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

Isoptin

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Isoptin (Verapamil Hydrochloride)

Verapamil Hydrochloride, the active ingredient in Isoptin, is a calcium channel blocker presented as an oral tablet and injectable solution for intravenous and oral use. It is employed to manage hypertension, angina pectoris, and certain supraventricular tachyarrhythmias in adult patients.
GNH India supplies Isoptin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Viatris Italia S.R.L.

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Indications & Clinical Uses

Isoptin (verapamil hydrochloride) acts on the cardiovascular system to control blood pressure, heart rhythm, and chest pain.

  • Hypertension: lowers systemic blood pressure by causing peripheral vasodilation.
  • Angina pectoris: reduces myocardial oxygen demand through decreased contractility and heart rate.
  • Supraventricular tachyarrhythmias (e.g., atrial fibrillation, atrial flutter): slows atrioventricular nodal conduction to restore regular rhythm.

How It Works

  • Verapamil hydrochloride blocks L‑type calcium channels in cardiac and smooth muscle cells, limiting calcium influx. This results in reduced myocardial contractility, slowed AV‑node conduction, and relaxation of vascular smooth muscle, producing antihypertensive, anti‑anginal, and antiarrhythmic effects.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Headache: mild to moderate discomfort.
  • Flushing: transient warmth and redness of the skin.
  • Peripheral edema: swelling of the lower limbs.
  • Constipation: reduced bowel motility.
  • Dizziness: sensation of light‑headedness.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Bradycardia: markedly slowed heart rate.
  • Hypotension: significant drop in blood pressure.
  • Heart block: impairment of electrical conduction.
  • Hepatotoxicity: abnormal liver function tests.
  • Severe allergic reaction: rash, swelling, or anaphylaxis.

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor appropriately.

  • Cardiac function: assess for existing heart failure or conduction disorders.
  • Liver disease: adjust use in moderate to severe hepatic impairment.
  • Electrolyte imbalance: correct potassium or magnesium abnormalities.
  • Drug discontinuation: taper gradually to avoid rebound hypertension.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Verapamil may alter the pharmacokinetics or pharmacodynamics of several agents.

Major Interactions (Avoid)

  • Beta‑blockers: risk of severe bradycardia and AV block.
  • Digoxin: increased serum levels leading to toxicity.
  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): markedly elevated verapamil concentrations.

Moderate Interactions (Monitor Closely)

  • Statins metabolized by CYP3A4 (e.g., simvastatin): heightened risk of myopathy.
  • Antidiabetic drugs (e.g., insulin, sulfonylureas): possible hypoglycaemia.
  • Antihypertensives (e.g., ACE inhibitors, diuretics): additive blood pressure lowering effect.

Frequently Asked Questions

Isoptin, containing verapamil hydrochloride, is prescribed for hypertension, angina pectoris, and supraventricular tachyarrhythmias such as atrial fibrillation or atrial flutter. It helps lower blood pressure, relieve chest pain, and control abnormal heart rhythms by acting on calcium channels in the cardiovascular system.

Verapamil hydrochloride blocks L‑type calcium channels in cardiac muscle, vascular smooth muscle, and the conduction system. This reduces calcium entry into cells, leading to decreased myocardial contractility, slowed atrioventricular nodal conduction, and dilation of peripheral blood vessels, which together produce its antihypertensive, anti‑anginal, and antiarrhythmic effects.

The specific dose of Isoptin is determined by the prescribing clinician based on the patient’s condition, response, and overall health status. Dosage may differ for oral versus intravenous administration and is adjusted to achieve therapeutic goals while minimizing adverse effects.

Safety data for verapamil hydrochloride in pregnancy and lactation are limited. It should be used only if the potential benefit justifies any possible risk to the fetus or infant. Healthcare providers will evaluate individual circumstances before prescribing Isoptin to pregnant or nursing patients.

To request Isoptin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details (including cold‑chain if needed), and necessary import documentation.

Isoptin (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 more directly slows heart rate and AV‑node transmission, making it useful for arrhythmias, whereas dihydropyridines primarily cause vasodilation with minimal cardiac impact.

Isoptin should be stored at temperatures below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Maintaining these conditions helps preserve the drug’s stability and potency throughout its shelf life.

Isoptin is available for oral administration as tablets and for intravenous infusion. The route, dosage form, and infusion rate are selected by the prescriber according to the clinical indication, patient tolerance, and therapeutic objectives.

Serious risks include marked bradycardia, severe hypotension, heart block, and rare cases of hepatotoxicity or allergic reactions. Patients should be monitored for signs of these events, especially during treatment initiation or dose adjustments.

Isoptin is contraindicated in patients with known hypersensitivity to verapamil, severe left ventricular dysfunction, advanced atrioventricular block without a pacemaker, and in those with acute myocardial infarction where its negative inotropic effect could be harmful.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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