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Verapamil Hydrochloride
40mg , 80mg and 120mg Tablets

Read all of this leaflet carefully before you start
Other medicines and Verapamil Tablets
taking this medicine because it contains
Tell your doctor or pharmacist if you are taking,
important information for you.
have recently taken or might take any other
Keep this leaflet. You may need to read it
In particular tell your doctor if you are taking any of
If you have any further questions, ask your
the following:
doctor or pharmacist.
Beta-blockers used to treat high blood pressure
This medicine has been prescribed for you
and heart conditions (these include atenolol,
only. Do not pass it on to others. It may harm
propranolol and metoprolol)
them, even if their signs of illness are the same
Alpha blockers used to treat high blood
as yours.
pressure and heart conditions (these include
If you get any side effects, talk to your doctor or
prazosin and terazosin)
pharmacist. This includes any possible side
Diuretics (also called "water pills")
effects not listed in this leaflet. See section 4.
Medicines known as "statins" such as
atorvastatin, lovastatin and simvastatin, used to
What is in this leaflet:
lower cholesterol levels
1. What Verapamil Tablets are and what they
Any other medicine for high blood pressure or
are used for
an abnormal heart beat (arrhythmia) such as
2. What you need to know before you take
quinidine, flecainide, digoxin and digitoxin
Verapamil Tablets
Medicines used to treat depression (including
3. How to take Verapamil Tablets
the herbal product St John's Wort), anxiety or
4. Possible side effects
psychosis. These may include imipramine,
5. How to store Verapamil Tablets
buspirone and lithium
6. Contents of the pack and other information
Medicines known as immunosuppressants
such as ciclosporin, sirolimus, everolimus and
tacrolimus. These are used to prevent organ
transplant rejection
Glibenclamide, used to treat certain types of
Verapamil Tablets are used to treat mild to
moderate high blood pressure (hypertension) and
Aspirin, a non-steroidal anti-inflammatory
chest pains caused by lack of oxygen getting to the
painkiller (NSAID) used to relieve pain and
heart (angina pectoris). They can also be used for
reduce fever
treatment of a fast heart beat (tachycardia) and to
Almotriptan, used to treat migraine
treat and prevent certain types of abnormal heart
Midazolam, used as a sedative or anaesthetic
Theophylline, used to treat asthma
Doxorubicin, an anti-cancer medicine
Cimetidine, used to treat indigestion or
stomach ulcers
Carbamazepine, phenytoin or phenobarbital
(phenobarbitone). These medicines are used
Do not take Verapamil Tablets if you:
as anti-convulsants
Are allergic to verapamil hydrochloride or any
of the other ingredients of this medicine (listed
Rifampicin, used to treat tuberculosis and other
in section 6)
types of infection
Have low blood pressure
Ritonavir, used to treat HIV
Have heart failure and are taking beta-blockers
Erythromycin, clarithromycin and telithromycin,
Have heart failure or severe problems with
used to treat certain types of infection
impulses and rhythms of the heart (second or
Colchicine or sulfinpyrazone, used to treat gout
third degree atrioventricular block or sick sinus
Dantrolene used as a muscle relaxant
syndrome) unless you have a pacemaker
Dabigatran (medicine to prevent the formation
Have Wolff-Parkinson-White syndrome (rapid
of blood clots)
heart rate sometimes associated with dizziness
or faintness)
Have recently suffered a heart attack
If you are going to have surgery, including dental,
Suffer from a slow heart rate (bradycardia)
tell your doctor or dentist you are taking this
Are already taking a medicine containing
ivabradine for the treatment of certain heart
Verapamil Tablets with food, drink and alcohol
Do not drink grapefruit juice whilst taking verapamil
Do not drink grapefruit juice while taking this
as this may affect how your medicine works.
medicine. This is because drinking grapefruit juice
can increase the effects of verapamil and should
Warnings and precautions
be avoided while take this medicine.
Talk to your doctor or pharmacist before taking
Limit the amount of alcohol you drink while taking
Verapamil Tablets if you:
this medicine. This is because drinking alcohol
Have any liver problems as this may affect the
while taking this medicine will increase the chance
dose you require
of having a problem with your liver. Talk to your
Have any kidney problems
doctor or pharmacist about the amount of alcohol
Have a condition where the nerve to muscle
you can drink.
transmission is affected e.g. myasthenia gravis,
Lambert-Eaton syndrome or advanced
Pregnancy and breast-feeding
Duchenne muscular dystrophy
If you are pregnant, think you may be pregnant or
Have had a heart attack or have problems with
planning to have a baby, ask your doctor before
the impulses of the heart (first degree
taking this medicine. Do not take if you are breast
atrioventricular block).
feeding or plan to breastfeed. This is because
small amounts of this medicine may pass into the
Your doctor will monitor your blood pressure
mother's milk.
regularly whilst you are taking this medicine.

Driving and using machines
These tablets may cause dizziness or fatigue,
particularly when you first start taking it. If you are
affected you should not drive or operate
Verapamil Tablets contain lactose
This medicine contains lactose (a type of sugar), if
you have been told by your doctor that you have
an intolerance to some sugars talk to your doctor
before taking this medicine.

tingling or prickling feeling, blisters,
ulcers, numbness
Muscle - weakness, aches, pains in the
joints and/or muscles
Reproductive system - problems
getting and maintaining an erection,
enlarged breasts in men (reversible when
treatment is stopped), stopping of
menstrual periods in women
Other - tiredness, liver problems which
can be detected by blood tests done by
your doctor.

Always take this medicine exactly as your doctor
has told you. Check with your doctor if you are not

Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible
Taking this medicine
side effects not listed in this leaflet. You can also
Take this medicine by mouth
report side effects directly via the Yellow Card
Swallow the tablets whole. Do not crush or
Scheme at: or search
chew your tablets
for MHRA Yellow Card in the Google Play or Apple
If you feel the effect of your medicine is too
App Store.
weak or too strong do not change the dose
By reporting side effects you can help provide
yourself, but ask your doctor.
more information on the safety of this medicine.
The usual dose for:
Angina is 120mg, three times a day.
Tachycardia (increased heart rate)
Keep this medicine out of the sight and reach of
For an adult is 40mg to 120mg, three times a
For children 2 years and above: 40mg to
Do not use this medicine after the expiry date
120mg, two to three times daily according to
which is stated on the label. The expiry date refers
to the last day of that month.
Hypertension (high blood pressure)
Store in a cool, dry place.
For an adult is 160mg, two times daily
Do not use this medicine if you notice any visible
For children up to 10mg/kg/day in divided
signs of deterioration.
doses, as directed by your doctor.
Do not throw away any medicines via waste water
or household waste. Ask your pharmacist how to
The prescribed dose may be lower than the usual
throw away medicines you no longer use. These
measures help to protect the environment.
Patients with impaired liver or kidney function or
cardiac conduction problems may be prescribed a
reduced dose.
If you take more Verapamil Tablets than you
This medicine is to be taken at regular intervals, as
determined by the physician. If you take too many
tablets by mistake contact your nearest hospital
casualty department or tell your doctor
immediately. Take your tablet pack with you.
If you forget to take Verapamil Tablets
If you have forgotten to take a dose, leave out that
dose completely. Take your next dose at the
normal time. If you have trouble remembering to
take tablets, tell your doctor or pharmacist.
If you stop taking Verapamil Tablets
Keep taking your tablets until your doctor tells you
to stop. Do not stop taking your tablets just
because you feel better. If you stop taking this
medicine your symptoms may come back.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side
effects, although not everyone gets them.

What Verapamil Tablets contain:
Each Verapamil Hydrochloride 40mg Tablet
contains 40mg of the active ingredient verapamil
Each Verapamil Hydrochloride 80mg Tablet
contains 80mg of the active ingredient verapamil
Each Verapamil Hydrochloride 120mg Tablet
contains 120mg of the active ingredient verapamil
The other ingredients are: microcrystalline
cellulose, lactose (see section 2), methylcellulose,
maize starch, colloidal silicon dioxide, magnesium
stearate, hydroxypropyl methylcellulose (E464),
quinoline yellow (E104) and titanium dioxide
What Verapamil Tablets look like and contents
of the pack
Verapamil Tablets are supplied in packs of 28, 30,
56, 60, 84, 90, 100, 112, 120 and 500.
Not all pack sizes are marketed.

Marketing Authorisation Holder
If you experience any of the following then
Ennogen Pharma Ltd
STOP taking the medicine and contact a doctor
Unit G4, Riverside Industrial Estate
Riverside Way, Dartford, DA1 5BS,
Allergic reaction: itching, rashes, difficulty
United Kingdom
breathing and swelling of the face, lips or
Palpitations, chest pains for the first time or
chest pains becoming more frequent.
LA GAP Pharmaceuticals Ltd
Woolmer Way, Bordon, Hampshire, GU359QE
Tell your doctor if you notice any of the following
side effects, they get worse or you notice any other
effects not listed:
Nervous system - headaches, dizziness, 'pins
This leaflet was last revised in November 2017.
and needles', involuntary shaking or spasm
Ears - spinning sensation, 'ringing in the ears'
Heart /blood vessels - fast, slow or irregular
heartbeat, low blood pressure, flushing/reddening
of the skin, swelling of the ankles, hands or feet
Stomach - constipation, feeling or being sick, pain
or discomfort in the stomach, swelling of the gums
Skin - hair loss, skin rash or itching, discolouring,

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