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Active pharmaceutical ingredient

Verapamil Hydrochloride

Verapamil Hydrochloride is a calcium channel blocker widely utilized in compounded formulations for its efficacy in managing cardiovascular conditions.

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Verapamil Hydrochloride is a calcium channel blocker widely utilized in the management of cardiovascular conditions. It functions by inhibiting the influx of calcium ions into cardiac and smooth muscle cells, leading to vasodilation and decreased myocardial contractility. This mechanism is particularly beneficial in treating hypertension, angina pectoris, and certain arrhythmias, making it a versatile component in compounded formulations.

In addition to its cardiovascular applications, Verapamil Hydrochloride is sometimes used off-label for migraine prophylaxis and cluster headaches, showcasing its diverse therapeutic potential. Its ability to modulate calcium channels also makes it a candidate for research in other neurological conditions. The pharmacokinetics of Verapamil Hydrochloride involve hepatic metabolism, primarily via the cytochrome P450 system, and it is known to interact with other medications metabolized by this pathway.

Prescribers should be aware of potential side effects, including hypotension, bradycardia, and constipation, which are common with calcium channel blockers. Monitoring is essential, especially in patients with pre-existing cardiac conditions or those on concurrent medications that may exacerbate these effects. The customization of Verapamil Hydrochloride in compounded formulations allows for tailored dosing and delivery methods, enhancing patient compliance and therapeutic outcomes.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

Doesn't the AUA guideline support verapamil?

That statement refers to intralesional verapamil, verapamil injected directly into the plaque in a clinician's office, which the AUA says clinicians may offer (Conditional Recommendation, Evidence Strength Grade C). It is not support for a gel rubbed on the skin. The guideline also says clinicians should not offer electromotive therapy with verapamil, and it says nothing at all about the topical gel.

Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

No items found.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.