Veramil SR 240 mg (Tablet)

Unit Price: ৳ 7.02 (3 x 10: ৳ 210.60)
Strip Price: ৳ 70.20

Medicine Details

Title and Categories

  • Veramil SR Tablet
  • Calcium-channel blockers

Indications

  • Essential hypertension
  • Angina pectoris
  • Prevention of re-infarction
  • Supraventricular arrhythmias
  • Tachycardias
  • Atrial fibrillation with rapid ventricular response
  • Atrial flutter with rapid conduction
  • Extrasystoles
  • Acute hypertension
  • Acute coronary insufficiency
  • Therapy of ectopic arrhythmias

Description

  • Calcium ion influx inhibitor
  • Sustained release tablets

Pharmacology

  • L-type calcium channel blocker
  • Antiarrhythmic
  • Antianginal
  • Antihypertensive

Dosage & Administration

  • Individualized dose by titration
  • Administered with food
  • Once-daily dosing available
  • Intravenous administration for adults and children
  • Intravenous infusion in hypertensive crises
  • Slow intravenous injection under electrocardiographic control
  • Average total dose up to 100 mg/day (adults)

Interaction

  • May increase plasma level with CYP3A4 inhibitors
  • May decrease plasma level with CYP3A4 inducers
  • Increased risk of bleeding with aspirin
  • Potentiation of hypotensive effect
  • Neurotoxic effect with lithium

Contraindications

  • Severe left ventricular dysfunction
  • Hypotension or cardiogenic shock
  • Sick sinus syndrome
  • Second or third-degree atrioventricular (AV) block
  • Patients with atrial flutter or atrial fibrillation and an accessory by-pass tract
  • Known hypersensitivity to verapamil hydrochloride

Side Effects

  • Constipation
  • Nausea
  • Hypotension
  • Edema
  • CHF
  • Pulmonary edema
  • Bradycardia
  • AV block
  • Dizziness
  • Headache
  • Fatigue
  • Rash
  • Elevated liver enzyme

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • Excretion in breast milk
  • Discontinuation of nursing while administered

Precautions & Warnings

  • Care required in various cardiac conditions
  • Impairment of ability to drive or operate machinery
  • Slowing down the elimination of alcohol

Overdose Effects

  • Supportive treatment
  • Possible use of beta-adrenergic stimulation
  • Parenteral administration of calcium solution
  • Cannot be removed by hemodialysis

Storage Conditions

  • Do not store above 30°C
  • Keep away from light
  • Keep out of the reach of children

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