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 tablet for systemic use. It is employed to manage hypertension, angina pectoris, and certain cardiac arrhythmias such as atrial fibrillation and supraventricular tachycardia.

GNH India supplies Isoptin Sr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality manufacturing according to EU standards and reliable global distribution.

Manufacturer / TM Owner

Viatris Healthcare Limited

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Indications & Clinical Uses

  • Verapamil is a calcium channel blocker used to treat cardiovascular conditions that involve elevated blood pressure or abnormal heart rhythms.
  • Hypertension: lowers blood pressure by causing peripheral vasodilation.
  • Angina pectoris: reduces myocardial oxygen demand and relieves chest pain.
  • Atrial fibrillation: slows atrioventricular nodal conduction to control ventricular rate.
  • Supraventricular tachycardia: terminates episodes by decreasing AV nodal conduction.

How It Works

  • Verapamil hydrochloride blocks L-type calcium channels in cardiac myocytes and vascular smooth muscle, reducing intracellular calcium influx. This action decreases myocardial contractility, slows conduction through the atrioventricular node, and produces vasodilation, collectively lowering blood pressure and stabilizing abnormal heart rhythms.

Side Effects

Common Side Effects

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

Serious or Rare Side Effects

  • Severe bradycardia
  • Heart block
  • Marked hypotension
  • Myocardial depression
  • Hepatic dysfunction
  • Allergic reactions such as rash or angioedema

Precautions & Warnings

  • Precautions should be observed when initiating or adjusting therapy with Isoptin Sr.
  • Monitor blood pressure: check regularly during therapy.
  • Assess cardiac function: use caution in patients with heart failure or conduction disorders.
  • Review drug history: avoid concomitant use with beta‑blockers or digoxin without supervision.
  • Pregnancy considerations: limited data, prescribe only if benefit outweighs risk.
  • Renal/hepatic impairment: dose may need adjustment in severe dysfunction.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Verapamil has several clinically important drug interactions that require attention.

Major Interactions (Avoid)

  • Concurrent use with strong CYP3A4 inhibitors (e.g., ketoconazole) may cause toxicity.
  • Co‑administration with beta‑blockers can lead to excessive bradycardia.
  • Combined with digoxin increases risk of digoxin toxicity.
  • Use with diltiazem may cause severe hypotension and AV block.
  • Concomitant use with certain antiarrhythmics (e.g., quinidine) can precipitate arrhythmias.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin) may reduce efficacy.
  • NSAIDs may blunt antihypertensive effect.
  • Alcohol may increase dizziness.
  • Lithium levels may rise when used together.
  • Statins metabolized by CYP3A4 may have increased plasma concentrations.

Frequently Asked Questions

Isoptin Sr, containing verapamil hydrochloride, is prescribed for hypertension, angina pectoris, atrial fibrillation, and supraventricular tachycardia. It helps lower high blood pressure, relieve chest pain caused by reduced blood flow to the heart, and control rapid heart rhythms by affecting the heart’s electrical conduction.

Verapamil hydrochloride blocks L-type calcium channels in cardiac and vascular smooth muscle. By reducing calcium entry into cells, it decreases the force of heart muscle contraction, slows conduction through the atrioventricular node, and relaxes blood vessels, which together lower blood pressure and stabilize abnormal heart rhythms.

The dose of Isoptin Sr is individualized by the prescribing clinician based on the specific condition being treated, the patient’s age, kidney and liver function, and response to therapy. Dosage adjustments may be required over time, and patients should follow the prescriber’s instructions without self‑adjusting the amount.

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

To order 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. Other calcium channel blockers like amlodipine are more vascular selective, focusing on blood pressure control with fewer cardiac effects. Diltiazem shares some cardiac properties with verapamil but differs in potency and interaction profile, so choice depends on the clinical indication.

Isoptin Sr should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Isoptin Sr is taken orally, usually as a whole tablet swallowed with a glass of water. It can be taken with or without food, but patients should follow the prescriber’s guidance on timing relative to meals to maintain consistent absorption.

Serious risks include severe bradycardia (slow heart rate), heart block, marked hypotension (low blood pressure), and myocardial depression. Patients should seek immediate medical attention if they experience fainting, dizziness, chest pain, or an irregular heartbeat, as these may signal a potentially life‑threatening reaction.

Isoptin Sr is contraindicated in patients with severe sinus node dysfunction, second‑ or third‑degree atrioventricular block without a pacemaker, uncontrolled heart failure, and those with known hypersensitivity to verapamil or any excipients in the tablet. Clinicians should also exercise caution in individuals with significant hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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