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Veracal 40 Tab

Veracal 40 Tab
Veracal 40 Tab
Tk2.25
Generic NameVerapamil Hydrochloride
Brand NameVeracal
ManufacturerIncepta Pharmaceuticals Ltd., Bangladesh
Dosage FormTablet
Strength40 mg
Pack SizeBlister Strip
Drug ClassCalcium channel blocker (L-type, non-dihydropyridine)
Prescription RequiredYes — Rx Only
Onset / Peak / DurationImmediate-release; dosed 3-4 times daily

What is Veracal?

Veracal (Verapamil Hydrochloride) is an L-type calcium channel blocker manufactured by Incepta Pharmaceuticals Ltd., used for essential hypertension, angina, and supraventricular arrhythmias.

Indications

Essential hypertension, angina pectoris and prevention of re-infarction, supraventricular arrhythmias.

Pharmacology

Verapamil is an L-type calcium channel blocker with antiarrhythmic, antianginal, and antihypertensive activity. It is a negative inotropic agent and should not be used in severe left ventricular dysfunction or hypertrophic cardiomyopathy.

Dosage & Administration

Dose individualized by titration; administer with food. Essential hypertension: 180 mg each morning initially, titrated upward as needed. Angina: 80-120 mg three times daily. Arrhythmias in digitalized patients: 240-360 mg/day in divided doses.

Interaction

Increased plasma levels with CYP3A4 inhibitors (erythromycin, ritonavir), cimetidine; decreased with CYP3A4 inducers (rifampicin), phenobarbital. Increases plasma levels of digoxin, beta-blockers, statins, carbamazepine, and others. Potentiates hypotensive effect of diuretics/antihypertensives.

Contraindications

Severe left ventricular dysfunction, hypotension/cardiogenic shock, sick sinus syndrome, second/third-degree AV block, atrial flutter/fibrillation with accessory pathway (WPW), hypersensitivity to verapamil.

Side Effects

Constipation, nausea, hypotension, edema, bradycardia, AV block, dizziness, headache, fatigue, rash, elevated liver enzymes.

Pregnancy & Lactation

Use only if clearly needed; crosses placenta. Excreted in breast milk — discontinue nursing during use.

Precautions & Warnings

Caution in first-degree AV block, bradycardia, hypotension, atrial fibrillation/flutter with pre-excitation, heart failure. May impair ability to drive; prolongs alcohol effects.

Therapeutic Class

Calcium-channel blockers

Storage Conditions

Do not store above 30°C. Keep away from light and out of reach of children.

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