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

Isoptin Rr

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Isoptin Rr (Verapamil Hydrochloride)

Verapamil Hydrochloride, the active ingredient in Isoptin Rr, is a calcium channel blocker (non‑dihydropyridine) presented as an unspecified strength/tablet for oral use. It treats hypertension, angina pectoris, and supraventricular tachyarrhythmias in adult patients.

GNH India supplies Isoptin Rr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Viatris Healthcare Gmbh

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Indications & Clinical Uses

Verapamil Hydrochloride is used to manage cardiovascular conditions that involve abnormal heart rhythm or elevated blood pressure.

  • Hypertension: reduces systemic blood pressure by decreasing peripheral vascular resistance.
  • Angina pectoris: relieves chest pain by improving coronary blood flow and lowering myocardial oxygen demand.
  • Supraventricular tachyarrhythmias (e.g., atrial fibrillation, atrial flutter): helps control heart rate and restore normal rhythm.

How It Works

  • Verapamil Hydrochloride blocks L‑type calcium channels in cardiac myocytes and vascular smooth muscle. In the heart, this reduces calcium influx during depolarisation, decreasing myocardial contractility and slowing atrioventricular nodal conduction, which lowers heart rate and stabilises rhythm. In blood vessels, calcium‑channel blockade relaxes smooth muscle, lowering peripheral vascular resistance and arterial pressure.

Side Effects

Verapamil may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Constipation: reduced gastrointestinal motility.
  • Headache: mild to moderate intensity.
  • Dizziness: often related to blood‑pressure changes.
  • Peripheral edema: swelling of the lower limbs.

Serious or Rare Side Effects

  • Bradycardia: markedly slow heart rate.
  • Severe hypotension: sudden drop in blood pressure.
  • Heart block: impaired electrical conduction.
  • Hepatic dysfunction: abnormal liver enzyme elevations.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient‑specific factors and monitor for potential complications.

  • Blood pressure monitoring: check baseline and periodic readings to avoid excessive hypotension.
  • Cardiac function assessment: evaluate for pre‑existing AV block or heart failure.
  • Drug interactions: review concomitant medications that affect cardiac conduction or CYP metabolism.
  • Renal/hepatic impairment: use cautiously in patients with severe dysfunction.
  • Store at ambient temperature: keep below 25 °C, retain original packaging, protect from moisture and light.

Avoid Interactions

Verapamil interacts with several medicines; some combinations should be avoided while others require close observation.

Major Interactions (Avoid)

  • Beta‑blockers: may cause excessive bradycardia or AV block.
  • Digoxin: increased risk of toxicity due to reduced clearance.
  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): raise verapamil plasma levels.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine): lower plasma levels, reducing efficacy.

Moderate Interactions (Monitor Closely)

  • Statins metabolised by CYP3A4 (e.g., simvastatin): increased risk of myopathy.
  • Diuretics: may enhance hypotensive effect.

Frequently Asked Questions

Isoptin Rr contains verapamil hydrochloride and is indicated for the management of hypertension, angina pectoris, and certain supraventricular tachyarrhythmias such as atrial fibrillation or flutter. It is prescribed to control blood pressure, relieve chest pain, and regulate heart rhythm in adult patients.

Verapamil blocks L‑type calcium channels in cardiac muscle and vascular smooth muscle. By reducing calcium influx, it decreases myocardial contractility, slows conduction through the atrioventricular node, and relaxes arterial smooth muscle, leading to lower heart rate, reduced oxygen demand, and decreased peripheral vascular resistance.

The specific dose of Isoptin Rr is determined by the prescribing healthcare professional based on the individual’s clinical condition, response, and tolerability. Dosage may be adjusted for hypertension, angina, or arrhythmia, and should follow the physician’s written instructions.

Safety of verapamil during pregnancy or lactation has not been definitively established. Healthcare providers weigh potential benefits against possible risks, and the drug is generally used only if clearly needed. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their physician.

To request Isoptin Rr, 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 necessary import documentation.

Compared with beta‑blockers or ACE inhibitors, verapamil primarily lowers blood pressure by vasodilation and decreasing cardiac contractility, and it also possesses anti‑arrhythmic properties. It may be chosen when rate control of supraventricular tachyarrhythmias is required, but it can interact with other cardiac drugs and may cause constipation more frequently.

Isoptin Rr should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

The medication is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescribing clinician’s instructions regarding timing and whether to split or swallow whole tablets.

Serious adverse events include marked bradycardia, severe hypotension, heart block, and rare cases of hepatic dysfunction or life‑threatening allergic reactions. Patients should seek immediate medical attention if they experience fainting, a very slow heart rate, chest pain, or signs of an allergic reaction such as rash, swelling or difficulty breathing.

Verapamil is contraindicated in patients with known hypersensitivity to the drug, severe left ventricular dysfunction, advanced atrioventricular block without a pacemaker, or uncontrolled heart failure. Caution is also advised in individuals with significant hepatic impairment or those taking interacting medications listed under major interactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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