Description

Any bead/applesauce mixture should be used immediately and not stored for future use. Take no more than two Calan doses at once. Skip the missed dose if your next dose is almost due and take it at the scheduled time instead. Take the missed dose right away if you forget to do so. This medication is available in an injectable form that can be administered by a healthcare professional intravenously (IV). Oral: Verapamil comes in an immediate-release tablet form and is taken 3 to 4 times a day, with or without food. Verapamil should be taken exactly as directed. To make sure that all of the beads are swallowed, the applesauce should be immediately swallowed without chewing and then followed by a glass of cool water. The applesauce used should not be hot and should be soft enough to be swallowed whole. The extended-release tablet and capsule forms are usually taken once day with or without food. One daily mealtime dose of the sustained-release tablet form is typical. You can also take verapamil capsules by carefully opening the capsule and sprinkling the beads on a spoonful of applesauce.

Dosage

Depending on your condition, its severity, how you responded to the medication, your age, how well your liver and kidneys are functioning, and the other medications you are taking, your doctor may adjust your dose. Be sure to carefully follow the instructions on your prescription label. Injectable: This medication is available in an injectable form to be dosed by a healthcare professional. Oral: 40 to 480 mg, divided into smaller doses, should be taken three or four times daily for immediate-release tablets. Follow your doctor's instructions when taking verapamil exactly. 120 to 480 mg, divided into smaller doses and taken once or twice a day, is the recommended dose range for verapamil extended- and sustained-release forms.

Overdose

However, if overdose is thought to have occurred, get emergency medical help. It is unlikely that an overdose will happen if verapamil is given by a healthcare professional in a hospital setting. Call your doctor or the local poison control center right away if you take too much verapamil, or go to the hospital right away for emergency care.

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Side effects

Ask your doctor or pharmacist for more information. For medical advice about side effects, contact your doctor. Constipation, nausea, dizziness, fatigue, difficulty breathing, swelling, edema, rash, flushing, and low blood pressure, which is referred to medically as hypotension, are some of the more frequent side effects of verapamil. This is not an exhaustive list of side effects associated with verapamil. Verapamil has been known to have serious side effects when taken orally or intravenously. See the “Drug Precautions” section. Call 1-800-FDA-1088 to report side effects to the FDA.

Interactions

Ask your doctor or pharmacist for more information. Tell your doctor right away if you use any of the following drugs: azole antifungals (ketoconazole, itraconazole, posaconazole, voriconazole), conivaptan, delavirdine, and nefazodone drugs that block the enzyme CYP3A4 such as some macrolide antibiotics (clarithromycin, telithromycin), some HIV protease inhibitors (indinavir, John's wort, nimodipine (Nimotop), and anti-arrhythmic drugs like disopyramide (Norpace), flecainide (Tambocor), and quinidine, as well as statins like simvastatin (Zocor), atorvastatin (Lipitor), digoxin (Lanoxin), lithium, cimetidine (Tagamet), and carbamazepine (Equetro, Tegre Inform your doctor about all of the medications you take, including any prescription and over-the-counter drugs, vitamins, and herbal supplements.

Contraindications

Call your doctor right away. liver problems. Until you know how verapamil affects you, avoid operating heavy machinery or driving. Verapamil should not be taken if you have any of the following conditions: severe left ventricular dysfunction; low blood pressure (systolic pressure less than 90 mmHg) or cardiogenic shock; sick sinus syndrome (except in patients with a functioning artificial pacemaker); second- or third-degree AV block (except in patients with a functioning artificial pacemaker); atrial flutter or atrial fibrillation and an accessory bypass tract, such as Wolff-Parkinson-White syndrome or Low Hypotension, or low blood pressure, may cause you to feel faint or dizzy. An excessive drop in blood pressure can also be brought on by inadequate hydration, excessive perspiration, diarrhea, or vomiting. If you experience fainting or vertigo, lie down. Verapamil has been linked to serious side effects, such as heart failure, when taken orally or intravenously. If you experience any of the following signs of an arrhythmia, also known medically as an irregular heartbeat, call your doctor right away. Fast or slow heartbeat, skipping beats, lightheadedness or dizziness, chest pain, shortness of breath, sweating, Verapamil can cause dizziness. Tell your healthcare provider right away if you experience any of the following symptoms of heart failure: worsening shortness of breath new or increasing irregularities in your heart rate hypotension. If you experience any of the following signs of liver disease, contact your doctor right away: fever right upper abdominal (chest area) pain new irregular heartbeats general feeling of discomfort, illness, or lack of well-being (malaise). Lab tests for liver function may require close observation by your doctor.

Delivery time is:

Registered Mail - 14-21 business days, prices - USD 20.00, no signature is required on delivery.
EMS - 5-9 business days, prices - USD 30.00, signature is required on delivery.
Your order will be packed safe and secure and dispatched within 24 hours.

This is exactly how your parcel will look like (pictures of a real shipping item). It has a look of a regular private letter and does not disclose its contents. Size - 9.4x4.3x0.3 inches (24x11x0.7cm).