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Driving and using machines
When starting a new medicine, you may find that
your ability to drive a car or use machinery can be
impaired. You should take care when driving or using
machines until you know how you react to this
Important information about some of the
ingredients of Verapamil
Verapamil tablets contain lactose (a type of sugar). If
your doctor has told you that you cannot tolerate
some sugars, see your doctor before taking this
Verapamil tablets also contain sunset yellow (E110),
which may cause allergic reactions.

Always take Verapamil tablets exactly as your doctor
or pharmacist has told you. Take this medicine by
The usual dose is:
For high blood pressure: 120 mg twice a day.
Your doctor may increase this to a maximum of
160 mg two or three times a day.
For angina: 120 mg three times a day. Your doctor
may lower this dose.
For heart rhythm disorders: 40 mg to 120 mg
three times a day.
The dose will be the same as that for adults. If you
have a liver or kidney problem, your doctor may
lower your dose.
The doctor will decide if this medicine is suitable for
your child, depending on your child's condition and
The usual dose for children is:
Up to 2 years of age: 20 mg two or three times a
2 years of age and above: 40 mg to 120 mg two
or three times a day.
If you take more Verapamil than you should
If you take more Verapamil than you should, talk to a
doctor or go to a hospital straight away. Take the
medicine pack with you so the doctor knows what
you have taken.
If you forget to take Verapamil
If you forget to take a dose, take it as soon as you
remember. However, if it is nearly time for the next
dose, skip the missed dose. Do not take a double
dose (two doses at the same time) to make up for a
forgotten dose.
If you stop taking Verapamil
Do not stop taking this medicine without talking to
your doctor first. If you stop taking this medicine it
may make your condition worse.

Like all medicines, Verapamil can cause side effects,
although not everybody gets them.
If you have any of the following side effects,
STOP TAKING this medicine and see a doctor
or go to a hospital straight away:
 an allergic reaction which may cause an itchy
skin rash, flaking skin, red and raised lumps
(hives), blistering of your skin, mouth, eyes or
genitals, sudden wheezing, fluttering or tightness
of your chest or collapse, swelling of your face,
lips, tongue or throat or difficulty in breathing or
 heart problems such as low blood pressure
(hypotension), slow heart beats, unusual heart
beats, heart attack or heart failure. This is more
likely if you are taking high doses or you already
have damage to your heart.

If you get any of the following side effects,
see your doctor as soon as possible:
 swelling of your ankles
 swelling of your blood vessels which may show
as pain in the fingers and toes
 numbness or tingling
 muscle or joint pain.
Tell your doctor if you get any of these side
 breast development in older men
 constipation
 flushing of your face
 headaches, feeling dizzy or tired
 feeling sick (nausea) or being sick (vomiting)
 swollen and overgrown gums.
This medicine may also cause an increase in levels
of a hormone called prolactin. This will only be
detected through tests performed by your doctor.
If any of the side effects become serious, or if
you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.

Keep out of the reach and sight of children.
Do not store above 25°C. Store in the original
package to protect from light or store in the original
container and keep the container tightly closed.
Do not use the tablets after the expiry date, which is
stated on the package or container. The expiry date
refers to the last day of that month.
Medicines should not be disposed of via wastewater
or household waste. Ask your pharmacist how to
dispose of medicines no longer required. These
measures will help to protect the environment.

What Verapamil tablets contain
The active substance (the ingredient that makes the
tablets work) is verapamil hydrochloride.
The other ingredients in the tablets are maize
starch, lactose, gelatin, magnesium stearate,
colloidal anhydrous silica, talc, titanium dioxide
(E171), quinoline yellow (E104), sunset yellow
(E110), hydroxypropyl cellulose, hydroxypropyl
methylcellulose, ethylcellulose and diethyl
What Verapamil tablets look like and contents
of the pack
Verapamil tablets are round, pale yellow, film coated
tablets with a marking engraved on one side. The 40
mg tablets are engraved with MP68, the 80 mg
tablets are engraved with MP69 and the 120 mg
tablets are engraved with MP70.
All three strengths of Verapamil tablets come in
blister packs of 28 tablets and in containers of 100
and 500 tablets. Not all pack sizes may be
Marketing Authorisation Holder
Metwest Pharmaceuticals Limited,
15 Runnelfield, Harrow on the Hill,
Middlesex HA1 3NY
DDSA Pharmaceuticals Limited,
310 Old Brompton Road,
London SW5 9JQ
For more information about this product, please
contact the Marketing Authorisation Holder.
This leaflet was last approved in 08/2015

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.