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

Manidón

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Manidón (Verapamil Hydrochloride)

Verapamil hydrochloride, the active ingredient in Manidón, is a calcium channel blocker presented as an injectable solution for intravenous use. It is employed to manage hypertension, angina pectoris, atrial fibrillation and supraventricular tachycardia in adult patients.
GNH India supplies Manidón 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

Verapamil is used in cardiovascular conditions that benefit from calcium‑channel blockade.

  • Hypertension: lowers systemic blood pressure by reducing peripheral vascular resistance.
  • Angina pectoris: alleviates chest pain by decreasing myocardial oxygen demand through vasodilation.
  • Atrial fibrillation: helps control ventricular rate by slowing atrioventricular nodal conduction.
  • Supraventricular tachycardia: terminates rapid heart rhythms by inhibiting calcium influx in cardiac tissue.

How It Works

  • Verapamil hydrochloride blocks L‑type calcium channels in cardiac myocytes and vascular smooth muscle. This inhibition reduces intracellular calcium, leading to decreased myocardial contractility, slowed atrioventricular nodal conduction, and vasodilation of arterial beds, thereby lowering blood pressure and stabilising cardiac rhythm.

Side Effects

Adverse reactions may occur with intravenous verapamil administration.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Flushing: transient warmth and redness of the skin.
  • Peripheral edema: swelling of the lower limbs.
  • Nausea: occasional gastrointestinal discomfort.

Serious or Rare Side Effects

  • Bradycardia: clinically significant slowing of heart rate.
  • Hypotension: marked drop in blood pressure requiring monitoring.
  • Cardiac conduction block: advanced AV block or heart block.
  • Allergic reaction: rash, urticaria, or anaphylaxis in rare cases.

Precautions & Warnings

Before using intravenous verapamil, consider the following safety measures.

  • Cardiac function: assess for existing heart block or severe left ventricular dysfunction.
  • Blood pressure: monitor closely in patients with baseline hypotension.
  • Drug interactions: review concomitant medications that affect cardiac conduction.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk, as safety data are limited.
  • Storage: Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Verapamil may interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive blood pressure lowering effect.
  • Statins metabolised by CYP3A4 (e.g., simvastatin): may increase statin exposure.
  • Diuretics: potential for excessive hypotension when combined.

Frequently Asked Questions

Manidón contains verapamil hydrochloride and is indicated for the treatment of hypertension, angina pectoris, atrial fibrillation and supraventricular tachycardia. It works by relaxing blood vessels and slowing cardiac conduction, helping to control blood pressure and abnormal heart rhythms in adult patients.

Verapamil blocks L‑type calcium channels in cardiac and vascular smooth muscle. By reducing calcium entry into cells, it decreases myocardial contractility, slows atrioventricular nodal conduction, and causes arterial vasodilation, which together lower blood pressure and stabilize cardiac rhythm.

The appropriate dose of Manidón is determined by the prescribing clinician based on the patient’s condition, severity, and response to therapy. Dosage regimens are individualized and should follow the prescriber’s instructions and local clinical guidelines.

Safety data for verapamil in pregnancy and lactation are limited. It should be used only if the potential therapeutic benefit justifies any potential risk to the fetus or infant. Clinicians must evaluate the risk‑benefit profile for each patient.

To request Manidón, 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 cold‑chain where required) and necessary import documentation.

Manidón (verapamil) belongs to the calcium‑channel blocker class, whereas many alternative anti‑arrhythmics, such as class III agents (e.g., amiodarone), act on potassium channels. Verapamil is particularly effective for rate control in atrial fibrillation and for treating supraventricular tachycardia, offering a different side‑effect profile and contraindications compared with sodium‑channel blockers.

Manidón should be stored at 2‑8 °C in a refrigerator, protected from light. The vial must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability.

Manidón is supplied as an injectable solution for intravenous administration. It is typically infused slowly under clinical supervision, with dosing and infusion rate determined by the treating physician based on the patient’s cardiac status and therapeutic goals.

Serious adverse events include marked bradycardia, severe hypotension, advanced atrioventricular block, and rare allergic reactions such as anaphylaxis. Patients should be monitored continuously during infusion, and any signs of these conditions require immediate medical intervention.

Manidón is contraindicated in patients with known hypersensitivity to verapamil or other calcium‑channel blockers, those with severe sinus bradycardia, second‑ or third‑degree AV block without a pacemaker, and patients with uncompensated heart failure. Clinicians must assess each individual’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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