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Veracal

Injection-(5mg/2ml)
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Incepta Pharmaceuticals Ltd.

Generic: Verapamil Hydrochloride

1 Injection
৳ 27.27
৳ 30
9% OFF

Medicine Overview of Veracal 5mg/2ml Injection

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Introduction

Veracal is used to treat angina (heart-related chest pain), high blood pressure and some types of irregular heartbeats (arrhythmia). It works by relaxing blood vessels to lower blood pressure. This helps to reduce the workload of the heart. Veracal may be taken with or without food, but it is better to take it regularly at a fixed time each day as advised by your doctor. Keep using this medicine even if you feel well. If you stop taking it suddenly, your condition may worsen. This medicine is only part of a treatment program that should include a healthy diet, regular exercise, and weight reduction as advised by your doctor. Common side effects seen with this medicine include swelling of the ankles or feet (oedema), dizziness, headache, nausea, constipation, flushing, rash, and fatigue. These are usually mild and disappear after a short time. Consult your doctor if they bother you or do not go away. It may also make you feel sleepy or dizzy, so be careful if you drive or do anything that requires you to be alert. Drinking alcohol should be avoided while taking this medicine as it may worsen the side effects. Before taking this medicine, let your doctor know if you have any liver or kidney problems. Also, inform your doctor if you have very low blood pressure (hypotension), heart failure, or if you recently had a heart attack and have fluid in your lungs. Your doctor may want to monitor your blood pressure while using it and you may need frequent blood tests. Pregnant or breast-feeding women should consult their doctor before taking it.

Uses of Veracal

  • Hypertension (high blood pressure)
  • Angina (heart-related chest pain)
  • Arrhythmia

Side effects of Veracal

Common
  • Headache
  • Constipation
  • Infection
  • Dizziness
  • Sinus infection
  • Flu-like symptoms
  • Peripheral edema

How to use Veracal

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Veracal is to be taken with food.

How Veracal works

Veracal is a calcium channel blocker. It blocks the action of calcium on the heart and blood vessels, thereby widening the blood vessels and allowing more blood and oxygen to reach the heart. This reduces blood pressure and decreases the chances of angina (chest pain).

Quick Tips

  • It may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
  • It may cause you to feel lightheaded or weak especially when you stand up (orthostatic hypotension). Rise slowly if you have been sitting or lying down.
  • It is best to avoid drinking alcohol while taking Veracal as it may make the side effects worse.

Brief Description

Indication

Essential hypertension, Angina pectoris, and prevention of re-infarction, Supraventricular arrhythmias, Paroxysmal supraventricular tachycardias, Atrial fibrillation, with rapid ventricular response (except WPWS), Atrial flutter with rapid conduction, Extrasystoles, Acute hypertension, Acute coronary insufficiency, For the prophylaxis and / or therapy of ectopic arrhythmias (predominantly ventricular extrasystoles) in halothane anaesthesia and in the application of adrenaline in halothane anaesthesia respectively.

Administration

Should be taken with food.

Adult Dose

Oral Hypertension Adult: Immediate release 80 mg PO q8hr initially; maintenance: 80-320 mg PO q12hr Extended release 180 mg/day PO (120 mg/day initially if patient elderly or of small stature); for desired response, may be increased to 240 mg/day PO, then by 120 mg/day at weekly intervals; not to exceed 480 mg/day Angina Immediate release 80 mg PO q8hr initially; usual range: 80-120 mg PO q8hr; not to exceed 480 mg/day Extended release 180 mg/day PO at bedtime initially; maintenance: 180-480 mg/day PO at bedtime Chronic Atrial Fibrillation & Paroxysmal Supraventricular Tachycardia Treatment of chronic atrial fibrillation (rate control); prevention of paroxysmal supraventricular tachycardia Immediate release: 240-480 mg/day PO divided q6-8hr Tardive Dyskinesia 40 mg PO q8hr; may be titrated to 120 mg q8hr Intravenous 2.5-5 mg IV over 2 minutes; 5-10 mg dose may be repeated after 15-30 minutes Alternatively, 0.075-0.15 mg/kg (not to exceed 10 mg) IV over 2 minutes; dose may be repeated once 30 minutes after first dose Hepatic impairment: In cirrhosis, reduce dose by 20-50% of normal for oral and IV administration

Child Dose

Supraventricular Tachycardia 1-15 years old: 0.1-0.3 mg/kg (not to exceed 5 mg) IV over 2 minutes; second dose (not to exceed 10 mg) may be given after 30 minutes Alternatively (not well established), 4-8 mg/kg/day PO divided q8hr

Renal Dose

Renal impairment: Use with caution; monitor ECG; for Verelan PM, manufacturer recommends 100 mg at bedtime initially; if CrCl <10 mL/min, reduce dose by 25-50%

Contraindication

Cardiogenic shock, hypotension (systolic pressure <90 mmHg), marked bradycardia, uncompensated heart failure, 2nd- or 3rd-degree AV block (unless pacemaker is fitted), sick-sinus syndrome, severe ventricular dysfunction, atrial flutter or atrial fibrillation and accessory bypass tract (e.g. Wolff-Parkinson-White, Lown-Ganong-Levine syndromes).

Mode of Action

Verapamil inhibits entry of calcium ions into arterial smooth muscle cells as well as the myocytes and conducting tissue. These actions lead to reversal and preventions of coronary artery spasm, reduction in afterload through peripheral vasodilatation and reduction in ventricular rate in patients with chronic atrial flutter or fibrillation and reduction in the occurrence of paroxysmal supraventricular tachycardia. Verapamil reduces BP, relieves angina and slows AV conduction.

Precaution

Patient w/ bradycardia or 1st-degree AV block, attenuated neuromuscular transmission, hypertrophic cardiomyopathy. Avoid abrupt withdrawal. Renal and hepatic impairment. Childn. Pregnancy and lactation. Monitoring Parameters Monitor BP, heart rate, ECG, LFTs (periodically). Lactation: Distributed in milk; nursing infant doses range from <0.01% to 0.1% of mother’s dose; manufacturer suggests refraining from nursing (though American Academy of Pediatrics committee states that drug is compatible with nursing)

Side Effect

>10% Headache,Gingival hyperplasia 1-10% Constipation (9%),Dizziness (4%),Hypotension (4%),Dyspepsia (3%),Nausea (3%),Edema (2%),Rash (2%),Increased liver enzymes (1%),Sleep disturbance (1%),Dyspnea

Interaction

Increased cardiac depressant effects with beta-blockers and flecainide. Increased risk of additive bradycardia, conduction disturbances and digoxin toxicity with digoxin. Increased risk of bradycardia and hypotension with remifentanil and sufentanil. Increased levels of both everolimus and verapamil on concurrent use. May increase doxorubicin, buspirone, carbamazepine, ciclosporin, epirubicin, eplerenone, quinidine, statins, sirolimus, tacrolimus, quinupristin/dalfopristin levels. Verapamil increase blood alcohol levels. Unpredictable interactions with lithium. Decreased verapamil concentrations with phenobarbital, sulfinpyrazone, rifampicin, rifabutin and rifapentine. Increased verapamil concentrations with protease inhibitors and cimetidine. Potentially Fatal: Increased cardiac depressant effects with amiodarone. Increased risk of QT prolongation with dofetilide, ranolazine, sertindole. Additive bradycardia with ivabradine. Increased risk of heart block with clonidine. Increased risk of acute hyperkalaemia and CV collapse with dantrolene.

Buy Veracal from Arogga

In Bangladesh, you can get the original Veracal. Select your favorite one from a large collection of medicine products. Order from App to get more offers and better experience.

What is the price of Veracal in Bangladesh?

The latest price of Veracal in Bangladesh is 27.27৳. You can buy Veracal at the best price from Arogga. Order online through our website or mobile app and get fast home delivery anywhere in Bangladesh. Cash on Delivery (COD) is available all over Bangladesh.

Frequently Questions & Answers

Is the product authentic?

Yes. Arogga sources all medicines and health products directly from trusted suppliers, distributors, or manufacturers. Every product is verified before delivery.

Does Arogga deliver all over Bangladesh?

Yes, Arogga delivers nationwide. You can order from anywhere in Bangladesh.

Is Cash on Delivery(COD) available?

Yes, Cash on Delivery is available across Bangladesh for most products.

How long does delivery take?

Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on location and courier load.

Can I return or replace the product?

If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy.

Safety Advices

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UNSAFE
It is unsafe to consume alcohol with Veracal.
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CONSULT YOUR DOCTOR
Veracal may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
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SAFE IF PRESCRIBED
Veracal is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
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UNSAFE
Veracal may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
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CAUTION
Veracal should be used with caution in patients with kidney disease. Dose adjustment of Veracal may be needed. Please consult your doctor. Careful monitoring of the patient for any signs of overdosage is advisable.
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CAUTION
Veracal should be used with caution in patients with liver disease. Dose adjustment of Veracal may be needed. Please consult your doctor.

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Disclaimer

The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.