verapamil sr vs er
Verapamil, Oral Capsule Featured for the Verapamil oral capsuleVerapamil is a prescription drug that is available as the Verelan PM (release-extended) and Verelan (release retarded). The extended-release oral capsule is also available as a generic medication. Generic drugs usually cost less. In some cases, they may not be available in each force or form as a mark. Verapamil is also available as a long-release oral tablet (Calan SR) and an immediate-release oral tablet (Calan). Both forms of these tablets are also available as generic medicines. Why it is usedVerapamil Long-release forms are used to lower blood pressure. How Verapamil works is a calcium channel blocker. It works to relax blood vessels and improve blood flow, which helps to reduce blood pressure. This medication affects the amount of calcium found in the heart and muscle cells. This relaxes your blood vessels, which can reduce the amount of work your heart has to do. Verapamil's oral capsule can make you dizzy or drowsy. Do not drive, operate heavy machinery, or do anything that requires mental alert until you know how it affects you. It can also cause other side effects. Most common side effects Most common side effects that occur with verapamil include: Serious side effects If you experience any of these serious side effects, call your doctor immediately. If your symptoms are potentially life threats, or if you think you are experiencing a medical emergency, call 911. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because medicines affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a health care provider who knows your medical history. Verapamil's oral capsule can interact with other medicines, vitamins or herbs you can take. An interaction is when a substance changes the way a medication works. This may be harmful or prevent the medication from working well. To help avoid interactions, your doctor should carefully manage all your medications. Be sure to tell your doctor about all the medications, vitamins or herbs you are taking. To find out how this medicine could interact with something else you're taking, talk to your doctor or pharmacist. Examples of drugs that can cause interactions with verapamil are listed below. Cholesterol MedicinesCombining certain cholesterol drugs with verapamil can cause you to have higher cholesterol levels in your body. This can lead to side effects, such as severe muscle pain. Examples are:Medications of the heart rateFarm of the heartThe fact of verapamil and ivabradine together can increase the amount of ivabradine in your body. This increases the risk of serious heart rate problems. Don't take these drugs together. Migraine Drugs Don't take eletriptan with verapamil. Verapamil can increase the amount of eletriptan in your body to 3 times more. This can lead to toxic effects. Do not take eletriptan for at least 72 hours after taking verapamil. General anesthesiaVerapamil may decrease your heart's ability to work during general anesthesia. Verapamil doses and general anesthetics will have to be adjusted very carefully if used together. Medicines that lower blood pressure The combination of drugs that pop up blood pressure with verapamil can lower blood pressure to a dangerous level. If your doctor prescribes these drugs with verapamil, they will monitor your blood pressure closely. Other medicinesVerapamil may increase or decrease the levels of the following medications in your body: Your doctor will monitor your levels of these drugs if you are also given verapamil. The following medications may decrease the levels of verapamil in your body: Your doctor will monitor you closely if you receive these medications in combination with verapamil. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always talk to your health care provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter medicines you are taking. Verapamil's oral capsule comes with several warnings. Allergy alertVerapamil can cause a severe allergic reaction. Symptoms may include: Do not take this medication again if you have ever had an allergic reaction. Taking it back could be fatal. Food interactions Pomel juice: Pomel juice can increase the amount of verapamil in your body. This can lead to greater side effects. Avoid drinking grapefruit juice while taking verapamil. Alcohol InteractionVerapamil can increase the amount of alcohol in your blood and make alcohol effects continue longer. Alcohol can also make the effects of verapamil stronger. This can make your blood pressure too low. Warnings for people with certain health conditions For people with heart problems: This includes severe left ventricle dysfunction and heart failure. Avoid taking verapamil if you have severe damage to the left side of the heart or moderate to severe heart failure. Also, avoid taking it if you have any degree of heart failure and are receiving a beta blocker medication. For people with low blood pressure: Do not take verapamil if you have low blood pressure (systolic pressure less than 90 mm Hg). Verapamil can decrease blood pressure too much, which can lead to dizziness. For people with heart rate disorders: These include sick sinus syndrome, ventricular arrhythmias, Wolff-Parkinson-White syndrome, 2nd or 3rd grade auriculoventricular block (AV) or Lown-Ganong-Levine syndrome. If you have any of these conditions, verapamil may cause ventricular fibrillation or atrioventricular block. For people with kidney or liver disease: Liver and kidney disease can affect how well your body processes and cleanses this medication. Having reduced kidney or liver function may cause the medication to accumulate, which may increase side effects. Your dose may need to be adjusted. Warnings for other groups For pregnant women: Verapamil is a category C pregnancy medication. That means two things: The use of verapamil during pregnancy can cause negative effects on the fetus, such as low heart rate, low blood pressure and abnormal heart rate. Tell your doctor if you are pregnant or plan to become pregnant. Verapamil should be used during pregnancy only if the potential benefit justifies the potential risk for the fetus. For women who are breastfeeding: Verapamil passes through breast milk. It can cause negative effects on a breastfeeding baby. Talk to your doctor before breastfeeding while taking this medication. For children: The safety and effectiveness of verapamil has not been established in persons under the age of 18. This dose information is for verapamil oral capsules and oral tablets. All possible doses and forms cannot be included here. Your dose, shape, and how often you take it will depend on: Generic Formas and Fortresses: VerapamilBrand: VerelanBrand: Verelan PMBrand: CalanBrand: Calan SRDosage for high blood pressureDosis adultt (ages 18 years and older)Pretty release (Calan): Long-release cover (Calan SR): Long-re-re-re-re-re-re-up capsule (Verelan): Long-re-re-re-out-up): Long-re-re-out-over-over-over-up-re-up-up-up-dose): Special Considerations If you have a neuromuscular condition such as Duchenne's muscular dystrophy or myasthenia gravis, your doctor may decrease your dose of verapamil. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because medicines affect each person differently, we cannot guarantee that this list includes all possible doses. This information is not a substitute for medical advice. Always talk to your doctor or pharmacist about doses that are suitable for you. The Verapamil oral capsule is used for long-term treatment. It comes with risks if you don't take it as prescribed. If you do not take it at all: If you do not take verapamil at all, you run the risk of increasing blood pressure. This can lead to hospitalization and death. If you take too much: You may experience dangerously low blood pressure, slow heart rate, or slow digestion. If you think you've taken too much, go to your nearest emergency room, or call a poison control center. You may need to stay at least 48 hours in a hospital for observation and care. What to do if you forget a dose: If you forget a dose, take it as soon as you can. However, if it is only a few hours until the next dose, wait and take only the next dose. Never try to catch up taking two doses at once. This could lead to toxic side effects. How to know if the medication is working: You may experience dangerously low blood pressure, slow heart rate, or slow digestion. If you think you've taken too much, go to your nearest emergency room, or call a poison control center. You may need to stay at least 48 hours in a hospital for observation and care. Please consider these considerations if your doctor prescribes verapamil oral capsules for you. GeneralStorageStore at temperatures of 59–77°F (15–25°C). Protects the medicine from light. Fills A prescription for this medicine is revigilable. You should not need a new recipe for this medication to be filled. Your doctor will write the number of recharges authorized in your recipe. Travel When traveling with your medication: Clinical Surveillance To see how well this medication is working, your doctor will monitor your heart activity and blood pressure. They can use an electrocardiogram (ECG) to monitor their heart activity. Your doctor may instruct you on how to monitor your heart rate and blood pressure at home with an appropriate monitoring device. Your doctor may also periodically test your liver function with a blood test. There are other medicines available to treat your condition. Some may be more suitable for you than others. Talk to your doctor about possible alternatives. Disclaimer: The health line has done everything possible to ensure that all information is in fact correct, complete and updated. However, this article should not be used as a substitute for the knowledge and experience of a graduated health professional. You should always consult your doctor or other health care professional before taking any medication. The drug information contained in this document is subject to change and is not intended to cover all uses, addresses, precautions, warnings, drug interactions, allergic reactions or possible adverse effects. The absence of warnings or other information for a given medication does not indicate that the combination of drugs or drugs is safe, effective or appropriate for all patients or all specific uses. Last medical review on March 9, 2017Read this following
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