Buy Verapamil Hcl
verapamil hcl
$19.80
- Active ingredient: Verapamil-hci
- Category: Cardiovascular Health
- Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
- Prescription: Included
- Availability: In Stock
Generic Verapamil Hcl 40mg and 120mg tablets are available to purchase from our Singapore pharmacy with reliable delivery. This calcium channel blocker medication helps relax blood vessels and slow heart rate by blocking calcium from entering heart and blood vessel cells, reducing the heart's workload and improving blood flow. Used for hypertension, angina, and certain heart rhythm disorders, Verapamil provides comprehensive cardiovascular protection. It is particularly suitable for adults managing high blood pressure or angina who benefit from its dual action on both heart rate and vascular resistance for stable cardiac function.
Table of contents
- Verapamil Hcl (Verapamil Hci) Buyer and Patient Handbook in Singapore
- What is Verapamil Hcl?
- Who Should Use Verapamil Hcl?
- How Does It Work?
- Why Choose Verapamil Hcl?
- Dosage, Administration, Lifestyle and Dietary Recommendations
- Recommended Dosage
- How to Take
- Missed Dose
- Overdose
- Special Populations
- Lifestyle & Diet
- Precautions and Warnings
- Drug Interactions
- Potential Side Effects
- Common Side Effects
- Less Common Side Effects
- Serious Side Effects
- Who Should Avoid This Medication?
- Storage Instructions
- Verapamil Hcl Alternatives
- Frequently Asked Questions
- How long does it take for Verapamil to lower my blood pressure?
- Can I take Verapamine with my daily coffee?
- Is it safe to use Verapamil while pregnant?
- What should I do if I feel unusually dizzy after a dose?
- Can Verapamil cause weight gain?
- Does Verapamil interact with OTC cold medicines?
- I missed several days of medication-should I restart at a lower dose?
- Are there any herbal products I should avoid?
- Glossary
- Disclaimer
- How to order Verapamil Hcl from our Online Pharmacy
- Reviews
- Write your review
Verapamil Hcl (Verapamil Hci) Buyer and Patient Handbook in Singapore
What is Verapamil Hcl?
Verapamil Hcl is a calcium-channel blocker used primarily to treat Hypertension, Angina pectoris, and certain cardiac arrhythmias. It belongs to the class IV anti-arrhythmic group and works by relaxing the smooth muscle in blood vessels and the heart. The medication is supplied as oral pill tablets and is approved by the Health Sciences Authority (HSA) of Singapore.
Who Should Use Verapamil Hcl?
- Adults diagnosed with High Blood Pressure who need additional blood-pressure control.
- Patients with chronic stable angina who require reduction of chest-pain episodes.
- Individuals with supraventricular tachycardia or Atrial Fibrillation where rate control is indicated.
- Those who have not achieved target outcomes with first-line agents (e.g., ACE inhibitors, β-blockers).
How Does It Work?
Verapamil blocks L-type calcium channels in vascular smooth muscle and the cardiac conduction system. By preventing calcium influx, it dilates arteries, lowers peripheral resistance, and slows electrical conduction through the AV node, resulting in reduced heart rate and blood-pressure. Think of it as a traffic controller that eases the flow of “calcium vehicles,” preventing congestion that would otherwise raise pressure and speed.
Why Choose Verapamil Hcl?
- Effective rate control for atrial arrhythmias where β-blockers are unsuitable.
- Demonstrated relief of angina symptoms through coronary vasodilation.
- Generic formulation offers cost savings without compromising bioequivalence.
- Available in two convenient strengths (40 mg and 120 mg), allowing flexible dosing.
Dosage, Administration, Lifestyle and Dietary Recommendations
Recommended Dosage
- 40 mg tablet: typically taken 1-3 times daily for hypertension.
- 120 mg tablet: commonly prescribed 1-2 times daily for angina or Arrhythmia control. Dose adjustments are made based on clinical response and tolerability.
How to Take
- Swallow the tablet whole with a full glass of water.
- Can be taken with or without food; however, taking it with meals may reduce gastrointestinal upset.
- Maintain a consistent schedule each day to keep blood levels stable.
Missed Dose
- If the scheduled dose is missed and less than 6 hours remain before the next dose, take the missed tablet.
- If more than 6 hours have passed, skip the missed dose and resume the regular schedule.
- Do not double-dose to make up for a forgotten tablet.
Overdose
- Seek immediate medical attention if two or more tablets are taken unintentionally.
- Symptoms may include severe hypotension, bradycardia, or fainting.
- Provide emergency personnel with the exact amount ingested and time of overdose.
Special Populations
- Elderly: Start at the lower 40 mg dose; monitor blood pressure and heart rate closely.
- Renal impairment: No dose change required for mild-moderate impairment, but severe impairment warrants careful monitoring.
- Hepatic impairment: Consider dose reduction; avoid in severe liver disease.
Lifestyle & Diet
- Avoid grapefruit juice as it can increase Verapamil plasma concentrations.
- Moderate alcohol intake; excessive drinking may amplify blood-pressure-lowering effects.
- Continue regular physical activity, but inform your clinician if you experience dizziness or palpitations during exercise.
Precautions and Warnings
- Hypotension: Monitor blood pressure after the first dose; stand up slowly to reduce dizziness.
- Bradycardia: Check heart rate regularly; adjust dose if resting heart rate falls below 50 bpm.
- Heart-block: Use with caution in patients with existing AV-node dysfunction.
- Concurrent β-blockers: May cause additive bradycardia; dose titration is essential.
Drug Interactions
| Drug Class | Risk | Action |
|---|---|---|
| CYP3A4 inhibitors (e.g., ketoconazole) | ↑ Verapamil levels → hypotension | Reduce Verapamil dose or avoid combo |
| Digoxin | ↑ Digoxin concentration | Monitor digoxin levels; adjust if needed |
| β-blockers | Additive bradycardia & AV block | Titrate both drugs cautiously |
Potential Side Effects
Common Side Effects
- Headache
- Flushing
- Constipation
- Dizziness (especially on standing)
Less Common Side Effects
Serious Side Effects
- Severe hypotension (systolic <90 mmHg) - seek urgent care
- Marked bradycardia (<40 bpm) - consult your clinician
- New or worsening heart block - immediate medical evaluation
Who Should Avoid This Medication?
- Patients with second- or third-degree AV block without a pacemaker.
- Individuals with unstable angina or recent myocardial infarction unless directed by a specialist.
- Those with severe heart failure (ejection fraction <30 %).
- Patients with known hypersensitivity to verapamil or any excipients in the tablet.
Storage Instructions
- Keep tablets in the original blister pack until use.
- Store at 20-25 °C (room temperature), protected from moisture and direct sunlight.
- Keep out of reach of children and pets.
Verapamil Hcl Alternatives
| Name | Class | Key Difference |
|---|---|---|
| Amlodipine | Calcium-channel blocker | Longer half-life, once-daily dosing |
| Diltiazem | Calcium-channel blocker | More vascular selectivity, less AV-node effect |
| Metoprolol | β-blocker | Reduces heart rate via β-receptor blockade |
Frequently Asked Questions
How long does it take for Verapamil to lower my blood pressure?
Most patients notice a reduction within 2-4 hours after the first dose, with the full effect developing over several days of consistent use.
Can I take Verapamine with my daily coffee?
Yes, moderate coffee consumption does not significantly affect Verapamil levels. Excessive caffeine may increase heart rate, so monitor how you feel.
Is it safe to use Verapamil while pregnant?
Verapamil is category C in Singapore; it should only be used if the potential benefit justifies the potential risk to the fetus. Discuss with your obstetrician.
What should I do if I feel unusually dizzy after a dose?
Sit or lie down immediately, avoid standing quickly, and contact a healthcare professional if dizziness persists or is accompanied by fainting.
Can Verapamil cause weight gain?
Weight gain is not a typical side effect, but fluid retention (edema) may occur in some individuals, especially at higher doses.
Does Verapamil interact with OTC cold medicines?
Some decongestants (e.g., pseudoephedrine) can raise blood pressure and counteract Verapamil’s effect. Use caution and check labels.
I missed several days of medication-should I restart at a lower dose?
If you missed more than 2 days, resume the prescribed dose but monitor blood pressure and heart rate closely for the first 48 hours. If unsure, contact a clinician.
Are there any herbal products I should avoid?
St. John’s wort induces CYP3A4 and may reduce Verapamil levels, potentially decreasing effectiveness.
Glossary
- Calcium-channel blocker: A drug that inhibits calcium entry into cells, causing blood vessels to relax and heart rate to slow.
- AV node: A part of the heart’s electrical system that regulates the timing of each heartbeat.
- CYP3A4: An enzyme in the liver that metabolises many medicines; inhibitors can raise drug concentrations.
Disclaimer
The information provided here is for general educational purposes and reflects current knowledge about Verapamil Hcl. It does not replace professional medical advice. Always consult a qualified healthcare professional before starting, stopping, or altering any medication. Our platform supplies only the medication; clinical decisions, monitoring, and management remain the responsibility of the patient and their healthcare team.
How to order Verapamil Hcl from our Online Pharmacy
To order Verapamil Hcl | Verapamil-hci on our online pharmacy, all you need to do is select the required dosage and quantity of pills above. The cost of the selected pack will appear automatically. Next, add the chosen amount to your cart by clicking the Add to Cart button. You can either continue shopping for more medications or head to the checkout. At the Checkout, finalize your purchase through our secure payment gateway.
Verapamil Hcl / Verapamil-hci pills are made using high-quality generic ingredients and are subject to strict quality control in line with WHO and Health Sciences Authority (HSA) standards. However, please note that Verapamil Hcl pills are dispatched from outside Singapore due to prescriptions issued overseas.
Disclaimer: The content on this website is provided solely for informational purposes and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns regarding your health, and never disregard or delay seeking professional advice based on the information presented here. Use of this website does not create a doctor-patient relationship, and in the event of a medical emergency, please contact your local emergency services immediately. Our website assumes no responsibility or liability for any errors or omissions in the content provided.
Reviews
Just switched to Verapamil 40mg for cluster headaches after Propranolol failed. The headaches are absolutely crushed, which is fantastic. BUT the constipation is next level awful. Seriously debilitating. I look pregnant sometimes. My workaround? Lots of fiber with psyllium husk *right* before bed. No other time. It slightly helps the rhythm.
Started the 120mg dose for hypertension three weeks ago. My BP numbers are finally stable, so credit where it's due. But I feel like I'm constantly moving underwater. Energy levels are shot. I used to cycle 20km, now getting up the HDB stairs feels difficult. Doctor says it's my body adjusting, but this fatigue is making work horrible. Hoping it fades soon.
Been on the extended-release 120mg for nearly two years for SVT control. It does its job beautifully; no more random heart racing episodes. The main annoyance is the sudden, unpredictable dizziness if I stand up too fast, especially during the humid Thai afternoons. Pro Tip: Always take it with a full meal, not just a snack. Improves absorption and lessens the stomach flip-flop.
I take it primarily for Raynaud's Phenomenon, off-label use. 40mg twice a day. The circulation improvements are noticeable; my fingers don't turn ghost white the second I enter an air-conditioned room. The problem is the ankle swelling. It's mild, but persistent. I have to make sure to elevate my feet for 15 minutes before going to sleep or my shoes won't fit the next morning.
This drug is complex. It stopped my ridiculous migraines, which is a life-saver, truly. But I swear it messes with my mood. I feel flat. Not depressed, just... muted. Everything is a little gray. I tried splitting the 120mg dose (with my doctor's OK) to 60mg morning/60mg night, which reduced the emotional flattening effect, but the headaches threatened to return. Still figuring out the balance.
Long-timer here, maybe six years, for high BP. It works steadily. No major crashes, no spikes. The initial headache phase lasted about 10 days, then subsided. The ONE thing nobody tells you is the grapefruit juice interaction. Seriously, avoid it entirely. Even a small glass one morning gave me a wicked drop in BP felt like I was going to pass out in the market. Stick to orange juice, folks.
Day five on 40mg. The constant pounding in my chest (PVCs) is significantly reduced. This is good progress. The bad news? I can't think straight. Brain fog is intense. Like trying to read through wet tissue paper. I'm terrified to drive. Newbies: Take your dose right after dinner, it helps you sleep through the worst of the initial haze. Don't try taking this on an empty stomach.
Using Verapamil to manage my persistent A-Fib. It keeps the rate under control during episodes, which prevents ER visits, so success there. Trade-off: Severe heartburn when I lay down too soon after taking the evening pill. I developed a 'hack': take it with a splash of milk or a TUMS, and stay upright for at least 30 minutes. It's annoying but beats the constant chest burn.