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

Isoptin Sr

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Isoptin Sr (Verapamil Hydrochloride)

Verapamil Hydrochloride, the active ingredient in Isoptin SR, is a calcium channel blocker presented as an oral sustained‑release tablet for oral use. It treats hypertension, angina pectoris and supraventricular arrhythmias in adult patients.

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

Manufacturer / TM Owner

Viatris Healthcare Limited

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Indications & Clinical Uses

Isoptin SR, a calcium channel blocker, is employed in several cardiovascular conditions.

  • Hypertension: reduces peripheral vascular resistance to lower blood pressure.
  • Angina pectoris: decreases myocardial oxygen demand by lowering heart rate and contractility.
  • Supraventricular arrhythmias: slows atrioventricular conduction to control heart 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, decreasing myocardial contractility, slowing conduction through the atrioventricular node, and lowering heart rate. In blood vessels, inhibition of calcium entry causes smooth‑muscle relaxation, producing arterial vasodilation and reduced systemic vascular resistance.

Side Effects

Adverse reactions to Isoptin SR vary in frequency and severity.

Common Side Effects

  • Constipation
  • Dizziness
  • Headache
  • Peripheral edema
  • Flushing
  • Nausea

Serious or Rare Side Effects

  • Bradycardia
  • Severe hypotension
  • Atrioventricular block
  • Exacerbation of heart failure
  • Hepatic dysfunction
  • Anaphylactic or severe allergic reactions

Precautions & Warnings

When prescribing Isoptin SR, clinicians should observe several precautionary measures.

  • Blood pressure monitoring: check baseline and periodic readings to avoid excessive hypotension.
  • Heart rate assessment: monitor for bradycardia, especially in patients with pre‑existing conduction disorders.
  • Heart failure caution: use with care in patients with reduced ejection fraction, as negative inotropic effect may worsen symptoms.
  • Drug discontinuation: avoid abrupt cessation to prevent rebound hypertension or tachycardia.
  • Hepatic impairment: dose adjustment may be required in moderate to severe liver disease.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Isoptin SR may interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Beta‑blockers: combined use can cause marked bradycardia and atrioventricular block.
  • Digoxin: verapamil increases digoxin plasma concentrations, raising the risk of toxicity.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): elevate verapamil levels, potentially leading to severe hypotension.

Moderate Interactions (Monitor Closely)

  • Diuretics: concurrent therapy may enhance antihypertensive effect and cause electrolyte disturbances.
  • ACE inhibitors or ARBs: additive blood‑pressure lowering may require dose adjustments.
  • NSAIDs: may attenuate the antihypertensive response of verapamil.

Frequently Asked Questions

Isoptin SR contains verapamil hydrochloride and is prescribed to manage high blood pressure, relieve chest pain caused by angina pectoris, and control certain supraventricular heart rhythm disorders. It works by relaxing blood vessels and moderating cardiac electrical activity, helping to lower blood pressure, reduce myocardial oxygen demand, and stabilize abnormal heart rhythms.

Verapamil blocks L‑type calcium channels in the heart and vascular smooth muscle. By limiting calcium entry, it reduces the force of heart muscle contraction, slows conduction through the atrioventricular node, and promotes dilation of arterial vessels. These actions collectively lower blood pressure, decrease heart rate, and diminish the workload of the heart.

The exact dose of Isoptin SR is individualized by a qualified prescriber based on the patient’s medical condition, response to therapy, and other medications. Typical regimens may involve once‑daily or twice‑daily dosing, but the prescriber determines the appropriate strength and schedule for each patient.

The safety of Isoptin SR in pregnancy and lactation has not been definitively established, and the product’s pregnancy category is not specified. Healthcare providers should weigh potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing individuals.

To request Isoptin SR, 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 (including any cold‑chain requirements), and necessary import documentation.

Isoptin SR (verapamil) primarily affects cardiac conduction and contractility, making it useful for arrhythmias and angina, whereas agents such as amlodipine have a stronger peripheral vasodilatory effect and are often chosen for isolated hypertension. Diltiazem shares some cardiac properties with verapamil but generally has a milder negative inotropic effect.

Store Isoptin SR tablets at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and direct sunlight. Keep the medication out of reach of children and avoid exposing it to extreme heat or humidity, which could affect tablet integrity.

Isoptin SR is taken orally, usually with a full glass of water. It can be administered with or without food, but consistent intake with respect to meals helps maintain stable plasma concentrations. Patients should swallow the sustained‑release tablet whole and not split, chew, or crush it.

Serious adverse events include marked bradycardia, severe hypotension, atrioventricular block, and worsening of heart failure. Patients should be alert for symptoms such as fainting, unusually slow heartbeat, chest discomfort, or sudden swelling of the legs, and seek immediate medical attention if these occur.

Isoptin SR is contraindicated in individuals with severe hypotension, advanced atrioventricular block (second‑ or third‑degree) without a pacemaker, cardiogenic shock, or known hypersensitivity to verapamil or any excipients. Caution is also advised for patients with significant heart failure, hepatic impairment, or those taking interacting medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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