Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Verapamil HCl 240 mg/5 mL Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Verapamil Hydrochloride

Our Verapamil HCl 240 mg/5 mL Oral Liquid is a specially crafted medication designed for ease of administration and precise dosing. This oral liquid formulation is ideal for patients who experience difficulty swallowing pills, such as those in pediatric and geriatric populations. Verapamil is a calcium channel blocker that is commonly used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders.

View more
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Verapamil Hydrochloride
Oral Liquid
65d8eefea1e4abcbecea14e9
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Verapamil HCl 240 mg/5 mL Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This oral liquid formulation is particularly beneficial for patients who have difficulty swallowing pills, such as those in pediatric and geriatric populations, or for those with conditions that impair their ability to ingest solid dosage forms. The liquid form ensures that the active ingredient, Verapamil HCl, is readily absorbed and can be accurately measured to meet the specific dosage requirements prescribed by a healthcare provider.

Verapamil is a calcium channel blocker that is primarily used to treat hypertension (high blood pressure), angina pectoris (chest pain), and certain types of arrhythmias (irregular heartbeats). By inhibiting the influx of calcium ions into cardiac and vascular smooth muscle cells, Verapamil decreases myocardial contractility, relaxes blood vessels, and reduces oxygen demand on the heart. This action helps to lower blood pressure, alleviate chest pain, and correct abnormal heart rhythms. The oral liquid formulation of Verapamil HCl allows for flexible dosing adjustments and can be particularly useful in titrating to the optimal therapeutic dose for individual patients.

For prescribers, it is important to note that Verapamil should be used with caution in patients with heart failure, severe left ventricular dysfunction, hypotension, or conduction system abnormalities. It is also essential to consider potential drug interactions, as Verapamil can affect the plasma levels of other medications. Regular monitoring of blood pressure, heart rate, and electrocardiograms may be necessary to ensure safe and appropriate use of this medication. Adjustments in dosage may also be required based on the patient's response and any concurrent medical conditions.

Patients should be counseled on the importance of adhering to their prescribed dosing schedule and to not adjust their dose without consulting their healthcare provider. They should also be made aware of potential side effects, such as dizziness, headache, constipation, or edema, and instructed to report any severe or persistent adverse reactions. As with any medication, it is crucial for patients to communicate with their healthcare team about all other medications they are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of each patient. Our team of expert compounding pharmacists is available to answer any questions and provide guidance on the use of Verapamil HCl 240 mg/5 mL Oral Liquid. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

A small arrow pointing down

Verapamil HCl is a calcium channel blocker that is used to treat high blood pressure, angina (chest pain), and certain heart rhythm disorders. When considering the use of Verapamil HCl 240 mg/5 mL Oral Liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Patients and prescribers should be vigilant about the concurrent use of other medications.

Verapamil is known to interact with a variety of drugs. It can increase the plasma concentrations of drugs that are substrates of the cytochrome P450 3A4 enzyme system, potentially leading to toxicity. This includes, but is not limited to, certain statins (e.g., simvastatin, atorvastatin), immunosuppressants (e.g., cyclosporine, tacrolimus), and some antiviral medications (e.g., telaprevir). Patients taking these medications may require dose adjustments or increased monitoring to prevent adverse effects.

Concomitant use of Verapamil with beta-blockers or digoxin can lead to additive effects on cardiac conduction and an increased risk of bradycardia or heart block. Patients should be closely monitored for signs of excessive cardiac suppression, and dose adjustments may be necessary. Additionally, the use of Verapamil with other antihypertensive agents can potentiate the blood pressure-lowering effects, which may necessitate a reevaluation of dosing regimens to avoid hypotension.

Verapamil may also interact with drugs that prolong the QT interval, such as certain antiarrhythmic agents, antipsychotics, and antibiotics. This can increase the risk of serious cardiac arrhythmias, including torsades de pointes. Patients should be assessed for the risk of QT prolongation and monitored with electrocardiograms if necessary.

Grapefruit juice can significantly increase the serum levels of Verapamil by inhibiting its metabolism. Patients should be advised to avoid grapefruit and grapefruit juice while taking Verapamil to prevent unpredictable increases in drug levels and potential toxicity.

Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effects of Verapamil. Patients taking NSAIDs should be monitored for reduced efficacy of Verapamil, and alternative pain management strategies may be considered.

It is also important to note that Verapamil can affect the pharmacokinetics of other drugs by altering their absorption, distribution, metabolism, or excretion. This can lead to either reduced efficacy or increased toxicity of the concomitant medication. Therefore, a thorough medication review is essential when initiating or adjusting Verapamil therapy.

Patients should be counseled to inform their healthcare providers of all medications they are taking, including over-the-counter drugs, supplements, and herbal products. Prescribers should regularly review the patient's medication regimen for potential interactions. If you have any questions or concerns regarding the use of Verapamil HCl 240 mg/5 mL Oral Liquid or its interactions with other drugs, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

A small arrow pointing down

Verapamil HCl 240 mg/5 mL Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. Verapamil, the active ingredient, is a calcium channel blocker that works by inhibiting the influx of calcium ions into cardiac muscle and vascular smooth muscle cells. This action leads to a decrease in cardiac contractility (negative inotropy), a reduction in the pace of the sinoatrial node (negative chronotropy), and a slowing of the conduction through the atrioventricular node (negative dromotropy). Additionally, verapamil causes vasodilation by relaxing the smooth muscles in blood vessels, which reduces peripheral vascular resistance and lowers blood pressure.

The oral liquid formulation of Verapamil HCl is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those with conditions that impair swallowing. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient.

In the treatment of hypertension, verapamil works to lower blood pressure by relaxing blood vessels, which reduces the effort required by the heart to pump blood. For angina, verapamil helps by improving oxygen delivery to the heart muscle, reducing the frequency and severity of chest pain.

Regular monitoring and dose adjustments may be necessary to ensure optimal treatment outcomes. Additionally, verapamil has the potential to interact with other medications, so a thorough medication review is recommended before starting therapy.

For more detailed information on the use of Verapamil HCl 240 mg/5 mL Oral Liquid, or if you have any questions regarding this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest level of care and is ready to assist with any inquiries you may have.

Frequently Asked Questions

A small arrow pointing down

What is Verapamil HCl 240 mg/5 mL Oral Liquid?

Verapamil HCl 240 mg/5 mL Oral Liquid is a specially prepared medication designed to be taken by mouth in liquid form. This formulation delivers a precise dosage of Verapamil, a calcium channel blocker used to treat various heart conditions and high blood pressure, in a concentration of 240 mg of Verapamil HCl per 5 mL of the liquid.

Why is Verapamil available in a liquid formulation?

The liquid formulation of Verapamil is intended to ease administration for those who have difficulty swallowing pills, such as pediatric and geriatric patients. It provides a more comfortable and safer alternative to solid dosage forms and ensures accurate dosing.

How should I store Verapamil HCl Oral Liquid?

Verapamil HCl Oral Liquid should be stored at room temperature, away from light and moisture. Be sure to keep the bottle tightly closed and out of reach of children. Always check the expiration date before use and do not use if the medication has expired.

Can I take this medication with food?

Verapamil can be taken with or without food, but it's essential to be consistent with your choice to maintain its efficacy. If you choose to take it with food, do so each time to ensure steady absorption and effectiveness of the medication.

Are there any side effects of taking Verapamil HCl Oral Liquid?

Like all medications, Verapamil HCl Oral Liquid may cause side effects, though not everyone will experience them. Common side effects include dizziness, headache, constipation, and nausea. If side effects persist or worsen, contact your healthcare provider.

Is this medication suitable for children?

Verapamil HCl Oral Liquid can be prescribed for children in certain cases, as it allows for flexible dosing adjustments. However, it should only be used under the guidance and prescription of a pediatrician or healthcare provider who will determine the appropriate dosage based on the child's condition and needs.

How do I measure the right dose of Verapamil HCl Oral Liquid?

It is important to use a proper measuring device, such as a pharmaceutical-grade measuring spoon or cup, not a household spoon, to ensure you are getting the correct dose. Your pharmacist can provide you with an appropriate measuring device and instruct you on how to measure the dose accurately.

Can this liquid formulation be mixed with other liquids for administration?

Before mixing Verapamil HCl Oral Liquid with other liquids, consult your healthcare provider or pharmacist. They will advise you if it is safe and appropriate to mix the medication with another liquid and how to do so properly to ensure its effectiveness is not compromised.

What should I do if I miss a dose?

If you miss a dose of Verapamil HCl Oral Liquid, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for a missed one.

Can I discontinue the medication if I feel better?

You should continue taking Verapamil HCl Oral Liquid for as long as your doctor or healthcare provider has prescribed, even if you feel better. Stopping the medication suddenly may worsen your condition or increase the risk of potential side effects. Consult your healthcare provider before making any changes to your medication regimen.

What interactions should I be aware of when taking Verapamil HCl Oral Liquid?

Verapamil HCl Oral Liquid can interact with a number of other medications, potentially affecting how it or the other medications work. Make sure to inform your healthcare provider of all the medications, supplements, and herbal products you are currently taking to avoid any harmful interactions.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

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.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Verapamil HCl 240 mg/5 mL Oral Liquid
Oral Liquid
controlled

Take orally

Three times daily