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

Isoptin Sr

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Isoptin Sr (Verapamil Hydrochloride)

Verapamil, the active ingredient in Isoptin Sr, is a calcium channel blocker presented as an oral dosage form for oral use. It is employed to manage high blood pressure, chest pain from angina, and certain cardiac rhythm disorders 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

Mylan Healthcare B.V.

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Indications & Clinical Uses

  • Isoptin Sr is a calcium channel blocker used in cardiovascular disease management.
  • Hypertension: lowers elevated blood pressure by relaxing vascular smooth muscle.
  • Angina pectoris: reduces frequency of chest pain episodes by decreasing myocardial oxygen demand.
  • Cardiac arrhythmias: helps restore normal heart rhythm in supraventricular and ventricular tachyarrhythmias.

How It Works

  • Verapamil blocks L‑type calcium channels on cardiac myocytes and vascular smooth‑muscle cells, decreasing calcium influx. This results in reduced myocardial contractility, slowed atrioventricular conduction, and vasodilation of arterial vessels, collectively lowering blood pressure, relieving angina, and stabilising abnormal cardiac rhythms.

Side Effects

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

Common Side Effects

  • Headache: mild to moderate intensity.
  • Constipation: reduced bowel motility.
  • Dizziness or light‑headedness: especially on standing.
  • Peripheral edema: swelling of ankles or feet.
  • Flushing: transient warmth and redness.
  • Nausea: occasional upset stomach.

Serious or Rare Side Effects

  • Bradycardia: markedly slow heart rate.
  • Heart block: impaired electrical conduction.
  • Severe hypotension: dangerous drop in blood pressure.
  • Hepatic dysfunction: abnormal liver enzymes.
  • Allergic reactions: rash, itching, or anaphylaxis.
  • Worsening heart failure: fluid retention and dyspnea.

Precautions & Warnings

  • Before initiating therapy, consider patient‑specific factors and monitor appropriately.
  • Renal impairment: adjust monitoring as clearance may be reduced.
  • Hepatic disease: use with caution; hepatic metabolism may be altered.
  • Pre‑existing heart block or sick sinus syndrome: avoid or use under specialist supervision.
  • Concomitant beta‑blockers: increased risk of bradycardia and AV block.
  • Pregnancy and lactation: safety not established; weigh benefits against risks.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Verapamil interacts with several drug classes; awareness helps prevent adverse events.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may cause toxic verapamil levels.
  • Digoxin: increased risk of digoxin toxicity.
  • Beta‑blockers: additive bradycardia and AV‑block risk.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.
  • Statins metabolised by CYP3A4 (e.g., simvastatin): higher statin concentrations.
  • Antacids containing aluminum or magnesium: may decrease absorption if taken simultaneously.

Frequently Asked Questions

Isoptin Sr, containing verapamil, is prescribed for managing hypertension, relieving angina pectoris, and treating certain cardiac arrhythmias such as supraventricular tachycardia. It works by relaxing blood vessels and modulating heart electrical activity, helping to control blood pressure, reduce chest‑pain episodes, and stabilize abnormal heart rhythms.

Verapamil blocks L‑type calcium channels on cardiac and vascular smooth‑muscle cells. By limiting calcium entry, it reduces myocardial contractility, slows conduction through the atrioventricular node, and causes arterial vasodilation. These actions collectively lower blood pressure, decrease myocardial oxygen demand, and help correct irregular heartbeats.

The appropriate dose of Isoptin Sr is determined individually by a qualified prescriber based on the patient’s medical condition, response to therapy, and any concomitant medications. Healthcare professionals adjust the regimen to achieve optimal blood‑pressure control, angina relief, or arrhythmia management while monitoring safety.

Safety data for verapamil in 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. Physicians should discuss individual circumstances and consider alternative therapies if appropriate.

To place an order, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Isoptin Sr (verapamil) is a non‑dihydropyridine calcium channel blocker, distinguished by its pronounced effects on cardiac conduction and contractility. Compared with dihydropyridine agents such as amlodipine, verapamil has greater anti‑arrhythmic activity but may cause more bradycardia and AV‑block, making it preferable for certain rhythm disorders while requiring careful monitoring.

Isoptin Sr should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original container, protect it from moisture, excessive heat, and direct sunlight. Do not refrigerate or freeze unless specifically instructed by the manufacturer.

Isoptin Sr is taken orally, usually with a full glass of water. The tablet should be swallowed whole and not chewed or crushed unless directed by a healthcare professional. Dosing times (e.g., with or without food) are determined by the prescriber based on therapeutic goals and tolerability.

Serious risks include marked bradycardia, heart block, severe hypotension, and worsening heart failure. Patients should be monitored for signs of slowed heart rate, fainting, sudden drops in blood pressure, or increased shortness of breath, and any concerning symptoms should be reported to a healthcare provider promptly.

Isoptin Sr is contraindicated in patients with known hypersensitivity to verapamil or any component of the formulation, those with severe hypotension, uncorrected second‑ or third‑degree AV block, sick sinus syndrome without a pacemaker, and in individuals with acute myocardial infarction where its use may worsen outcomes.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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