Product image of Isoptin Retard (Verapamil Hydrochloride) supplied by GNH India

Isoptin Retard

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Isoptin Retard (Verapamil Hydrochloride)

Verapamil hydrochloride, the active ingredient in Isoptin Retard, is a calcium channel blocker presented as an oral tablet for oral use. It is employed to manage high blood pressure, chest pain from angina, and certain cardiac rhythm disturbances in adult patients.
GNH India supplies Isoptin Retard as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Viatris Ab

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Indications & Clinical Uses

Isoptin Retard, a calcium channel blocker, is used in several cardiovascular conditions.

  • Hypertension: lowers systemic blood pressure by reducing peripheral vascular resistance.
  • Angina pectoris: relieves chest pain by decreasing myocardial oxygen demand through heart rate and contractility reduction.
  • Cardiac arrhythmias: helps control abnormal heart rhythms by slowing conduction through the atrioventricular node.

How It Works

  • Verapamil hydrochloride blocks L‑type calcium channels in cardiac myocytes and vascular smooth muscle. This inhibition reduces calcium influx, leading to decreased myocardial contractility, slower heart rate, and dilation of arterial vessels, which together lower blood pressure and lessen cardiac workload.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Constipation: reduced gastrointestinal motility.
  • Dizziness: transient orthostatic changes.
  • Headache: mild to moderate intensity.
  • Flushing: warmth and redness of skin.
  • Peripheral edema: swelling of lower limbs.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Bradycardia: markedly slow heart rate requiring medical attention.
  • Atrioventricular block: impaired electrical conduction that may need pacing.
  • Severe hypotension: sudden drop in blood pressure with risk of syncope.
  • Hepatic dysfunction: abnormal liver enzyme elevations.
  • Allergic reactions: rash, pruritus, or anaphylaxis in rare cases.

Precautions & Warnings

Before initiating therapy, several safety considerations are recommended.

  • Blood pressure monitoring: ensure adequate control and avoid excessive drops.
  • Cardiac function assessment: evaluate for existing conduction disorders.
  • Concomitant beta‑blocker use: increase risk of bradycardia and AV block.
  • Hepatic impairment: consider dose adjustment and close monitoring.
  • Abrupt discontinuation: taper gradually to prevent rebound hypertension.
  • Store at ambient temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Verapamil may interact with several medicines, requiring caution.

Major Interactions (Avoid)

  • Beta‑blockers: additive negative chronotropic effects may cause severe bradycardia.
  • Digoxin: increased serum levels can lead to toxicity.
  • Diltiazem: combined AV‑node depression may result in heart block.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): raise verapamil concentrations, necessitating dose review.
  • Diuretics: electrolyte shifts may potentiate hypotensive effects.

Frequently Asked Questions

Isoptin Retard contains verapamil hydrochloride and is prescribed to treat hypertension, angina pectoris, and certain cardiac arrhythmias. By lowering blood pressure, relieving chest pain, and stabilising abnormal heart rhythms, it helps reduce cardiovascular risk in adult patients under medical supervision.

Verapamil blocks L‑type calcium channels in the heart and blood‑vessel walls. This reduces calcium entry into cells, leading to decreased myocardial contractility, slower heart rate, and dilation of arterial smooth muscle, which together lower blood pressure and lessen the heart's oxygen demand.

The dose of Isoptin Retard is individualized by the prescribing clinician based on the patient’s condition, response, and tolerance. Healthcare professionals determine the appropriate strength, frequency, and titration schedule, and patients should follow the prescribed regimen exactly.

Safety data for verapamil during pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives and risks with their healthcare provider.

To request Isoptin Retard, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.

Isoptin Retard (verapamil) is a non‑dihydropyridine calcium‑channel blocker, distinguished by its pronounced effects on cardiac conduction and contractility. In contrast, dihydropyridine agents such as amlodipine primarily cause vasodilation with less impact on heart rate, making verapamil preferable for certain arrhythmias but requiring closer cardiac monitoring.

Store Isoptin Retard at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture, heat and direct sunlight, and ensure the package is tightly closed to maintain product stability.

Isoptin Retard is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed. Dosing times and frequency are set by the prescriber, and the medication may be taken with or without food depending on individual tolerance.

Serious adverse events include marked bradycardia, atrioventricular block, severe hypotension, and rare cases of hepatic dysfunction or allergic reactions. Patients should seek immediate medical attention if they experience fainting, unusually slow heartbeat, chest discomfort, yellowing of the skin or eyes, or signs of an allergic reaction.

Isoptin Retard is contraindicated in patients with known hypersensitivity to verapamil or other calcium‑channel blockers, those with severe sinus‑node dysfunction, second‑ or third‑degree AV block without a pacemaker, and individuals with cardiogenic shock or severe hypotension. Clinicians must evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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