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

Manidón Retard

Active Ingredient:
Verapamil Hydrochloride
Origin:
EU

Manidón Retard (Verapamil Hydrochloride)

Verapamil Hydrochloride, the active ingredient in Manidón Retard, is a calcium channel blocker presented as an extended‑release tablet for oral use. It is employed to manage hypertension, angina pectoris and supraventricular arrhythmias in adult patients, acting as both an antiarrhythmic and antihypertensive agent.

GNH India supplies Manidón Retard as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to EU GMP standards and provides regulatory documentation for import and distribution. Products are shipped in secure packaging with temperature control as required.

Manufacturer / TM Owner

Viatris Healthcare Limited

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Indications & Clinical Uses

Verapamil is a calcium channel blocker used in cardiovascular disease management.

  • Hypertension: lowers systemic blood pressure by reducing peripheral vascular resistance.
  • Angina pectoris: decreases myocardial oxygen demand and relieves chest‑pain episodes.
  • Supraventricular arrhythmias: helps restore normal sinus rhythm and control ventricular rate.

How It Works

  • Verapamil Hydrochloride selectively inhibits L‑type calcium channels in cardiac myocytes, vascular smooth muscle, and nodal tissue. By reducing calcium influx, it decreases myocardial contractility, slows atrioventricular conduction, and dilates peripheral arteries, leading to lowered blood pressure and reduced cardiac workload. The drug is metabolized primarily by hepatic CYP3A4 enzymes and excreted unchanged in urine.

Side Effects

Verapamil may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Constipation: reduced gastrointestinal motility.
  • Dizziness: transient orthostatic changes.
  • Headache: vasodilatory effect.
  • Peripheral edema: fluid accumulation in lower limbs.
  • Flushing: transient cutaneous vasodilation.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Bradycardia: markedly slowed heart rate.
  • Hypotension: severe drop in blood pressure.
  • Heart block: impairment of AV nodal conduction.
  • Atrioventricular conduction disturbances: risk of advanced block.
  • Severe allergic reactions: rash, angioedema, anaphylaxis.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood pressure: check for excessive hypotension.
  • Assess cardiac conduction: perform ECG before and during therapy.
  • Review concomitant beta‑blocker use: risk of additive bradycardia.
  • Adjust dose in hepatic impairment: reduced clearance may increase exposure.
  • Avoid abrupt discontinuation: may precipitate rebound hypertension.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Verapamil interacts with several medicines; some combinations should be avoided while others require careful monitoring.

Major Interactions (Avoid)

  • Beta‑blockers: risk of severe bradycardia and AV block.
  • Diltiazem or other verapamil products: additive cardiac depression.
  • Digoxin: increased serum digoxin levels.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): elevated verapamil concentrations.
  • Simvastatin: heightened risk of myopathy.

Moderate Interactions (Monitor Closely)

  • Diuretics: potential electrolyte disturbances, especially potassium loss.
  • NSAIDs: may attenuate antihypertensive effect.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine): reduced verapamil exposure.

Frequently Asked Questions

Manidón Retard, containing verapamil hydrochloride, is prescribed for three primary cardiovascular conditions: hypertension, where it helps lower high blood pressure; angina pectoris, where it reduces chest‑pain episodes by decreasing myocardial oxygen demand; and supraventricular arrhythmias, where it assists in restoring normal heart rhythm and controlling ventricular rate.

Verapamil hydrochloride blocks L‑type calcium channels in cardiac muscle, vascular smooth muscle, and the conduction system. This inhibition reduces calcium entry, leading to decreased myocardial contractility, slowed atrioventricular conduction, and dilation of peripheral arteries, which together lower blood pressure and lessen cardiac workload.

The appropriate dose of Manidón Retard is set by a qualified prescriber based on the individual’s clinical condition, response to therapy, renal and hepatic function, and any concomitant medications. Dosage adjustments are made according to therapeutic goals and patient tolerance.

Safety data for verapamil in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant. Healthcare providers should discuss individual circumstances and consider alternative therapies when appropriate.

To request Manidón Retard, 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 temperature control) and necessary import documentation.

Manidón Retard (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 provides stronger rate‑control for arrhythmias but may cause more bradycardia and AV‑node slowing, requiring careful monitoring.

Manidón Retard should be stored at room temperature, generally below 25 °C. Keep the tablets in the original packaging to protect them from moisture and light. Do not store in areas with high humidity or extreme temperature fluctuations.

Manidón Retard is taken orally, usually as a whole extended‑release tablet. It should be swallowed with a glass of water and not crushed, chewed, or split, to preserve the controlled‑release properties. The exact timing and frequency are determined by the prescribing clinician.

Serious adverse events include marked bradycardia, severe hypotension, advanced atrioventricular block, and rare allergic reactions such as anaphylaxis. Patients should be educated to seek immediate medical attention if they experience fainting, very slow heart rate, chest discomfort, or signs of a severe allergic response.

Manidón Retard is contraindicated in patients with known hypersensitivity to verapamil or any excipients, those with severe sinus node dysfunction, second‑ or third‑degree AV block without a pacemaker, and patients in cardiogenic shock. Caution is also advised for individuals with significant hepatic impairment or uncontrolled heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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