the condition of the patient and the disease.