Verahexal 120mg Tablet
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Overview
Verahexal 120mg Tablet contains verapamil 120mg, a non-dihydropyridine calcium channel blocker used to treat high blood pressure (hypertension), angina (chest pain), and certain fast heart rhythms such as supraventricular arrhythmias, including atrial fibrillation with rapid heart rate.
Verapamil works by blocking calcium channels in both the heart muscle and blood vessel walls. In the heart, this slows electrical conduction through the AV node, helping control fast or irregular heart rhythms, while in blood vessels it causes relaxation and widening, lowering blood pressure and easing angina.
How it Works
Verapamil blocks L-type calcium channels in cardiac and vascular smooth muscle. Unlike dihydropyridine calcium channel blockers (such as amlodipine), verapamil has significant direct effects on the heart itself, slowing conduction through the AV node (useful in supraventricular arrhythmias) and reducing the heart’s contractility and oxygen demand (useful in angina), in addition to relaxing blood vessels to lower blood pressure.
Directions for Use
Take Verahexal 120mg Tablet with food to reduce stomach upset, swallowing the tablet whole with a glass of water – do not crush or chew it if it is a sustained-release formulation, as this can alter how the medicine is released. Do not stop taking this medicine suddenly without consulting your doctor.
Dosage
The usual dose of Verahexal 120mg Tablet depends on the condition being treated and is individualised by your doctor, typically starting at a lower dose and adjusted based on your blood pressure, heart rate, or symptom response. Always take exactly as prescribed.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Dizziness or light-headedness
- Constipation
- Headache
- Swelling in hands or feet
- Fatigue
- Nausea
Contraindications
- Known hypersensitivity to verapamil or any ingredient in this product
- Severe left ventricular dysfunction or decompensated heart failure
- Sick sinus syndrome or second/third-degree AV block, unless a pacemaker is fitted
- Severe hypotension or cardiogenic shock
- Concomitant use with intravenous beta-blockers
Drug / Food Interactions
- Beta-blockers: combining with verapamil increases the risk of a very slow heart rate, AV block, or worsening heart failure
- Digoxin: verapamil increases digoxin blood levels, raising the risk of digoxin toxicity
- Grapefruit juice can significantly increase verapamil blood levels and side effects – avoid combining them
- Simvastatin and certain other statins: verapamil can raise their blood levels, increasing the risk of muscle-related side effects
Quick Tips
- Increase dietary fibre and fluid intake if constipation develops, and inform your doctor if it becomes bothersome
- Avoid grapefruit and grapefruit juice while taking this medicine
- Monitor your pulse as advised by your doctor, and report a very slow or irregular heartbeat
- Do not stop this medicine abruptly without medical advice, especially if it is controlling your heart rhythm
Frequently Asked Questions
What is Verahexal 120mg Tablet used for?
Verahexal 120mg Tablet is used to treat high blood pressure, angina (chest pain), and certain fast or irregular heart rhythms such as supraventricular arrhythmias.
Why does this medicine cause constipation?
Verapamil relaxes smooth muscle throughout the body, including in the intestines, which can slow bowel movement and lead to constipation. Increasing fibre and fluid intake can help; speak to your doctor if it persists or becomes severe.
Can I take this medicine together with a beta-blocker?
Combining verapamil with a beta-blocker requires caution and close monitoring by your doctor, as both medicines slow the heart’s electrical conduction and heart rate, and combining them can increase the risk of a dangerously slow heartbeat.
Why should I avoid grapefruit juice with this medicine?
Grapefruit juice can significantly increase verapamil levels in the blood by affecting how the liver breaks it down, increasing the risk of side effects such as low blood pressure and dizziness.
What should I do if I miss a dose of Verahexal 120mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue as normal. Do not double the dose.
Can I buy Verahexal 120mg Tablet from DoctorOnCall?
Yes, Verahexal 120mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Verahexal 120mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Verahexal 120mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Verahexal 120mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Verahexal 120mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Verahexal 120mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Verapamil hydrochloride 120mg
Safety Advice
Pregnancy
Limited information is available regarding use during pregnancy. Use only if clearly needed.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Generally safe, but caution may be required in some patients.
Liver
No adequate data available. Consult a doctor before use.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
