Isoptin 40 mg. 50 tablets

Isoptin 40 mg is an oral medicine that belongs to the class known as calcium channel blockers or calcium antagonists. Verapamil relaxes (widens) blood vessels (veins and arteries), which enables the heart to pump and reducing its workload, helps more oxygen to reach the heart and at the same time reduces blood pressure. It may help to control the heart rhythm.
The product does not change the amount of calcium in the blood or bone. Calcium in the diet or in supplements does not affect the mode of action of Isoptin 40 mg.
Furthermore, Isoptin 40 mg is present and another quantity of the drug substance Isoptin 80 mg, and also formulations prolonged release Isoptin SR, with quantities of active substance, respectively 120 and 240 mg. Your doctor will decide which initial formulation and dosage is best for you.
 
 
What does Isoptin 40 mg?
Isoptin 40 mg is used for the treatment of:
• ischemic heart disease due to insufficient supply of oxygen to the heart muscle (manifested most often with symptoms of chest pain);
• treatment of heart rhythm disorders, called. arrhythmia;
• hypertension (high blood pressure).
Ask your doctor if you want to know why you have been prescribed the product.
 
 
Before taking Isoptin 40 mg
When should not be treated with Isoptin 40 mg
• if you have had an allergic reaction to a product containing verapamil or to any of the excipients;
• if you have certain heart diseases (eg, congestive heart failure, a very low heart rate, irregular heartbeat or heart muscle disease).
• Low blood pressure (hypotension).
 
Before you start taking Isoptin 40 mg Tell your doctor if you have or have had:
• any other heart problems;
• vascular disease, stroke;
• liver or kidney problems;
• diseases associated with impaired neuromuscular conduction (myasthenia gravis syndrome, Lambert-Eaton, advanced muscular dystrophy Duchenne);
• are pregnant or planning pregnancy.
• breast-feeding.
If you have not told your doctor about something from the above, tell him, before taking.
 
 
Taking other medicines
Tell your doctor if you are taking any other medicines, even those who are not employed by your doctor.
 
Medicines can interact with each other. These include:
• Other drugs to treat high blood pressure or heart disease;
• Statins - cholesterol-lowering blood;
• Digoxin - a product used to treat heart nedostatychnost;
• water tablets or diuretics;
• Lithium - product, commonly used to treat mood swings and some: types of depression;
• Phenobarbital - a product for the treatment of epilepsy and sleep disorders;
• Cyclosporine - a product for the prevention of transplant rejection or for the treatment of certain problems with the immune system;
• Karbamzepin and phenytoin - for the treatment of epilepsy;
• Rifampicin - an antibiotic used in the treatment of tuberculosis;
• Midazolam - sedative product;
• Theophylline - a product for the treatment of asthma.
These medicines may be affected by Isoptin 40 mg or may affect its operation. You may need a different dose to treat or different treatment. Your doctor will advise you about this.
If you are treated with Isoptin you should avoid foods and beverages containing grapefruit. They can increase the plasma levels of verapamil.
Co-administration of alcohol leads to delayed decomposition of ethanol and increasing its levels in the plasma, leading to enhancement of the effects of alcohol than verapamil.
 
Does the product on pregnancy and lactation
Not recommended the use of verapamil during the first six of pregnancy. It should not be used during the last three months, unless it is absolutely necessary and the expected beneficial effect is not significantly greater than the possible risks to the mother and ploda.Verapamil should not be used during breastfeeding, because it excreted in human milk. Your doctor will advise you how to proceed in such cases.
 
Does the product on the ability to drive and use machines
Depending on the individual response, Isoptin can slow reactions to such an extent impair the ability to drive, operate the machinery or work in hazardous conditions. This applies especially to the beginning of treatment, when increasing the dose, after switching to another product and the concomitant use of alcohol.
 
 
Some of the side effects of Isoptin 40 mg
Like other products, Isoptin 40 mg may lead to adverse reactions in some people. Sometimes they are serious, but most are not.
Tell your doctor if you notice any of these most common effects and it alarmed:
• Nausea, bloating, constipation;
• Vertigo, or dizziness;
• Headache;
• Tiredness;
• Flushing.
 
Tell your doctor immediately if you notice any of the following:
• Chest pain, fainting, collapse;
• Slow, fast or irregular heartbeat;
• Shortness of breath (sometimes with fatigue, weakness, and decreased ability to exercise);
• Fever, stomach pain, malaise;
• Blistering rash, itching or flaking.
Some patients may experience other adverse reaktsii.Kazhete doctor if you notice something you worry .Ne be alarmed by this list of reactions. You can not get any of them.
 
 
How to take Isoptin 40 mg?
How many tablets to take
Your doctor will tell you how many tablets to take each day and when to do it. It depends on your illness and whether you are taking other products. The average daily intake for almost all indications is between 240 and 360 mg.
For prolonged oral use must not exceed a daily dose of 480 mg; excess is possible in a short time.
 
Adults and adolescents weighing more than 50 kg:
Ischemic heart disease:
The recommended daily dose (120 mg) - 240 mg - 480 mg verapamil, divided into 3-4 times, as follows:
1 tablet of 40 mg 3 to 4 times daily (equivalent to 120 mg - 160 mg verapamil daily).
Isoptin 40 mg is indicated for patients who are likely to receive a satisfactory response to low doses (ie patients with liver dysfunction or elderly) .For patients requiring higher doses (240 mg - 480 mg verapamil day ) should be used in formulations with an appropriate amount of the active ingredient).
 
Hypertension:
The recommended daily dose (120 mg) - 240 mg - 360 mg verapamil, divided into 3 doses, as follows: 1 tablet of 40 mg 3 times daily (equivalent to 120 mg verapamil daily) .Isoptin 40 mg is indicated for patients which is likely to poluchat_zadovolitelen response to low doses (i.e. patients with liver dysfunction or n elderly).
For patients requiring higher doses (240 mg - 360 mg verapamil daily) should be used in formulations with an appropriate amount of the active ingredient).
 
Disturbances in heart rhythm:
The recommended daily dose (120 mg) - 240 mg - 480 mg verapamil, divided into 3-4 times, as follows:
1 tablet of 40 mg 3 to 4 times daily (equivalent to 120 mg - 160 mg verapamil daily) .Isoptin 40 mg is indicated for patients who are likely to receive a satisfactory response to low doses (ie patients with hepatic dysfunction or elderly).
For patients requiring higher doses (240 mg - 480 mg verapamil daily) should be used in formulations with an appropriate amount of the active ingredient).
 
Children:
(Only irregular heartbeat): In older children up to 6 years in preschool: The recommended daily dose is 80 mg - 120 mg verapamil, divided 2-3 adopt the following: 1 tablet of 40 mg to 2 3 times per day (equivalent to 80 mg - 120 mg verapamil daily).
 
School-age children between 6 and 14 years:
The recommended daily intake is 80 mg - 360 mg verapamil, 2-4 divided considered as follows: 1 - 2 tablets of 40 mg 2 to 4 times a day (equivalent to 80 mg - 320 mg verapamil daily).
For patients requiring higher doses (eg 360 mg verapamil daily) should be used forms with an appropriate amount of the active ingredient) .This are the usual doses of the product, but you should follow the advice given by your doctor.
 
 
How to take
Isoptin film-coated tablets should be swallowed whole and not sucked or chewed, with sufficient liquid (eg a glass of water should not be taken with grapefruit juice), preferably during meals or immediately thereafter.
Isoptin should not be taken lying down.
Verapamil should not be administered to patients with ischemic heart disease, and post-myocardial infarction, up to 7 days after onset of acute myocardial infarction.
There is no limit on prilozhenie.Lechenieto with verapamil should not be stopped abruptly after prolonged use. Recommended dosage tapering.
 
If you forget to take Isoptin
If it is almost time for your next dose, skip the missed dose and take the next one. Otherwise, take the dose as soon as you remember and then return to the normal mode dozirane.Ne take two doses to make up for the missed, because this may increase the possibility of adverse reactions.
If you take more doses Isoptin (overdose)
If you take more dose you have slow heart rate, chest pain, you feel weak or faint, and other symptoms. At the first sign immediately contact your doctor or the emergency services.
 
 
How to Keep Isoptin 40 mg?
Store at room temperature.
Store in the original package.
Keep out of reach of children.