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VERA-TIL SR TABLETS 240MG

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PATIENT INFORMATION LEAFLET

Vera-Til SR Tablets 120mg & 240mg
(Verapamil Hydrochloride)
Please read this entire leaflet carefully before you start taking this medicine.





Keep this leaflet. You may need to read it again.
If you have further questions, please ask your doctor or your pharmacist.
This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them,
even if their symptoms are the same as yours.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor
or pharmacist.
In this leaflet:
1
2
3

1

What Vera−Til SR is and what is it used for
Before you take Vera−Til SR
How to take Vera−Til SR

4
5
6

Possible side effects
How to store Vera−Til SR
Further information
depressants) and St. John’s Wort (herbal product)
Glibenclamide, for certain types of diabetes
Medicinces used to prevent rejection after organ
transplants (immunosuppressants), such as ciclosporin,
everolimus, tacrolimus or sirolimus,
Theophylline, for bronchial asthma
Rifampicin, an antibiotic for various infections, in
particular tuberculosis
Lithium, for depression or mania
Cimetidine, for the treatment and prevention of ulcers
and to reduce stomach acidity
Ivabradine, for chest pain (angina)
Erythromycin, telithromycin and clarithromycin, for
bacterial infections
Doxorubicin, for cancer
Medicines used for lowering cholesterol (known as
’statins’), such as simvastatin, atorvastatin and lovastatin
Barbiturates, for anxiety, difficulty sleeping and epilepsy,
such as phenobarbital and primidone
Buspirone, for anxiety
Midazolam, used as a sedative or anaesthetic
Colchicine and sulfinpyrazone for gout
Ritonavir, for HIV
Almotriptan, used to treat migraine
Anaesthetics which are inhaled
Medicines used to relax and paralyse muscles before an
operation, such as atracurium

What Vera-Til SR is and what it is
used for

The active ingredient in this medicine is called verapamil
hydrochloride. It belongs to a group of medicines called
calcium channel blockers which are used to treat high blood
pressure, or to help control angina (chest pain). It works by
reducing the heart rate and increasing coronary blood flow.
Vera−Til SR Tablets may be used after a heart attack in
order to prevent further heart attacks.

2

Before you take Vera-Til SR

Do not take Vera−Til SR Tablets if:
you are allergic to verapamil or any of the other
ingredients. (see section 6 "Further Information " for a list
of other ingredients)
you have had a heart attack, which has been followed by
a slow heart rate, low blood pressure or breathlessness
you have a weak heart which may cause breathlessness
and tiredness
you have an abnormal or slow heartbeat (unless controlled
by a pacemaker) or had heart block
you have had congestive heart failure
you have low blood pressure
you have blocked veins in your heart
you have Wolff−Parkinson−White syndrome

Taking Vera−Til SR Tablets with food and drink
Do not drink grapefruit juice whilst taking this medicine.

Warnings and precautions
Take special care with Vera−Til SR Tablets − Tell your
doctor if any of the following apply to you:
If you have liver disease
If you have kidney disease
If you have suffered heart failure or have heart problems
If you are taking statins for lowering cholesterol, such as
simvastatin, atorvastatin or lovastatin (see section 2
’Taking other medicines’)
If you have a neuro−muscular disorder such as
myasthenia gravis (chronic fatigue and muscular
weakness), Lambert−Eaton syndrome or advanced
Duchenne muscular dystrophy
Blood pressure should regularly be checked when being
treated with Vera−Til SR Tablets.
Children and adolescents
There are no data on the use of Vera−Til SR Tablets in
children and adolescents.
Taking other medicines
Please inform your doctor or pharmacist if you are taking,
or have recently taken any other medicines, even those not
prescribed but bought without a prescription, or the following:
Other medicines which may interact with Vera−Til SR
Tablets:
Aspirin, a non−steroidal anti−inflammatory painkiller
(NSAID), used to relieve pain and reduce fever
Medicines for high blood pressure and heart conditions
such as:
− prazosin and terazosin (alpha blockers)
− propanolol and metoprolol (beta−blockers)
Vera−Til must not be taken with beta−blockers given by
injection
− water tablets (diuretics)
− vasodilators, such as hydralazine
Medicines for irregular heart beat or heart failure
(cardiac glycosides), such as digoxin and digitoxin
Other medicines for irregular or rapid heartbeat, (anti−
arrhythmics), such as flecainide, quinidine
Medicines for epilepsy (anti−convulsants), such as
carbamazepine and phenytoin
Medicines for depression, such as imipramine (anti−

The consumption of alcohol should be avoided when taking
Vera−Til SR Tablets.
Pregnancy and breast−feeding
Pregnancy
Do not use this product if you are pregnant, think you are
pregnant or planning a family, unless your doctor has told
you that it is safe to do so.
Vera−Til SR Tablets should not be given during the first
trimester of pregnancy unless your doctor has told you that
it is safe to do so.
Breast−feeding
Do not use this product if you are breast−feeding unless
your doctor has told you that it is safe to do so.
Driving or using machinery
Vera−Til may influence your ability to drive, use machinery
or work under hazardous conditions. If this happens,
especially at the beginning of treatment or increasing the
dose, do not drive or work machinery and consult your
doctor or pharmacist.
Important information about some of the ingredients of
Vera−Til SR Tablets
Veratil SR Tablets contain lactose. If you have been told by
your doctor that you have an intolerance to some sugars,
contact your doctor before taking this medicine.

3

How to take Vera-Til SR Tablets

Always take Vera−Til SR Tablets exactly as your doctor has
told you. You should check with your doctor or pharmacist if
you are not sure.
Vera−Til SR Tablets should be taken orally
Vera−Til SR Tablets should be swallowed whole with
some liquid
The usual dose is:
Adults:
High blood pressure: The usual dose is one 240mg
Vera−Til SR Tablet daily. If you are new to verapamil
continued....

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Phone

0800 970 6115

for help
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therapy, your doctor may prescribe half the usual dose, one
Vera−Til SR Tablet 120mg daily. Most patients respond to
240mg daily given as a single dose.

Feeling of dizziness or "spinning" (vertigo)
Ringing in the ears (tinnitus)
Feeling sick (nausea)
Being sick (vomiting)
Constipation
Stomach pain
Swelling up of the ankle (ankle oedema)
Hereditary condition which causes painless swelling of
face, tongue, feet, genitals and front of body (Quincke’s
oedema)
Red patches on the skin
Skin rash due to bleeding into the skin
Burning pain in the hands and/or feet which feel hot and
are red in colour (erythromelalgia)
Hair loss (alopecia)
Muscle weakenss
Muscular pain (myalgia)
Joint pain (arthraliga)
Mental or physical tiredness (fatigue)
Breasts produce milk (women & men)
Increase in the level of the hormone prolactin (detected
through blood test)

A maximum dosage of two Vera−Til SR 240mg Tablets
daily (one taken in the morning and one in the evening at
an interval of about 12 hours) may be administered if
control is not achieved within at least one week of therapy.
Your doctor may prescribe other high blood pressure
medicine if your blood pressure needs further reduction.
Angina: The usual dose is one 240mg Vera−Til SR Tablet
twice a day. A few patients respond to a lower dose and
where suitable, can take one 240mg Vera−Til SR Tablet
once a day.
Prevention of further heart attack: Treatment should
commence at least one week after a heart attack.
Vera−Til SR Tablets can be taken in divided doses either as
120mg three times daily, or as 240mg to be taken in the
morning and 120mg to be taken in the evening on a daily
basis.
Elderly:
The adult dose is recommended, except in patients with
liver or kidney problems, where a reduced dosage may be
necessary.
Children:
Vera−Til SR Tablets are not recommended for children.
After long−term treatment, your doctor will gradually
discontinue verapamil therapy.
Your doctor may prescribe a different dose to the above. If
this is the situation, you should discuss it with your doctor
or pharmacist.
It is important that you keep on taking Vera−Til SR Tablets
until the prescribed dose has finished. Do not stop taking
the tablets even though you may feel better.
If you have taken more Vera−Til SR tablets than you
should
If you accidentally take too many tablets, contact your
doctor or nearest hospital emergency department
immediately for advice.
If you forget to take Vera−Til SR Tablets
Take them as soon as you remember. Do not take a double
dose to make up for the forgotten individual dose.

4

Possible side effects

Like most medicines, Vera−Til SR Tablets can cause side
effects, although not everybody gets them.
Serious side effects
If you experience any of the following you should see
your doctor as soon as possible as you may have stop
taking the tablets
Heart problems such as:
− slower, faster or irregular heart beat
− tiredness, feeling your heart beat (palpitations),
breathlessness, fainting
− swelling of ankles, legs or stomach dizziness or
fainting, especially when going from sitting or lying
position to standing up
Blistering of the skin, mouth, eyes and genitals (Steven−
Johnson syndrome)
Rare side effects
Flushing
Unable to have an erection (erectile dysfunction)

If any of the side effects gets serious or if you notice
any side effects not listed in this leaflet, please tell
your doctor or pharmacist.

5

How to store

Keep out of reach and sight of children.
Do not store above 25°C.
Do not use Vera−Til SR Tablets after the expiry date which
is stated on the carton/bottle after "EXP". The expiry date
refers to the last day of the 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.

6

Further information

What Vera−Til SR Tablets contain:
The active substance in Vera−Til SR sustained release
tablets is verapamil hydrochloride.
Other ingredients are sodium alginate 80 cP x H2O,
Microcrystalline cellulose 90mm, povidone, magnesium
stearate and colloidal anhydrous silica.
The film coating for Vera−Til SR 120mg Tablets is opadry,
white which consists of lactose monohydrate, hypromellose,
titanium dioxide (E171), macrogol 4000 and yellow ferric
oxide (E172).
The film coating for Vera−Til SR 240mg Tablets is opadry,
white and green varnish. Opadry, white consists of lactose
monohydrate, hypromellose, titanium dioxide (E171),
macrogol 4000 and quinoline yellow (E104).
Green varnish consists of quinoline yellow (E104) and
indigotine (E132).
What Vera−Til SR Tablets look like and contents of the
pack
Vera−Til SR 120mg Tablets are round, beige to ochre,
biconvex, sustained release film coated tablets with a score
on one side.
Vera−Til SR 240mg Tablets are oblong, light green,
sustained release film coated tablets with a score on both
sides.

Very rare side effects
Allergic reactions like −
− Redness and swelling of the skin (erythema)
− Itching (pruritus)
− Itchy rash (urticaria)
Liver problems such as an increase in liver enzymes
(detected through blood test). Usually reversible after
stopping the tablets
Enlargement of the male breast−usually in elderly male
patients (gynaecomastia). Usually due to long term
treatment and reversible after stopping the tablets
Enlargement of the gums (gingival hyperplasia). Usually
due to long term treatment and reversible after stopping
the tablets

Vera−Til SR is available in: Vera−Til SR Tablets are
available in packs of 28, 30, 56 and 100 tablets.

Other side effects
Headaches
Dizziness
Pins and needles sensation (paraesthesia)
Shaking
Movement disorders

Product Licence Numbers:
Vera−Til SR Tablets 120 mg: PL 11311/0077
Vera−Til SR Tablets 240 mg: PL 11311/0078

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Marketing Authorisation Holder:
Tillomed Laboratories Ltd
3 Howard Road, Eaton Socon, St Neots,
Cambridgeshire,
PE19 8ET
United Kingdom.
Manufacturer
Salutas Pharma GmbH
Otto−von−Guericke Allee 1
39179 Barleben
Germany

Date of revision: August 2013

Phone

0800 970 6115

for help
Till−Ver.5s

Product Name
Strength / Form
Type
Dimensions
Typefaces
Rev #
Last updated
No. of Colours

Vera−Til SR Tablets 120 & 240mg
Tablets
PIL
175 mm x 340 mm
Font SansSerif − Min. Text 8pt
Till−Ver.5s
22/08/13
1 − Pantone Black CVC

Tillomed Laboratories Ltd, 3 Howard Road Eaton Socon, St Neots, Cambs PE19 8ET, UK

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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.

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