Table IZOPTIN SR. 240 mg. 50 table

Isoptin SR 240 mg is an oral medicine that belongs to a class called calcium channel blockers or calcium antagonists. Verapamil relaxes (widens) blood vessels (veins and arteries), which makes the heart to pump and reducing its workload, enable more oxygen to reach the heart and at the same time reduces blood pressure. Can help control heart ritam.Produktat not change the amount of calcium in your blood or bones. Calcium in the diet or in supplements does not affect the mode of action of Isoptin  SR 240 mg. Besides Isoptin SR 240 mg is available and another quantity of drug Isoptin  SR 120 mg, as well as formulations with quick release Isoptin, with quantities 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 to treat:

  ischemic heart disease due to insufficient supply of oxygen to the heart muscle (occurring 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 you take Isoptin  SR 240 mg

When you must not be treated with Isoptin  SR 240 mg

 if you have had an allergic reaction to a product containing verapamil or any of the excipients;

  if you have certain heart conditions (eg, congestive heart failure, very low heart rate, irregular heartbeat or heart muscle disease).

 Low blood pressure (hypotension).

Before taking Isoptin  SR 240 mg Tell your doctor if you have or have had: • any other heart problems;

  blood vessel disease, stroke;

 liver or kidney problems;

  diseases associated with impaired neuromuscular conduction (myasthenia gravis, Lambert-Eaton, advanced muscular dystrophy Duchenne);

  are pregnant or planning a pregnancy.

  breastfeeding.

If you have not told your doctor about any of the above mentioned, 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. They include:

  Other medicines to treat high blood pressure or other heart conditions;

 -Statins to lower cholesterol in the blood;

  Digoxin - a product used for the treatment of heart failure;

  water tablets or diuretics;

  Lithium - a product commonly used to treat mood swings and some types of depression;

  Phenobarbital - for the treatment of epilepsy and sleep disorders;

  Ciclosporin - a product for the prevention of transplant rejection or to treat certain problems with the immune system;

  Karbamzepin and fenotoin - products for the treatment of epilepsy;

  Rifampicin - antibiotics used in the treatment of tuberculosis;

  midazolam - a sedative product

 Theophylline - 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 for treatment or a different treatment. Your doctor will advise you about this.

If you are treated with Isoptin ® SR should avoid foods and beverages containing grapefruit. They may increase the plasma levels of alcohol intake verapamil.Ednovremenniyat resulting in delayed degradation of ethanol and its levels in plasma, leading to enhancement of the effects of alcohol verapamil.

Does the product on pregnancy and lactation

Not recommended the use of verapamil during the first half of pregnancy. It should not be used during the last three months, unless it is strictly necessary and expected benefit is significantly greater than the possible risks to mother and ploda.Verapamil should not be used during breast-feeding because it excreted in human milk. Your doctor will advise you how to proceed in such cases.

Does the product on ability to drive and use machines

Depending on response, Isoptin may slow reaction to the extent impair the ability to drive or operate the machine in hazardous working conditions. This is especially true for the beginning of treatment, a higher dose when 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 can 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 reactions, and it bothers you:

 Nausea, bloating, constipation;

  dizziness or headache;

  Headache;

  Fatigue;

  Flushing.

Immediately inform your doctor if you notice any of the following:

 Chest pain, fainting, collapse;

  Slow, fast or irregular heartbeat;

  Shortness of breath (sometimes with tiredness, weakness and reduced ability to exercise); • Fever, abdominal pain, malaise;

  blisters, rash, itching or flaking.

Some patients may experience other side effects. Tell your doctor if you notice anything that worries you. Shall not be alarmed by this list of events. You may not experience 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. This depends on your condition and whether you are taking other products. The average daily dose for most indications is between 240 and 360 mg.Pri prolonged oral use must not exceed a dose of 480 mg; excess is possible in a short time.

Adults and adolescents weighing more than 50 kg:

Coronary artery disease:

The recommended daily dose is 240 mg - 480 mg verapamil, in 2 divided doses as follows:

½ - 1 prolonged-release tablet Isoptin SR 240 mg two times a day (equivalent to 240 mg - 480 mg verapamil daily).

Prolonged-release tablets Isoptin SR 240 mg 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 daily). 

If the response is not satisfactory, add ½ -1 prolonged-release tablet Isoptin SR 240 mg in the evening (equivalent to 360 mg - 480 mg verapamil daily).

Abnormal heart rhythm:

The recommended daily dose is 240 mg - 480 mg verapamil, in 2 divided doses as follows: 1/2-1 prolonged-release tablet Isoptin SR 240 mg two times a day (evivalentno 240 mg - 480 mg verapamil daily).

Prolonged-release tablets Isoptin SR 240 mg used if lower doses (eg 120 mg verapamil daily) did not lead to a satisfactory otgovor.Tova are the usual doses of the product, but you must follow the instructions given by your doctor.

How to take?

Prolonged osobozhdavane 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 shortly thereafter.

Isoptin  SR should not be taken lying down.

Verapamil should not be administered to patients with coronary artery disease after myocardial infarction within 7 days after onset of acute myocardial infarkt.Nyama limit on the length of prilozhenie.Lechenieto with verapamil should not be stopped abruptly after prolonged use. It is recommended to gradually reduce the dose.

If you forget to take Isoptin  SR

If it is almost time for your next dose, skip the missed dose and take the next. Otherwise, take the dose as soon as you remember and then go back to normal mode dozirane.Ne take two doses to make up for missed because it may increase the possibility of side effects.

If you take more doses of Isoptin  SR (overdose)

If you take more doses can have slow heart beat, chest pain, feel faint or collapse, and other symptoms. At the first sign immediately contact your doctor or emergency 

How to store Isoptin  SR 240 mg?

Do not store above 25 ° C.

Store in original container.

Keep out of reach of children.

Do not use after the expiry date printed on the carton and blister.

Izoptin SR 240 mg prolonged-release tablets c
 
The substance is verapamil hydrochloride (verapamil hydrochloride).
 
Each tablet Isoptin  240 mg contains 240 mg verapamil.
 
The ingredients are: purified water, hypromellose, macrogol 400, macrogol 6000, magnesium stearate, microcrystalline cellulose, Montana glycol wax, sodium alginate, povidone (K = 30), talc, titanium dioxide.