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| Dosage | Package | Price per Dose | Price | |
|---|---|---|---|---|
| 40mg | 240 pill | £0.20 | £61.67 £49.34 Best Price | |
| 40mg | 120 pill | £0.24 | £35.10 £28.08 | |
| 40mg | 90 pill | £0.25 | £28.46 £22.77 | |
| 40mg | 60 pill | £0.30 | £21.82 £17.45 | |
| 120mg | 480 pill | £0.51 | £305.55 £244.44 Popular | |
| 120mg | 240 pill | £0.52 | £154.67 £123.74 | |
| 120mg | 120 pill | £0.53 | £79.70 £63.76 | |
| 120mg | 90 pill | £0.55 | £61.67 £49.34 | |
| 120mg | 60 pill | £0.58 | £43.64 £34.91 | |
| 120mg | 30 pill | £0.62 | £23.71 £18.97 |
Verapamil is a medicine used to treat certain heart conditions and high blood pressure. It belongs to a group of drugs called calcium channel blockers. These medicines help relax and widen blood vessels, making it easier for the heart to pump blood.
In the United Kingdom, verapamil may require a prescription depending on local rules and the form prescribed. Your pharmacist or clinician will advise you if a prescription is needed for your specific product. It is important to use verapamil exactly as prescribed and to check the patient information leaflet that comes with your medicine.
Verapamil is available in different tablet forms, including standard-release and sustained-release preparations. The exact product and strength will be chosen by your clinician to suit your condition and how you respond to treatment. Do not switch brands or strengths without talking to a healthcare professional.
This information is intended to help you understand how verapamil works and how it is used. It does not replace medical advice. If anything is unclear, or if you have concerns about taking this medicine, speak with your doctor or pharmacist.
Verapamil is used to prevent chest pain (angina) by reducing the heart’s workload and improving blood flow to the heart muscle. It can also help lower high blood pressure by relaxing blood vessels and reducing the force with which the heart pumps blood.
In some people, verapamil is used to help control certain heart rhythm problems. By slowing the electrical signals in the heart, it can help regulate heart rate and rhythm in selected conditions. Your clinician will decide if this is appropriate for you.
Verapamil is not a treatment for a heart attack or for immediate relief of chest pain. It is generally used as part of a long‑term treatment plan, often alongside other medicines and lifestyle changes. Do not stop or change your treatment without medical advice.
Like all medicines, verapamil may be used in combination with other therapies. The specific use and the expected benefits depend on your medical history, current conditions, and other medications you take. Your clinician will provide personalised guidance.
Verapamil works by blocking calcium from entering the muscle cells of the heart and the walls of blood vessels. Calcium is needed for muscle contraction, so blocking it relaxes the vessels and lowers the amount of work the heart must do.
As a result, blood flows more easily through the arteries, blood pressure can fall, and the heart beats with less force. In some arrhythmias, verapamil slows the rate at which electrical impulses travel through the heart, helping to restore a more regular rhythm.
The overall effect is to reduce the risk of chest pain and high blood pressure symptoms while helping the heart to function more efficiently. The exact impact varies from person to person and depends on the dose and form prescribed.
Verapamil can interact with other heart medicines and drugs that affect blood pressure or heart rate. Always inform your clinician about all medicines you are taking to minimise interactions and ensure safe use.
Take verapamil exactly as prescribed by your clinician. The timing, dose, and duration depend on your condition and how you respond to treatment. Do not change the dose or stop taking the medicine without medical advice.
Verapamil tablets come in different forms, including standard-release and sustained-release versions. Swallow sustained-release tablets whole with a full glass of water. Do not chew or crush sustained-release tablets unless advised by your doctor. If you have trouble swallowing, talk to your pharmacist about alternative forms.
Try to take verapamil at roughly the same time each day to help with consistency. You can take some preparations with or without food, but your clinician may give you specific guidance based on your product. If you are unsure, check the label or ask a pharmacist.
If you miss a dose, take it as soon as you remember, unless it is near the time of your next dose. If it is nearly time for the next dose, skip the missed dose and resume your regular schedule. Do not double up to make up for a missed dose unless advised by a clinician.
If you take more verapamil than prescribed, or you think you may have poisoned yourself, seek urgent medical help. Do not wait for symptoms to appear. In an emergency, contact local services immediately.
Avoid grapefruit juice or products containing grapefruit while taking verapamil unless your clinician tells you otherwise. Grapefruit can increase the amount of verapamil absorbed in your body and may raise the risk of side effects.
Situations such as major surgery, starting other medicines, or changes in your health can affect how verapamil works. Always inform your doctor or pharmacist about new medicines or health changes during treatment.
Pregnant or breastfeeding individuals should discuss verapamil use with a clinician before starting or continuing treatment. Do not start or stop the medicine without medical advice during pregnancy or breastfeeding.
Verapamil may not be suitable for everyone. It is generally not recommended for people with a very slow heart rate, a certain type of heart block, or severe low blood pressure. Your clinician will assess your heart rhythm and blood pressure before starting treatment.
People with certain heart conditions, including heart failure with reduced ejection fraction, may require careful monitoring or alternative therapies. If you have a history of heart rhythm problems or significant heart disease, discuss this with your clinician before starting verapamil.
Severe liver disease or other liver problems can affect how verapamil is processed in the body. Your clinician may adjust the treatment or choose a different medicine if needed. Tell your doctor about all liver-related health issues.
If you are pregnant, planning pregnancy, or breastfeeding, or if you have kidney problems, discuss risks and alternatives with a clinician. Do not start or continue verapamil during pregnancy without professional guidance. Breastfeeding is a topic to discuss with your clinician as well.
Before starting verapamil, tell your clinician about all medicines you take, including over‑the‑counter medicines, vitamins, and herbal products. Some drugs can interact with verapamil and change how it works or increase the risk of side effects.
Verapamil can cause dizziness or lightheadedness, especially when you begin treatment or change dose. Avoid driving or operating heavy machinery if you feel dizzy until you know how the medicine affects you.
If you experience swelling of the ankles, feet, or hands, or if you notice unusually slow heartbeats, fainting, or severe shortness of breath, contact a clinician promptly. These may be signs that the medicine needs adjustment or that a different treatment is required.
Share any history of kidney or liver disease with your clinician. These conditions can influence how verapamil is processed in the body and may require monitoring or dose adjustments.
Side effects can vary in frequency and severity. Most people tolerate verapamil well when taken as prescribed, but some people may experience unwanted effects.
Not all side effects require action. If you notice persistent or troublesome symptoms, speak with a clinician or pharmacist. Seek urgent medical help if you experience signs of an allergic reaction, such as swelling of the face or tongue, severe rash, or trouble breathing.
In rare cases, verapamil can affect the heart’s electrical activity, leading to palpitations, fainting, or very slow heartbeats. If you notice these symptoms, contact a clinician promptly.
If you are pregnant, planning a pregnancy, or breastfeeding, tell your clinician about any side effects you experience. They can advise on the safety of continuing treatment during these periods.
Verapamil can interact with many other medicines. Some interactions can increase side effects or alter how well either medicine works. Always tell your clinician about all medicines you take, including medicines bought over the counter and herbal products.
Medicines that may interact with verapamil include certain heart medicines such as beta-blockers, some antiarrhythmics, and other calcium channel blockers. Combining some of these can slow heart rate or lower blood pressure too much, so supervision by a clinician is important.
Digoxin, a medicine used for some heart rhythm problems, and verapamil can interact, potentially affecting how either drug works. Dose adjustments and monitoring may be needed if both are used together.
Verapamil can affect how the liver processes certain medicines, including some statins and antifungals. This can lead to higher levels of those medicines in the blood. Your clinician will review all medicines to manage any potential risks.
Grapefruit and grapefruit juice can increase verapamil levels in the blood for some people. If directed by your clinician, limit or avoid grapefruit products during treatment.
If you start a new prescription or over‑the‑counter medicine, or stop an existing one, discuss with your clinician whether any changes to verapamil are needed. Do not start new therapies without professional advice.
Pregnant individuals should discuss verapamil use with a clinician. The decision to continue or start treatment during pregnancy depends on the balance of benefits and potential risks to the fetus. Do not change or stop treatment during pregnancy without medical advice.
Breastfeeding while taking verapamil should be discussed with a clinician. Verapamil and its metabolites can pass into breast milk in small amounts, and a clinician can guide whether continuing treatment is appropriate while breastfeeding.
If a pregnancy occurs while taking verapamil, contact a clinician promptly to review the treatment plan and ensure proper monitoring for both mother and baby.
Always keep your healthcare team informed about pregnancy plans or updates during verapamil treatment so that any necessary adjustments can be considered in a timely manner.
Below are common questions people ask about verapamil. If your question is not answered here, ask your clinician or pharmacist for information tailored to your situation.
The answers are general guidance and do not replace personalised medical advice. If in doubt, check the official patient information leaflet or speak with a healthcare professional.
For chest pain and blood pressure effects, improvement is typically observed within days to weeks, depending on the form and dose. Some people notice early benefits, while others may take longer to feel the full effect. Your clinician will monitor your response and adjust treatment if needed.
Take the missed dose as soon as you remember, unless it is almost time for your next dose. If it is near the time of your next dose, skip the missed dose and resume your usual schedule. Do not double up to make up for a missed dose unless advised by a clinician.
Many medicines can be used with verapamil, but some combinations require medical supervision. Always tell your clinician about all medicines you take, including over‑the‑counter drugs and supplements. Do not start new medicines without professional advice.
Contact a clinician if you experience persistent dizziness, fainting, chest pain that is not relieved by the medicine, severe shortness of breath, swelling of the legs that worsens, or signs of an allergic reaction. Seek urgent medical help if you think you are having a serious reaction.
Alcohol can interact with verapamil and may worsen side effects such as dizziness or blood pressure changes. Discuss your alcohol use with a clinician to understand safe limits in your situation.
If you notice dizziness, lightheadedness, or impaired concentration after starting verapamil, avoid driving or operating heavy machinery until you know how the medicine affects you. Do not rely on verbal reassurance alone; assess your own response first.
The duration of treatment depends on your condition and response to therapy. Some people take verapamil long term as part of ongoing management, while others may switch to alternative treatments over time. Your clinician will review your plan at regular appointments.
Tell your surgeon or anaesthetist that you are taking verapamil. Some procedures or medicines used during surgery can interact with verapamil. Your healthcare team will advise whether any changes to treatment are needed before the procedure.
In some people, verapamil lowers blood pressure or slows the heart rate. If you notice symptoms such as dizziness, fainting, or very slow pulse, contact a clinician. Do not adjust the dose without professional guidance.
Pregnancy and breastfeeding require careful consideration. The decision to use verapamil during pregnancy or while breastfeeding should be guided by a clinician who can weigh benefits against potential risks. Do not change treatment without advice.
Keep verapamil in its original packaging, away from heat and moisture. Store at room temperature and out of reach of children. Check the label for any special storage instructions from the manufacturer.
The information provided here is drawn from general patient information about verapamil and its use in the United Kingdom. For more details, consult the official patient information leaflet that accompanies your medicine and speak with your doctor or pharmacist.
Examples of commonly used reference materials include the NHS patient information on verapamil, and the UK Summaries of Product Characteristics for verapamil products. You may also refer to standard pharmacology references used in British practice, such as the British National Formulary (BNF) and related educational resources, to understand how verapamil is described and monitored in routine care.
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