Mdsale:

Where to Buy Verapamil online with fast shipping and best price!

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Mdsale:

Buy Verapamil online with fast shipping and best price!

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Find the best verapamil prices from online pharmacies.

Compare Prices for Verapamil!

To find the lowest Verapamil prices, click below on the strength of interest.

Strength Price (Per Unit) Click Below For Prices

120 mg

$0.66  -  $0.82

40 mg

$0.26  -  $0.37

240 mg

$1.55  -  $3.07

Online Verapamil prices listed are typically lower than those found on other popular price comparison websites. You will find international and Canadian online pharmacy prices, in addition to U.S. pharmacy prices available with a prescription discount card, for brand and generic medications.

What is verapamil?

Verapamil is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels.

Verapamil is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders.

Verapamil may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about verapamil?

You should not use verapamil if you are allergic to it, or if you have certain serious heart conditions such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), low blood pressure, or if you have recently had a heart attack.

Before taking verapamil, tell your doctor if you are allergic to any drugs, or if you have kidney disease, liver disease, congestive heart failure, or a nerve-muscle disorder such as myasthenia gravis or muscular dystrophy.
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There are many other drugs that can interact with verapamil. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Verapamil may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Do not stop taking this medication without first talking to your doctor. If you stop taking verapamil suddenly, your condition may become worse.

Verapamil may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
What should I discuss with my healthcare provider before taking verapamil?

You should not use verapamil if you are allergic to it, or if you have:

certain serious heart conditions, especially "sick sinus syndrome" or "AV block" (unless you have a pacemaker);

low blood pressure; or

if you have recently had a heart attack.

To make sure you can safely take verapamil, tell your doctor if you have any of these other conditions:

kidney disease;

liver disease;

congestive heart failure; or

a nerve-muscle disorder such as myasthenia gravis or muscular dystrophy.

FDA pregnancy category C. It is not known whether verapamil will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Verapamil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take verapamil?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

If you have trouble swallowing a verapamil capsule whole, ask your doctor or pharmacist if it is safe for you to open the capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Use verapamil regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop taking this medication without first talking to your doctor. If you stop taking verapamil suddenly, your condition may become worse.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

Verapamil may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely.

Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.

If you need surgery, tell the surgeon ahead of time that you are using verapamil. You may need to stop using the medicine for a short time.

Store at room temperature away from moisture, heat, and light.

See also: Verapamil dosage (in more detail)
What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of verapamil can be fatal.

Overdose symptoms may include slow heartbeat and fainting.
What should I avoid while taking verapamil?

Verapamil may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Drinking alcohol can further lower your blood pressure and may increase certain side effects of verapamil.

Grapefruit and grapefruit juice may interact with verapamil and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.
Verapamil side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

fast or slow heartbeats;

feeling like you might pass out;

fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;

restless muscle movements in your eyes, tongue, jaw, or neck;

feeling short of breath, even with mild exertion;

swelling, rapid weight gain; or

nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

constipation, nausea;

skin rash or itching;

dizziness, headache, tired feeling; or

warmth, itching, redness, or tingly feeling under your skin.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: verapamil side effects (in more detail)
Verapamil Dosing Information

Usual Adult Dose for Hypertension:

Oral: The antihypertensive effects of verapamil are evident within the first week of therapy.

Immediate release tablets (Calan (R)):
Initial dose: 80 mg orally 3 times a day; alternatively, 40 mg orally 3 times a day may be considered in patients who might respond to lower doses (e.g., small stature)

Maintenance dose: Upward titration should be based on therapeutic efficacy, assessed at the end of the dosing interval. Daily dosages of 360 and 480 mg have been used but there is no evidence that dosages beyond 360 mg provided added effect.

Sustained release tablets (Calan SR (R), Isoptin SR (R)):
Initial dose: 180 mg orally once a day in the morning with food: alternatively, 120 mg orally once a day in the morning with food may be warranted in patients who may have an increased response to verapamil (e.g., small stature)

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated weekly, about 24 hours after the previous dose. If adequate response is not obtained with the initial dose, it may be titrated upward.

Sustained release capsules (Verelan (R)):
Initial dose: 240 mg orally once a day in the morning (usual dose in clinical trials); alternatively, 120 mg orally once a day in the morning may be warranted in patients who may have an increased response to verapamil (e.g., small stature)

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 24 hours after dosing. If adequate response is not obtained with the initial dose, it may be titrated upward.

Extended release tablets (Covera HS (R)):
Initial dose: 180 mg orally once a day at bedtime
Maintenance dose: If adequate response is not obtained with the initial dose, it may be titrated upward.

Extended release capsules (Verelan PM (R)):
Initial dose: 200 mg orally once a day at bedtime (usual dose in clinical trials); in rare cases, initial doses of 100 mg orally once a day at bedtime may be warranted in patients who have an increased response to verapamil (e.g., low-weight patients)

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 24 hours after dosing. If adequate response is not obtained with the initial dose, it may be titrated upward.

Usual Adult Dose for Supraventricular Tachycardia:

IV:
Manufacturer:
Initial dose: 5 to 10 mg (0.075 to 0.15 mg/kg) given as an IV bolus over at least 2 minutes
Repeat dose: 10 mg (0.15 mg/kg) 30 minutes after the first dose if the initial response is not adequate

An optimal interval for subsequent doses has not been determined and must be individualized for each patient.

ACLS guidelines:
Initial dose: 2.5 to 5 mg
If no response in 15 to 30 minutes and no side effects seen: 5 to 10 mg every 15 to 30 minutes to a maximum total dose of 20 mg

Alternative ACLS dosing regimen:
Initial dose: 5 mg
If no response in 15 minutes and no side effects seen: 5 mg every 15 minutes up to a total dose of 30 mg

Usual Adult Dose for Angina Pectoris:

Oral:
Immediate release tablets:
Initial dose: 80 to 120 mg orally 3 times a day; alternatively, 40 mg orally 3 times a day may be warranted in patients who may have an increased response to verapamil

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 8 hours after dosing. Dosage may be increased daily (e.g., patients with unstable angina) or weekly until optimum clinical response is obtained.

Extended release tablets (Covera HS (R)):
Initial dose: 180 mg orally once a day at bedtime
Maintenance dose: If adequate response is not obtained with 180 mg, the dose may be titrated upward.

Usual Adult Dose for Arrhythmias:

Oral:
Immediate release tablets:
Chronic atrial fibrillation in digitalized patients: 240 to 320 mg/day orally in 3 or 4 divided doses
Prophylaxis of PSVT (non-digitalized patients): 240 to 480 mg/day orally in 3 or 4 divided doses

In general, maximum effects for any given dosage will be apparent during the first 48 hours of therapy.

Usual Adult Dose for Cluster Headache:

Oral:
Initial dose:
Immediate release tablets: 80 mg orally 3 to 4 times a day
Sustained release tablets or capsules: 240 mg orally once a day at bedtime
Extended release tablets (Covera HS (R)): 180 mg orally once a day

Maintenance dose: Dosage may be adjusted at weekly intervals until optimum clinical response is obtained.

Usual Adult Dose for Migraine Prophylaxis:

Oral:
Initial dose:
Immediate release tablets: 80 mg orally 3 to 4 times a day
Sustained release tablets or capsules: 240 mg orally once a day at bedtime
Extended release tablets (Covera HS (R)): 180 mg orally once a day

Maintenance dose: Dosage may be adjusted at weekly intervals until optimum clinical response is obtained.

Usual Adult Dose for Bipolar Disorder:

Oral:
Initial dose:
Immediate release tablets: 80 mg orally 3 to 4 times a day
Sustained release tablets or capsules: 240 mg orally once a day at bedtime
Extended release tablets (Covera HS (R)): 180 mg orally once a day

Maintenance dose: Dosage may be adjusted at weekly intervals until optimum clinical response is obtained.

Usual Adult Dose for Idiopathic Hypertrophic Subaortic Stenosis:

Oral:
Initial dose:
Immediate release tablets: 80 mg orally 3 to 4 times a day
Sustained release tablets or capsules: 240 mg orally once a day at bedtime
Extended release tablets (Covera HS (R)): 180 mg orally once a day

Maintenance dose: Dosage may be adjusted at weekly intervals until optimum clinical response is obtained.

Usual Geriatric Dose for Hypertension:

Oral: The antihypertensive effects of verapamil are evident within the first week of therapy.

Immediate release tablets (Calan (R)):
Initial dose: 40 mg orally 3 times a day; this reduced dosage may be considered in patients who might respond to lower doses

Maintenance dose: Upward titration should be based on therapeutic efficacy, assessed at the end of the dosing interval. Daily dosages of 360 and 480 mg have been used but there is no evidence that dosages beyond 360 mg provided added effect.

Sustained release tablets (Calan SR (R), Isoptin SR (R)):
Initial dose: 120 mg orally once a day in the morning with food; this reduced dosage may be warranted in patients who may have an increased response to verapamil

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated weekly, about 24 hours after the previous dose. If adequate response is not obtained with the initial dose, it may be titrated upward.

Sustained release capsules (Verelan (R)):
Initial dose: 120 mg orally once a day in the morning; this reduced dosage may be warranted in patients who may have an increased response to verapamil

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 24 hours after dosing. If adequate response is not obtained with the initial dose, it may be titrated upward.

Extended release tablets (Covera HS (R)):
Initial dose: 180 mg orally once a day at bedtime
Maintenance dose: If adequate response is not obtained with the initial dose, it may be titrated upward.

Extended release capsules (Verelan PM (R)):
Initial dose: 100 mg orally once a day at bedtime; in rare cases, this reduced initial dosage may be warranted in patients who have an increased response to verapamil

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 24 hours after dosing. If adequate response is not obtained with the initial dose, it may be titrated upward.

Usual Geriatric Dose for Angina Pectoris:

Oral:
Immediate release tablets:
Initial dose: 40 mg orally 3 times a day; this reduced dosage may be warranted in patients who may have an increased response to verapamil

Maintenance dose: Upward titration should be based on therapeutic efficacy and safety evaluated about 8 hours after dosing. Dosage may be increased daily (e.g., patients with unstable angina) or weekly until optimum clinical response is obtained.

Extended release tablets (Covera HS (R)):
Initial dose: 180 mg orally once a day at bedtime
Maintenance dose: If adequate response is not obtained with 180 mg, the dose may be titrated upward.

Usual Pediatric Dose for Supraventricular Tachycardia:

IV:
Less than 1 year: Generally not recommended due to potential risk of severe apnea, bradycardia, hypotensive reactions, and cardiac arrest; IV calcium should be available at bedside

Initial dose: 0.1 to 0.2 mg/kg/dose (usual single dose range: 0.75 to 2 mg/dose) should be administered as an IV bolus over at least 2 minutes under continuous ECG monitoring

Repeat dose: 0.1 to 0.2 mg/kg/dose (usual single dose range: 0.75 to 2 mg/dose) 30 minutes after the first dose if the initial response is not adequate (under continuous ECG monitoring)

An optimal interval for subsequent doses has not been determined and must be individualized for each patient.

1 to 15 years:
Initial dose: 0.1 to 0.3 mg/kg/dose (usual single dose range: 2 to 5 mg/dose) should be administered as an IV bolus over at least 2 minutes; doses of 5 mg should not be exceeded

Repeat dose: 0.1 to 0.3 mg/kg/dose (usual single dose range: 2 to 5 mg/dose) 30 minutes after the first dose if the initial response is not adequate; doses of 10 mg should not be exceeded

An optimal interval for subsequent doses has not been determined and must be individualized for each patient.
What other drugs will affect verapamil?

Many drugs can interact with verapamil. Below is just a partial list. Tell your doctor if you are using:

buspirone (BuSpar);

cimetidine (Tagamet);

clonidine (Catapres, Clorpres, Kapvay, Nexiclon) or any other blood pressure medications;

cyclosporine (Gengraf, Neoral, Sandimmune);

digoxin (digitalis, Lanoxin, Lanoxicaps);

lithium (Eskalith, LithoBid);

lovastatin (Mevacor, Advicor) or simvastatin (Zocor, Simcor, Vytorin);

theophylline (Elixophyllin, Theo-24, Uniphyl);

an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifampin (Rifadin, Rimactane, Rifater), or telithromycin (Ketek);

an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend);

a beta-blocker such as atenolol (Tenormin), bisoprolol (Zebeta, Ziac), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), sotalol (Betapace), timolol (Blocadren), and others;

cancer medicine such as cisplatin (Platinol), cyclophosphamide (Cytoxan, Neosar), doxorubicin (Adriamycin), paclitaxel (Taxol), procarbazine (Matulane), vincristine (Oncovin), or vinorelbine (Navelbine);

cholesterol-lowering drugs such as atorvastatin (Lipitor, Caduet), lovastatin (Mevacor, Altoprev, Advicor), or simvastatin (Zocor, Simcor, Vytorin, Juvisync);

a heart rhythm medication such as amiodarone (Cordarone, Pacerone), disopyramide (Norpace), flecainide (Tambocor), or quinidine (Quin-G);

HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), or ritonavir (Norvir, Kaletra);

a sedative such as midazolam (Versed) or triazolam (Halcion); or

seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol) or phenobarbital (Solfoton).

This list is not complete and other drugs may interact with verapamil. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.