Isoptin SR 120 mg. 20 tablets

WHAT Isoptin SR AND WHAT IT IS USED?
Isoptin belongs to a group of medicines called calcium channel blockers (calcium antagonists). Calcium channel blockers change the amount of calcium entering the muscle cells of the heart and blood vessels. This can lead to a change in the strength and frequency of cardiac contractions, as well as dilation of the blood vessels. Such allocation (expansion) of the containers facilitate the pumping of blood from the heart to the rest of the organism, with subsequent achievement of more oxygen to the heart muscle and a decrease in blood pressure.
Isoptin SR tablets used to treat hypertension (high blood pressure). They can be applied in the treatment of heart rhythm disorders and bouts of angina pectoris (chest pain).
2. BEFORE YOU TAKE Isoptin SR:
If you answer "yes" to any of the questions below, you should not take this product before checking with your doctor or pharmacist
- Are you pregnant or planning pregnancy you? Do you breastfeed?
- Do you have a hypersensitivity (allergy) to verapamil or any of the other ingredients in the tablets Isoptin SR?
- Do you have very low blood pressure?
- Do you suffer from heart failure? (Heart failure is heart disease, which can lead to the appearance of fatigue, shortness of breath, edema of the ankles, etc.).
- Do you have unusually slow or irregular pulse?
This medicine should not be taken by patients with acute myocardial infarction accompanied by complications, and in cases of atrial fibrillation / flutter and additional translation time
Do not take grapefruit juice during treatment with this medicine. Grapefruit juice can delay the release of verapamil in the body. This is not typical of the juice of other fruits such as orange or apple and tomato juice.
If you're not sure, ask your doctor or pharmacist.
Take special care with Isoptin SR - If you are going to have surgery, it is important to tell your surgeon or dentist about
that taking Isoptin SR, as it could have an impact on used
anesthetics (anesthetic).
- Your doctor may decide you need more regular monitoring if you have any of these conditions: liver problems, heart problems or heart condition known as syndrome of Wolff-Parkinson- White syndrome or Lown- Ganong-Levine
Taking other medicines
Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Be sure to tell your doctor or pharmacist if you are taking any of the following medications:
• Alpha-blockers (e. Prazosin, terazosin) and beta-blockers (eg. Propranolol and metoprolol);
• other medicines to treat high blood pressure or abnormal heart rhythm (arrhythmia) (eg. Flecainide, digoxin, digitoxin, quinidine)
• Sulfinpyrazone, colchicine, lithium, theophylline or cimetidine;
• Carbamazepine, phenytoin and phenobarbital (phenobarbitone);
• Rifampin, ciclosporin, everolimus, sirolimus and tacrolimus;
• Simvastatin, lovastatin or atorvastatin;
• Doxorubicin.
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine. The tablets should not be administered during pregnancy unless clearly necessary, determined by your doctor. It is to discontinue breastfeeding during treatment with verapamil.
Driving and using machines
Isoptin SR may affect the patient's ability to drive or operate machinery, particularly at the beginning of treatment. Do not drive, operate machinery or perform any activities requiring alertness until you know how you act tablets.
Isoptin SR extended the time to release the body from alcohol. This means that eating a small amount will result in crossing the limit to drive alcohol levels in the blood. It is more time to lapse alcohol (sobering).
3. HOW TO TAKE Isoptin SR?
Always take Isoptin SR exactly as your doctor has told you. If you're not sure, ask your doctor or pharmacist. Please read the label on the package. Tablets should be swallowed without being sucked or chewed, with sufficient liquid, preferably during a meal or shortly thereafter.
The number of tablets that you take depends on the condition being treated. Try to take your medicine regularly.
Unless otherwise specified, the usual dose is as follows:
Adults and adolescents weighing more than 50 kg:
Angina (chest pain) and arrhythmia (abnormal heart rhythm) daily dose ranges from 120 to 480 mg taken as one or two divided doses.
Hypertension (high blood pressure):
The daily dose ranges from 120 to 480 mg, taken in one or two divided doses.
If you take more dose Isoptin SR.
If you or somebody else has accidentally taken more than the amount (a situation known as overdose), contact your doctor immediately or go to the nearest emergency department. Bring the tablets with you.
If you forget to take Isoptin SR
You should take the tablets Isoptin SR, as prescribed for you. However, if you miss a dose, take it as soon as you remember, except in cases where it is almost time for your next dose. Then, take the next dose directly. Do not take a double dose to make up for a missed dose.
If you stop taking Isoptin SR
It is important to take the tablets until then, until your doctor tells you to stop them. Do not stop taking your tablets even if you feel well. If you stop your treatment, your condition may get worse.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines, Isoptin SR can cause side effects, although not everybody gets them. Do not worry presented below list of possible side effects. You can not get any of them.
During treatment with verapamil may occur constipation. Rarely flushing of the face and neck, headache, dizziness, tinnitus, nervousness, tremor (shakiness), nausea, vomiting, abdominal pain and discomfort, erectile dysfunction, pain in the joints and / or muscles, muscle weakness numbness or "pins and needles" in the skin, hair loss.
Tell your doctor immediately if you experience any of the following side effects (these are rare)
• yellowing of the skin or eyes, fever or a rush of heat
• heartbeat, drop in blood pressure, an increasing shortness of breath, fatigue; swelling of the ankles; Hot painful hands and feet;
• sudden onset of wheezing, difficulty breathing, swelling of the mouth, lips or tongue or skin rash.
In chronic administration of verapamil can sometimes occur and other side effects. Tell your doctor if you experience swelling of the gums, which start to spread to the teeth or swollen breasts (in men), and the release of milk from the breasts (male and female). These effects are very rare and usually resolved upon discontinuation of treatment.
Possible emergence of changes in some laboratory tests (eg. Increased liver enzymes and prolactin in the blood)
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE Isoptin SR
• Keep your tablets in their original packaging.
• Keep out of reach of children. Your tablets could harm them.
• If your doctor decides to stop your treatment, return the remaining tablets to your pharmacist. Keep the tablets unless your doctor tells you to do this.
• Do not use the tablets after the expiry date stated on the packaging. The expiry date refers to the last day of that month.
Medicines should not be disposed of in wastewater or household waste.
MORE INFORMATION:
The active substance is verapamivl hydrochloride. Each tablet udazheno release contains 120 mg verapamil hydrochloride.
Tablets sadarvzhat and other substances, such as microcrystalline cellulose, sodium algonat, povidone, magnesium stearate, hypromellose, macrogol 400, macrogol 6000, talc, titanium dioxide, quinoline yellow, and indigotine aluminum ak, mountain glycol wax.