Verapamil
Verapamil (often found as Securon) is a medication used to address high blood pressure and chest pain, while also correcting irregular heart rhythms. Arpamyl, Calan, and Isoptin are among six generic formulations of this calcium channel blocker.

Isoptin SR
Hypertension, Angina Pectoris, Arrhythmia
120 · 240mg
Isoptin SR is verapamil 120mg and 240mg in a modified-release tablet for hypertension, angina and arrhythmia, blocking calcium influx across the day.
Key points
- This calcium channel blocker stops calcium entering heart and vessel muscle cells, relaxing the vessels and easing the heart’s workload.
- It is used for hypertension and chronic angina, and it also slows heart rate to correct certain arrhythmias.
- Brands such as Securon, Arpamyl, Calan and Isoptin come as a film-coated or modified-release tablet.
- Grapefruit juice and other heart medicines such as beta-blockers or blood-thinners can change how the body absorbs or responds to it.
What is Verapamil?
Verapamil belongs to a pharmacological class known as calcium channel blockers. These medications are widely used for the management of cardiovascular conditions by influencing the way heart and blood vessel muscles function. Because it is a versatile treatment, various brands and formulations exist to accommodate different patient requirements and administration preferences.
What Verapamil is used for
Verapamil acts on the cardiovascular system and is primarily used to address Hypertension and chronic stable Angina Pectoris. By regulating cardiac electrical activity, the medication is also effective for managing specific types of Arrhythmia by slowing down heart rate and restoring a normal rhythm. It effectively serves as a core maintenance medication for patients requiring long-term vascular or cardiac support.
How does Verapamil work?
Verapamil functions by preventing calcium from entering the muscle cells of your heart and the walls of your blood vessels. Calcium is a natural trigger for muscle contraction, so limiting its movement allows the blood vessels to relax and widen. This reduction in vascular tension lowers blood pressure and improves blood flow to the heart, which decreases the total workload required by the heart muscle.
Verapamil brands and forms
Medical providers may recommend this ingredient across a variety of delivery methods depending on the patient’s condition. While the active compound remains the same, manufacturers offer different forms such as standard Film-coated tablet and Modified-release tablet formulations. These variations allow for steady, controlled absorption throughout the day. Patients browsing Heart & Blood Pressure can compare these distinct options to see which matches their routine.
Safety overview for Verapamil
What to check before using this medicine
Review your medical history regarding previous reactions to calcium channel blockers. Note any existing liver or kidney conditions, as these affect how your body processes the medication. Monitor your blood pressure and heart rate regularly during the initial stages of treatment to observe how you respond to the specific dosage.
Possible reactions and tolerability
Common responses can include mild dizziness, constipation, or slight headaches as the body adjusts. These reactions are often temporary. Some patients may experience a flushed sensation or fatigue, which typically subsides with continued use. Severe or persistent reactions require clinical attention.
Interactions and health factors
Certain other medications may interact with this ingredient, particularly other heart medications, beta-blockers, or blood-thinners. Avoid consuming grapefruit or grapefruit juice, as this can affect how the substance is absorbed into your bloodstream. Product labelling and verified clinical sources remain the correct references for specific contraindications, interactions and reactions.
Further reading
What is verapamil used for?
Verapamil is used to treat high blood pressure and chronic stable angina. It is also used to manage certain types of irregular heartbeat, such as supraventricular arrhythmias.
How does verapamil work?
Verapamil is a calcium channel blocker that stops calcium from entering the muscle cells of the heart and blood vessel walls. This lets the blood vessels relax and widen, which lowers blood pressure and reduces the heart's workload.
How long does verapamil take to work?
Verapamil starts to work within 1 to 2 hours, and its effect lasts around 6 to 8 hours.
What are the side effects of verapamil?
Common side effects include constipation, dizziness and headache. Some people may also notice a slow heart rate (bradycardia) or swelling of the ankles or feet (peripheral oedema), and heart failure is a serious reaction that needs immediate medical attention.
Can verapamil be taken with other medicines?
Some medicines can interact with verapamil, particularly other heart medicines such as beta-blockers and blood-thinners. Grapefruit and grapefruit juice should also be avoided because they can affect how verapamil is absorbed. Ask a doctor or pharmacist before combining it with anything else.
Who should not take verapamil?
Verapamil is not suitable for people with low blood pressure, cardiogenic shock, or second or third degree heart block. Mention any liver or kidney conditions to your doctor, as these affect how the body processes the medicine.
In which products can I find verapamil?
Products containing verapamil include Isoptin, Calan and Verampil. Compare forms, strengths and packs in the listings above.
What brand names is verapamil sold under?
Besides the products listed here, verapamil is sold under brand names such as Cordilox and Securon. Names differ from country to country, so the active ingredient is the surest way to compare.
Can I buy verapamil over the counter in Thailand?
Yes. In Thailand verapamil is sold by pharmacists without a prescription, and Yasabai does not ask for one either. We are an online store, not a dispensing pharmacy; we arrange your order and delivery on your behalf.
Ordering without a prescription →Where can I buy verapamil online?
Our pharmacy partners ship from India to Thailand and across Asia in discreet packaging. Standard Airmail takes up to 3 weeks; Express Tracked Courier takes up to 1 week.
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