Isoptin SR 240 mg. 50 tablets

Isoptin SR 240 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 can help control heart ritam.Produktat not alter 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 SR 240 mg. Furthermore Isoptin SR 240 mg is available and another quantity of the drug substance Isoptin SR 120 mg, as well as formulations with rapid release Isoptin, a quantity of drug of 40 and 80 mg. Your doctor will decide which initial formulation and dosage is best for you.
 
 
What does Isoptin SR 240 mg?
Isoptin SR 240 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 SR 240 mg
When should not be treated with Isoptin SR 240 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 SR 240 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-lowering blood cholesterol;
• Digoxin - a product used for the treatment of heart failure;
• 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 SR 240 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 SR should avoid foods and beverages containing grapefruit. They can increase the plasma levels of verapamil.Ednovremenniyat intake of alcohol results in a delayed degradation 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 SR 240 mg
Like other products, Isoptin SR 240 mg may cause side effects 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 side effects. Tell your 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 SR 240 mg?
How many tablets to priemateVashiyat 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 dosage for most indications is between 240 and 360 mg.Pri 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 is 240 mg - 480 mg verapamil, 2 divided doses as follows:
½ - 1 prolonged release tablet Isoptin SR 240 mg 2 times daily (equivalent to 240 mg - 480 mg verapamil daily).
Prolonged-release tablets Isoptin SR 240 mg is used if lower doses (eg 120 mg verapamil daily) did not lead to a satisfactory answer.
Hypertension:
The recommended daily dose is 240 mg - 480 mg verapamil, as a single dose or in 2 divided doses, as follows:
1-2 prolonged-release tablets Isoptin SR 240 mg once daily in the morning 1 (equivalent to 240 mg verapamil day).
If the reply is not satisfactory, add ½ -1 prolonged-release tablet Isoptin SR 240 mg in the evening (equivalent to 360 mg - 480 mg verapamil day).
 
Disturbances in heart rhythm:
The recommended daily dose is 240 mg - 480 mg verapamil, 2 divided doses as follows: 1 / 2-1 prolonged-release tablet Isoptin SR 240 mg two times daily (evivalentno 240 mg - 480 mg verapamil day).
Prolonged-release tablets Isoptin SR 240 mg is used if lower doses (eg 120 mg verapamil daily) did not lead to satisfactory A. It is usual doses of the product, but you should follow the advice given by your doctor.
 
 
How to take?
Prolonged's release Isoptin SR 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 SR 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 infarkt.Nyama limit on prilozhenie.Lechenieto with verapamil should not be stopped abruptly after prolonged use. Recommended dosage tapering.
 
If you forget to take Isoptin SR
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 SR (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 SR 240 mg?
Do not store above 25 ° C
Store in the original package.
Keep out of reach of children.
Do not use after the expiry date printed on the carton and blister.