“Verapamil” refers to a group of calcium channel blockers. This medicine has antihypertensive, antiarrhythmic and antianginal effects.
Form and composition of the issue.
The drug "Verapamil" tablets contain the active substance verapamil hydrochloride.
Additional substances include:
• disubstituted calcium phosphate ;
• magnesium stearate;
• gelatin;
• butylhydroxyanisole;
• hydroxypropyl methylcellulose;
• peeled talc;
• starch;
• titanium dioxide;
• indigo carmine;
• methylparaben.
The medicine "Verapamil." Instructions: indications.
The drug is prescribed to patients in the following situations:
• Prinzmetal angina;
• angina pectoris;
• flicker and flutter in the atrium;
• vasospastic angina pectoris;
• paroxysmal supraventricular tachycardia;
• unstable angina pectoris;
• supraventricular extrasystole;
• angina pectoris;
• arterial hypertension.
In other situations, you should not take this medicine, or only with the permission of your doctor.
The drug "Verapamil." Instructions: contraindications.
Verapamil is contraindicated in the following cases:
• weakness syndrome in the sinus node;
• Morgagni-Adams-Stokes syndrome;
• severe bradycardia;
• sinotrial block;
• age less than 18 years;
• AV block 2 and 3 degrees;
• simultaneous administration with beta-blockers;
• cardiogenic shock;
• Wolf-Parkinson-White syndrome;
• heart failure, in chronic form;
• Hypersensitivity to Verapamil;
• heart failure, in acute form.
In the presence of any of the above problems, the drug is strictly prohibited. Try to find an analogue of the drug or some other alternative.
In addition, it is necessary to take with extreme caution in the following situations:
• arterial hypotension;
• heart failure I-II degree;
• expressed by impaired liver function;
• AV blockade of I degree;
• bradycardia.
The medicine "Verapamil." Instructions: overdose.
If the prescribed doses are exceeded, poisoning of the body with an excessive amount of the drug components may begin.
Symptoms of an overdose include:
• arterial hypertension;
• deep loss of consciousness;
• sinus bradycardia;
• asystole.
For treatment, dopomin, isoproterenol, norepinephrine, or calcium gluconate begin to be administered . That is, they conduct a course of symptomatic treatment. The complexity of the situation depends on the amount of drug taken.
In this case, hemodialysis is practically ineffective.
The medicine "Verapamil." Instructions: side effects.
If treated with the drug, despite the fact that it is contraindicated, then the chance of side effects is great.
Side effects include:
The cardiovascular system:
• AV block;
• redness of the face;
• arterial hypotension;
• symptoms of heart failure;
• severe bradycardia.
Digestive system:
• constipation;
• nausea;
• a transient increase in activity in hepatic transaminases;
• vomiting.
CNS:
• headache;
• retardation;
• increased fatigue;
• dizziness;
• increased nervous irritability.
Allergic problems:
• itching;
• skin rash.
If such symptoms are found, it is recommended to cancel the drug, and consult a doctor for help. They should help you get rid of or reduce the effect of side effects and, if possible, prescribe another medicine that will not affect your body.
Terms and conditions of storage.
The drug must be stored in a fairly dry place, the temperature of which does not exceed the mark of 25 degrees.
The place should not be accessible to children.
The medicine is suitable for 3 years. After that, they can not be treated.
Terms of sale in pharmacies.
To purchase the drug "Verapamil" - a prescription is required.