Verapamil
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Identification
- Summary
Verapamil is a non-dihydropyridine calcium channel blocker used in the treatment of angina, arrhythmia, and hypertension.
- Brand Names
- Calan, Isoptin, Tarka, Verelan
- Generic Name
- Verapamil
- DrugBank Accession Number
- DB00661
- Background
Verapamil is a phenylalkylamine calcium channel blocker used in the treatment of high blood pressure, heart arrhythmias, and angina,19 and was the first calcium channel antagonist to be introduced into therapy in the early 1960s.13 It is a member of the non-dihydropyridine class of calcium channel blockers, which includes drugs like diltiazem and flunarizine, but is chemically unrelated to other cardioactive medications.19 Verapamil is administered as a racemic mixture containing equal amounts of the S- and R-enantiomer, each of which is pharmacologically distinct - the S-enantiomer carries approximately 20-fold greater potency than the R-enantiomer, but is metabolized at a higher rate.5
- Type
- Small Molecule
- Groups
- Approved
- Structure
- Weight
- Average: 454.6016
Monoisotopic: 454.283157714 - Chemical Formula
- C27H38N2O4
- Synonyms
- Iproveratril
- Verapamil
- Vérapamil
- Verapamilo
- Verapamilum
- External IDs
- CP-16,533-1
- D-365
Pharmacology
- Indication
Verapamil is indicated in the treatment of vasopastic (i.e. Prinzmetal's) angina, unstable angina, and chronic stable angina. It is also indicated to treat hypertension, for the prophylaxis of repetitive paroxysmal supraventricular tachycardia, and in combination with digoxin to control ventricular rate in patients with atrial fibrillation or atrial flutter.19 Given intravenously, it is indicated for the treatment of various supraventricular tachyarrhythmias, including rapid conversion to sinus rhythm in patients with supraventricular tachycardia and for temporary control of ventricular rate in patients with atrial fibrillation or atrial flutter.18
Verapamil is commonly used off-label for prophylaxis of cluster headaches.4
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Indication Type Indication Combined Product Details Approval Level Age Group Patient Characteristics Dose Form Treatment of Chronic stable angina pectoris •••••••••••• •••••• Prophylaxis of Cluster headache ••• ••••• Used in combination to manage Heart rate Regimen in combination with: Digoxin (DB00390), Digitoxin (DB01396) •••••••••••• •••••• Treatment of High blood pressure (hypertension) •••••••••••• •••••••• •••••••• •••••••• ••••••• ••••••• •••••••• ••••••• Used in combination to manage Hypertension Combination Product in combination with: Trandolapril (DB00519) •••••••••••• ••••••• •••••••• ••••••• Prophylaxis of Paroxysmal supraventricular tachycardia •••••••••••• •••••• Treatment of Supraventricular tachyarrhythmia •••••••••••• •••••••••• •••••••• Treatment of Unstable angina pectoris •••••••••••• •••••• Treatment of Vasospastic angina •••••••••••• •••••• - Contraindications & Blackbox Warnings
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- Pharmacodynamics
Verapamil is an L-type calcium channel blocker with antiarrhythmic, antianginal, and antihypertensive activity.19 Immediate-release verapamil has a relatively short duration of action, requiring dosing 3 to 4 times daily,19 but extended-release formulations are available that allow for once-daily dosing.17,22 As verapamil is a negative inotropic medication (i.e. it decreases the strength of myocardial contraction), it should not be used in patients with severe left ventricular dysfunction or hypertrophic cardiomyopathy as the decrease in contractility caused by verapamil may increase the risk of exacerbating these pre-existing conditions.17
- Mechanism of action
Verapamil inhibits L-type calcium channels by binding to a specific area of their alpha-1 subunit,17Cav1.2, which is highly expressed on L-type calcium channels in vascular smooth muscle and myocardial tissue where these channels are responsible for the control of peripheral vascular resistance and heart contractility.10 Calcium influx through these channels allows for the propagation of action potentials necessary for the contraction of muscle tissue and the heart's electrical pacemaker activity. Verapamil binds to these channels in a voltage- and frequency-dependent manner, meaning affinity is increased 1) as vascular smooth muscle membrane potential is reduced, and 2) with excessive depolarizing stimulus.17
Verapamil's mechanism of action in the treatment of angina and hypertension is likely due to the mechanism described above. Inhibition of calcium influx prevents the contraction of vascular smooth muscle, causing relaxation/dilation of blood vessels throughout the peripheral circulation - this lowers systemic vascular resistance (i.e. afterload) and thus blood pressure. This reduction in vascular resistance also reduces the force against which the heart must push, decreasing myocardial energy consumption and oxygen requirements and thus alleviating angina.19
Electrical activity through the AV node is responsible for determining heart rate, and this activity is dependent upon calcium influx through L-type calcium channels. By inhibiting these channels and decreasing the influx of calcium, verapamil prolongs the refractory period of the AV node and slows conduction, thereby slowing and controlling the heart rate in patients with arrhythmia.19
Verapamil's mechanism of action in the treatment of cluster headaches is unclear, but is thought to result from an effect on other calcium channels (e.g. N-, P-, Q-, or T-type).4
Verapamil is known to interact with other targets, including other calcium channels,14,15,7,8 potassium channels,6,16,4 and adrenergic receptors.11,12
Target Actions Organism AVoltage-dependent L-type calcium channel subunit alpha-1C inhibitorHumans UVoltage-dependent N-type calcium channel subunit alpha-1B inhibitorHumans UVoltage-dependent P/Q-type calcium channel subunit alpha-1A inhibitorHumans UATP-sensitive inward rectifier potassium channel 11 inhibitorHumans UVoltage-dependent T-type calcium channel subunit alpha-1G inhibitorHumans UVoltage-dependent T-type calcium channel subunit alpha-1H inhibitorHumans UPotassium voltage-gated channel subfamily H member 2 inhibitorHumans USodium-dependent serotonin transporter unknownHumans UAlpha-1A adrenergic receptor antagonistHumans UAlpha-1B adrenergic receptor antagonistHumans UAlpha-1D adrenergic receptor antagonistHumans UVoltage-dependent calcium channel inhibitorHumans UP-glycoprotein 1 inhibitorblockerHumans - Absorption
More than 90% of orally administered verapamil is absorbed - despite this, bioavailability ranges only from 20% to 30% due to rapid biotransformation following first-pass metabolism in the portal circulation.19 Absorption kinetic parameters are largely dependent on the specific formulation of verapamil involved. Immediate-release verapamil reaches peak plasma concentrations (i.e. Tmax) between 1-2 hours following administration,19 whereas sustained-release formulations tend to have a Tmax between 6 - 11 hours.17,22
AUC and Cmax values are similarly dependent upon formulation. Chronic administration of immediate-release verapamil every 6 hours resulted in plasma concentrations between 125 and 400 ng/mL.19 Steady-state AUC0-24h and Cmax values for a sustained-release formulation were 1037 ng∙h/ml and 77.8 ng/mL for the R-isomer and 195 ng∙h/ml and 16.8 ng/mL for the S-isomer, respectively.17
Interestingly, the absorption kinetics of verapamil are highly stereospecific - following oral administration of immediate-release verapamil every 8 hours, the relative systemic availability of the S-enantiomer compared to the R-enantiomer was 13% after a single dose and 18% at steady-state.17
- Volume of distribution
Verapamil has a steady-state volume of distribution of approximately 300L for its R-enantiomer and 500L for its S-enantiomer.4
- Protein binding
Verapamil is extensively protein-bound in plasma. R-verapamil is 94% bound to serum albumin while S-verapamil is 88% bound. Additionally, R-verapamil is 92% bound to alpha-1 acid glycoprotein and S-verapamil is 86% bound.19
- Metabolism
Verapamil is extensively metabolized by the liver, with up to 80% of an administered dose subject to elimination via pre-systemic metabolism - interestingly, this first-pass metabolism appears to clear the S-enantiomer of verapamil much faster than the R-enantiomer.17,9 The remaining parent drug undergoes O-demethylation, N-dealkylation, and N-demethylation to a number of different metabolites via the cytochrome P450 enzyme system.9 Norverapamil, one of the major circulating metabolites, is the result of verapamil's N-demethylation via CYP2C8, CYP3A4, and CYP3A5,9 and carries approximately 20% of the cardiovascular activity of its parent drug.17 The other major pathway involved in verapamil metabolism is N-dealkylation via CYP2C8, CYP3A4, and CYP1A2 to the D-617 metabolite. Both norverapamil and D-617 are further metabolized by other CYP isoenzymes to various secondary metabolites. CYP2D6 and CYP2E1 have also been implicated in the metabolic pathway of verapamil, albeit to a minor extent.9 Minor pathways of verapamil metabolism involve its O-demethylation to D-703 via CYP2C8, CYP2C9, and CYP2C18, and to D-702 via CYP2C9 and CYP2C18.9
Several steps in verapamil's metabolic pathway show stereoselective preference for the S-enantiomer of the given substrate, including the generation of the D-620 metabolite by CYP3A4/5 and the D-617 metabolite by CYP2C8.9
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- Route of elimination
Approximately 70% of an administered dose is excreted as metabolites in the urine and ≥16% in the feces within 5 days. Approximately 3% - 4% is excreted in the urine as unchanged drug.19
- Half-life
Single-dose studies of immediate-release verapamil have demonstrated an elimination half-life of 2.8 to 7.4 hours, which increases to 4.5 to 12.0 hours following repetitive dosing.19 The elimination half-life is also prolonged in patients with hepatic insufficiency (14 to 16 hours) and in the elderly (approximately 20 hours).17 Intravenously administered verapamil has rapid distribution phase half-life of approximately 4 minutes, followed by a terminal elimination phase half-life of 2 to 5 hours.18
- Clearance
Systemic clearance following 3 weeks of continuous treatment was approximately 340 mL/min for R-verapamil and 664 mL/min for S-verapamil.5 Of note, apparent oral clearance appears to vary significantly between single dose and multiple-dose conditions. The apparent oral clearance following single doses of verapamil was approximately 1007 mL/min for R-verapamil and 5481 mL/min for S-verapamil, whereas 3 weeks of continuous treatment resulted in apparent oral clearance values of approximately 651 mL/min for R-verapamil and 2855 mL/min for S-verapamil.5
- Adverse Effects
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- Toxicity
Verapamil's reported oral TDLo is 14.4 mg/kg in women and 3.429 mg/kg in men.21 The oral LD50 is 150 mg/kg in rats and 163 mg/kg in mice.21
As there is no antidote for verapamil overdosage, treatment is largely supportive. Symptoms of overdose are generally consistent with verapamil's adverse effect profile (i.e. hypotension, bradycardia, arrhythmia) but instances of non-cardiogenic pulmonary edema have been observed following ingestion of large overdoses (up to 9 grams).17 In acute overdosage, consider the use of gastrointestinal decontamination with cathartics and/or bowel irrigation. Patients presenting with significant myocardial depression may require intravenous calcium, atropine, vasopressors, or other inotropes. Consider the formulation responsible for the overdose prior to treatment - sustained-release formulations may result in delayed pharmacodynamic effects, and these patients should be monitored closely for at least 48 hours following ingestion.17
- Pathways
Pathway Category Verapamil Action Pathway Drug action - Pharmacogenomic Effects/ADRs
Interacting Gene/Enzyme Allele name Genotype(s) Defining Change(s) Type(s) Description Details Beta-1 adrenergic receptor --- (G;G) / (C;G) G > C Effect Directly Studied Patients with this genotype require a lower dosage of verapamil to achieve a favourable rate-control response when treating atrial fibrillation. Details
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your software1,2-Benzodiazepine The metabolism of 1,2-Benzodiazepine can be decreased when combined with Verapamil. Abacavir Verapamil may decrease the excretion rate of Abacavir which could result in a higher serum level. Abaloparatide The risk or severity of adverse effects can be increased when Verapamil is combined with Abaloparatide. Abametapir The serum concentration of Verapamil can be increased when it is combined with Abametapir. Abatacept The metabolism of Verapamil can be increased when combined with Abatacept. Abemaciclib The serum concentration of Abemaciclib can be increased when it is combined with Verapamil. Abiraterone The serum concentration of Verapamil can be increased when it is combined with Abiraterone. Abrocitinib The serum concentration of Verapamil can be increased when it is combined with Abrocitinib. Acalabrutinib The metabolism of Acalabrutinib can be decreased when combined with Verapamil. Acarbose The risk or severity of hypoglycemia can be increased when Verapamil is combined with Acarbose. Acebutolol The risk or severity of adverse effects can be increased when Verapamil is combined with Acebutolol. Aceclofenac Aceclofenac may decrease the excretion rate of Verapamil which could result in a higher serum level. Acemetacin Acemetacin may decrease the excretion rate of Verapamil which could result in a higher serum level. Acenocoumarol The serum concentration of Acenocoumarol can be increased when it is combined with Verapamil. Acetaminophen The metabolism of Acetaminophen can be decreased when combined with Verapamil. Acetazolamide Acetazolamide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Acetohexamide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Acetohexamide. Acetylcholine The risk or severity of adverse effects can be increased when Verapamil is combined with Acetylcholine. Acetyldigitoxin Acetyldigitoxin may increase the arrhythmogenic activities of Verapamil. Acetylsalicylic acid The risk or severity of bleeding can be increased when Verapamil is combined with Acetylsalicylic acid. Aclidinium Verapamil may decrease the excretion rate of Aclidinium which could result in a higher serum level. Acrivastine Verapamil may decrease the excretion rate of Acrivastine which could result in a higher serum level. Acyclovir The metabolism of Acyclovir can be decreased when combined with Verapamil. Adagrasib The metabolism of Adagrasib can be decreased when combined with Verapamil. Adalimumab The metabolism of Verapamil can be increased when combined with Adalimumab. Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Verapamil which could result in a higher serum level. Adenosine Adenosine may increase the arrhythmogenic activities of Verapamil. Afatinib The serum concentration of Afatinib can be increased when it is combined with Verapamil. Agomelatine The metabolism of Agomelatine can be decreased when combined with Verapamil. Ajmaline Verapamil may increase the arrhythmogenic activities of Ajmaline. Albendazole The metabolism of Verapamil can be increased when combined with Albendazole. Albiglutide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Albiglutide. Albuterol Verapamil may decrease the excretion rate of Salbutamol which could result in a higher serum level. Albutrepenonacog alfa Verapamil may decrease the excretion rate of Albutrepenonacog alfa which could result in a higher serum level. Alclofenac Alclofenac may decrease the excretion rate of Verapamil which could result in a higher serum level. Aldesleukin The risk or severity of adverse effects can be increased when Aldesleukin is combined with Verapamil. Alectinib The metabolism of Alectinib can be decreased when combined with Verapamil. Alfentanil The metabolism of Alfentanil can be decreased when combined with Verapamil. Alfuzosin Verapamil may increase the hypotensive activities of Alfuzosin. Aliskiren The metabolism of Aliskiren can be decreased when combined with Verapamil. Alloin The therapeutic efficacy of Alloin can be decreased when used in combination with Verapamil. Allopurinol Allopurinol may decrease the excretion rate of Verapamil which could result in a higher serum level. Almasilate Verapamil may decrease the excretion rate of Almasilate which could result in a higher serum level. Almotriptan The metabolism of Almotriptan can be decreased when combined with Verapamil. Alogliptin The metabolism of Alogliptin can be decreased when combined with Verapamil. Alosetron The metabolism of Alosetron can be decreased when combined with Verapamil. Alpelisib The metabolism of Alpelisib can be decreased when combined with Verapamil. Alprazolam The metabolism of Alprazolam can be decreased when combined with Verapamil. Amantadine The risk or severity of adverse effects can be increased when Verapamil is combined with Amantadine. Ambrisentan The metabolism of Ambrisentan can be decreased when combined with Verapamil. Ambroxol The metabolism of Ambroxol can be decreased when combined with Verapamil. Amifostine The risk or severity of adverse effects can be increased when Verapamil is combined with Amifostine. Amikacin Verapamil may decrease the excretion rate of Amikacin which could result in a higher serum level. Amiloride The risk or severity of adverse effects can be increased when Amiloride is combined with Verapamil. Aminophenazone The metabolism of Aminophenazone can be decreased when combined with Verapamil. Aminophylline The metabolism of Aminophylline can be decreased when combined with Verapamil. Aminosalicylic acid The risk or severity of bleeding can be increased when Verapamil is combined with Aminosalicylic acid. Amiodarone The risk or severity of adverse effects can be increased when Amiodarone is combined with Verapamil. Amitriptyline The metabolism of Amitriptyline can be decreased when combined with Verapamil. Amlodipine Amlodipine may increase the arrhythmogenic activities of Verapamil. Ammonium chloride Verapamil may decrease the excretion rate of Ammonium chloride which could result in a higher serum level. Amobarbital Amobarbital may increase the hypotensive activities of Verapamil. Amoxapine The metabolism of Amoxapine can be decreased when combined with Verapamil. Amoxicillin Verapamil may decrease the excretion rate of Amoxicillin which could result in a higher serum level. Amphetamine The therapeutic efficacy of Verapamil can be decreased when used in combination with Amphetamine. Amphotericin B Verapamil may decrease the nephrotoxic activities of Amphotericin B. Ampicillin Ampicillin may decrease the excretion rate of Verapamil which could result in a higher serum level. Amprenavir The metabolism of Verapamil can be decreased when combined with Amprenavir. Amrinone Verapamil may decrease the excretion rate of Amrinone which could result in a higher serum level. Amyl Nitrite Verapamil may increase the vasodilatory activities of Amyl Nitrite. Anagrelide The metabolism of Verapamil can be decreased when combined with Anagrelide. Anakinra The metabolism of Verapamil can be increased when combined with Anakinra. Ancestim Verapamil may decrease the excretion rate of Ancestim which could result in a higher serum level. Antihemophilic factor (recombinant), PEGylated Verapamil may decrease the excretion rate of Antihemophilic factor (recombinant), PEGylated which could result in a higher serum level. Antipyrine The metabolism of Antipyrine can be decreased when combined with Verapamil. Antithrombin III human Verapamil may decrease the excretion rate of Antithrombin III human which could result in a higher serum level. Antrafenine Antrafenine may decrease the excretion rate of Verapamil which could result in a higher serum level. Apalutamide The serum concentration of Verapamil can be decreased when it is combined with Apalutamide. Apixaban The metabolism of Apixaban can be decreased when combined with Verapamil. Apomorphine The metabolism of Apomorphine can be decreased when combined with Verapamil. Apremilast The metabolism of Verapamil can be increased when combined with Apremilast. Aprepitant The metabolism of Aprepitant can be decreased when combined with Verapamil. Aprocitentan Verapamil may increase the hypotensive activities of Aprocitentan. Arbutamine The therapeutic efficacy of Arbutamine can be decreased when used in combination with Verapamil. Arformoterol Verapamil may decrease the excretion rate of Arformoterol which could result in a higher serum level. Aripiprazole The metabolism of Aripiprazole can be decreased when combined with Verapamil. Aripiprazole lauroxil The metabolism of Aripiprazole lauroxil can be decreased when combined with Verapamil. Armodafinil The metabolism of Verapamil can be increased when combined with Armodafinil. Arsenic trioxide The serum concentration of Verapamil can be increased when it is combined with Arsenic trioxide. Artemether The metabolism of Artemether can be decreased when combined with Verapamil. Asciminib The serum concentration of Verapamil can be increased when it is combined with Asciminib. Asenapine The metabolism of Asenapine can be decreased when combined with Verapamil. Astemizole The metabolism of Astemizole can be decreased when combined with Verapamil. Asunaprevir The metabolism of Asunaprevir can be decreased when combined with Verapamil. Atazanavir The metabolism of Verapamil can be decreased when combined with Atazanavir. Atenolol The risk or severity of adverse effects can be increased when Verapamil is combined with Atenolol. Atogepant The metabolism of Atogepant can be decreased when combined with Verapamil. Atomoxetine The metabolism of Atomoxetine can be decreased when combined with Verapamil. Atorvastatin The serum concentration of Verapamil can be increased when it is combined with Atorvastatin. Atovaquone The metabolism of Atovaquone can be decreased when combined with Verapamil. Atracurium Verapamil may increase the neuromuscular blocking activities of Atracurium. Atracurium besylate Verapamil may increase the neuromuscular blocking activities of Atracurium besylate. Atropine Atropine may increase the arrhythmogenic activities of Verapamil. Auranofin Verapamil may decrease the excretion rate of Auranofin which could result in a higher serum level. Aurothioglucose Verapamil may decrease the excretion rate of Aurothioglucose which could result in a higher serum level. Avacopan The metabolism of Avacopan can be decreased when combined with Verapamil. Avanafil The metabolism of Avanafil can be decreased when combined with Verapamil. Avapritinib The metabolism of Avapritinib can be decreased when combined with Verapamil. Avatrombopag The metabolism of Avatrombopag can be decreased when combined with Verapamil. Axitinib The serum concentration of Axitinib can be increased when it is combined with Verapamil. Azacitidine Verapamil may decrease the excretion rate of Azacitidine which could result in a higher serum level. Azathioprine The metabolism of Azathioprine can be decreased when combined with Verapamil. Azelaic acid Azelaic acid may decrease the excretion rate of Verapamil which could result in a higher serum level. Azelastine The metabolism of Azelastine can be decreased when combined with Verapamil. Azilsartan medoxomil The risk or severity of adverse effects can be increased when Verapamil is combined with Azilsartan medoxomil. Azithromycin The metabolism of Azithromycin can be decreased when combined with Verapamil. Aztreonam Aztreonam may decrease the excretion rate of Verapamil which could result in a higher serum level. Bacitracin Bacitracin may decrease the excretion rate of Verapamil which could result in a higher serum level. Baclofen Baclofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Balsalazide The risk or severity of bleeding can be increased when Verapamil is combined with Balsalazide. Baricitinib The metabolism of Baricitinib can be decreased when combined with Verapamil. Beclomethasone dipropionate The metabolism of Beclomethasone dipropionate can be decreased when combined with Verapamil. Bedaquiline The metabolism of Bedaquiline can be decreased when combined with Verapamil. Belantamab mafodotin The serum concentration of Belantamab mafodotin can be increased when it is combined with Verapamil. Belinostat The serum concentration of Belinostat can be increased when it is combined with Verapamil. Belumosudil The metabolism of Belumosudil can be decreased when combined with Verapamil. Benazepril The risk or severity of adverse effects can be increased when Benazepril is combined with Verapamil. Bendamustine The serum concentration of Bendamustine can be increased when it is combined with Verapamil. Bendroflumethiazide The risk or severity of adverse effects can be increased when Bendroflumethiazide is combined with Verapamil. Benorilate Benorilate may decrease the excretion rate of Verapamil which could result in a higher serum level. Benoxaprofen Benoxaprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Benserazide Verapamil may decrease the excretion rate of Benserazide which could result in a higher serum level. Benzatropine Benzatropine may decrease the excretion rate of Verapamil which could result in a higher serum level. Benznidazole Verapamil may decrease the excretion rate of Benznidazole which could result in a higher serum level. Benzocaine The metabolism of Benzocaine can be decreased when combined with Verapamil. Benzphetamine The therapeutic efficacy of Verapamil can be decreased when used in combination with Benzphetamine. Benzthiazide Benzthiazide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Benzydamine Benzydamine may decrease the excretion rate of Verapamil which could result in a higher serum level. Benzyl alcohol The metabolism of Benzyl alcohol can be decreased when combined with Verapamil. Bepotastine Verapamil may decrease the excretion rate of Bepotastine which could result in a higher serum level. Bepridil Verapamil may increase the arrhythmogenic activities of Bepridil. Beractant Verapamil may increase the bradycardic activities of Beractant. Berotralstat The serum concentration of Berotralstat can be increased when it is combined with Verapamil. Betamethasone The metabolism of Betamethasone can be decreased when combined with Verapamil. Betamethasone phosphate The metabolism of Betamethasone phosphate can be decreased when combined with Verapamil. Betaxolol The risk or severity of adverse effects can be increased when Verapamil is combined with Betaxolol. Bethanidine The therapeutic efficacy of Bethanidine can be decreased when used in combination with Verapamil. Betrixaban The serum concentration of Betrixaban can be increased when it is combined with Verapamil. Bexagliflozin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Bexagliflozin. Bexarotene The metabolism of Bexarotene can be decreased when combined with Verapamil. Bezafibrate The metabolism of Bezafibrate can be decreased when combined with Verapamil. Bicalutamide The metabolism of Bicalutamide can be decreased when combined with Verapamil. Bicisate Verapamil may decrease the excretion rate of Bicisate which could result in a higher serum level. Bictegravir The metabolism of Bictegravir can be decreased when combined with Verapamil. Bifonazole The therapeutic efficacy of Bifonazole can be increased when used in combination with Verapamil. Bimekizumab The metabolism of Verapamil can be increased when combined with Bimekizumab. Binimetinib The serum concentration of Binimetinib can be increased when it is combined with Verapamil. Bioallethrin Verapamil may increase the arrhythmogenic activities of Bioallethrin. Bisacodyl The therapeutic efficacy of Bisacodyl can be decreased when used in combination with Verapamil. Bismuth subgallate Verapamil may decrease the excretion rate of Bismuth subgallate which could result in a higher serum level. Bismuth subsalicylate The risk or severity of bleeding can be increased when Verapamil is combined with Bismuth subsalicylate. Bisoprolol The risk or severity of adverse effects can be increased when Verapamil is combined with Bisoprolol. Bisoxatin The therapeutic efficacy of Bisoxatin can be decreased when used in combination with Verapamil. Bleomycin Bleomycin may decrease the excretion rate of Verapamil which could result in a higher serum level. Boceprevir The serum concentration of Verapamil can be increased when it is combined with Boceprevir. Bortezomib The serum concentration of Bortezomib can be increased when it is combined with Verapamil. Bosentan The metabolism of Bosentan can be decreased when combined with Verapamil. Bosutinib The serum concentration of Bosutinib can be increased when it is combined with Verapamil. Brentuximab vedotin The serum concentration of Brentuximab vedotin can be increased when it is combined with Verapamil. Bretylium Verapamil may increase the arrhythmogenic activities of Bretylium. Brexpiprazole The metabolism of Brexpiprazole can be decreased when combined with Verapamil. Brigatinib The metabolism of Brigatinib can be decreased when combined with Verapamil. Brivaracetam The metabolism of Brivaracetam can be decreased when combined with Verapamil. Bromazepam The metabolism of Bromazepam can be decreased when combined with Verapamil. Bromocriptine The metabolism of Bromocriptine can be decreased when combined with Verapamil. Bromotheophylline The metabolism of Bromotheophylline can be decreased when combined with Verapamil. Budesonide The metabolism of Budesonide can be decreased when combined with Verapamil. Bumadizone Bumadizone may decrease the excretion rate of Verapamil which could result in a higher serum level. Bumetanide The risk or severity of adverse effects can be increased when Verapamil is combined with Bumetanide. Bupivacaine The metabolism of Bupivacaine can be decreased when combined with Verapamil. Buprenorphine The metabolism of Buprenorphine can be decreased when combined with Verapamil. Bupropion Verapamil may decrease the excretion rate of Bupropion which could result in a higher serum level. Buspirone The serum concentration of Buspirone can be increased when it is combined with Verapamil. Busulfan The metabolism of Busulfan can be decreased when combined with Verapamil. Butabarbital Butabarbital may increase the hypotensive activities of Verapamil. Butalbital Butalbital may increase the hypotensive activities of Verapamil. Cabazitaxel The metabolism of Cabazitaxel can be decreased when combined with Verapamil. Cabergoline The serum concentration of Cabergoline can be increased when it is combined with Verapamil. Cabozantinib The metabolism of Cabozantinib can be decreased when combined with Verapamil. Caffeine The metabolism of Verapamil can be decreased when combined with Caffeine. Calcitriol The metabolism of Calcitriol can be decreased when combined with Verapamil. Calcium acetate The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium acetate. Calcium chloride The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium chloride. Calcium glubionate anhydrous The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium glubionate anhydrous. Calcium glucoheptonate The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium glucoheptonate. Calcium gluconate The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium gluconate. Calcium levulinate The therapeutic efficacy of Verapamil can be decreased when used in combination with Calcium levulinate. Calcium polycarbophil The therapeutic efficacy of Calcium polycarbophil can be decreased when used in combination with Verapamil. Calfactant Verapamil may increase the bradycardic activities of Calfactant. Canagliflozin The metabolism of Canagliflozin can be decreased when combined with Verapamil. Canakinumab The metabolism of Verapamil can be increased when combined with Canakinumab. Candesartan cilexetil The risk or severity of adverse effects can be increased when Verapamil is combined with Candesartan cilexetil. Cannabidiol The metabolism of Cannabidiol can be decreased when combined with Verapamil. Canrenoic acid Canrenoic acid may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Capecitabine Verapamil may decrease the excretion rate of Capecitabine which could result in a higher serum level. Capivasertib The serum concentration of Capivasertib can be increased when it is combined with Verapamil. Capmatinib The serum concentration of Capmatinib can be increased when it is combined with Verapamil. Capreomycin Verapamil may decrease the excretion rate of Capreomycin which could result in a higher serum level. Capsaicin The metabolism of Verapamil can be increased when combined with Capsaicin. Captopril The risk or severity of adverse effects can be increased when Verapamil is combined with Captopril. Carbamazepine The serum concentration of Carbamazepine can be increased when it is combined with Verapamil. Carbetocin The risk or severity of adverse effects can be increased when Verapamil is combined with Carbetocin. Carbidopa Carbidopa may decrease the excretion rate of Verapamil which could result in a higher serum level. Carboplatin Carboplatin may decrease the excretion rate of Verapamil which could result in a higher serum level. Carboxymethylcellulose The therapeutic efficacy of Carboxymethylcellulose can be decreased when used in combination with Verapamil. Carfilzomib The serum concentration of Carfilzomib can be increased when it is combined with Verapamil. Cariprazine The metabolism of Cariprazine can be decreased when combined with Verapamil. Carmustine The metabolism of Verapamil can be decreased when combined with Carmustine. Carprofen Carprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Carteolol The risk or severity of adverse effects can be increased when Verapamil is combined with Carteolol. Carvedilol The risk or severity of adverse effects can be increased when Verapamil is combined with Carvedilol. Castor oil The therapeutic efficacy of Castor oil can be decreased when used in combination with Verapamil. Cefaclor Cefaclor may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefadroxil Cefadroxil may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefalotin Cefalotin may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefamandole Cefamandole may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefapirin Cefapirin may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefazolin Cefazolin may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefdinir Cefdinir may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefditoren Cefditoren may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefepime Cefepime may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefmenoxime Cefmenoxime may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefmetazole Cefmetazole may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefonicid Cefonicid may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefoperazone Cefoperazone may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceforanide Ceforanide may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefotaxime Cefotaxime may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefotetan Cefotetan may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefotiam Cefotiam may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefoxitin Cefoxitin may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefpiramide Cefpiramide may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefpirome Cefpirome may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefpodoxime Cefpodoxime may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefprozil Cefprozil may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefradine Cefradine may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftaroline fosamil Ceftaroline fosamil may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftazidime Ceftazidime may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftibuten Ceftibuten may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftizoxime Ceftizoxime may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftobiprole Ceftobiprole may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceftolozane Verapamil may decrease the excretion rate of Ceftolozane which could result in a higher serum level. Ceftriaxone Ceftriaxone may decrease the excretion rate of Verapamil which could result in a higher serum level. Cefuroxime Cefuroxime may decrease the excretion rate of Verapamil which could result in a higher serum level. Celecoxib The metabolism of Celecoxib can be decreased when combined with Verapamil. Celiprolol The risk or severity of adverse effects can be increased when Verapamil is combined with Celiprolol. Cenobamate The serum concentration of Verapamil can be decreased when it is combined with Cenobamate. Cephalexin The metabolism of Cephalexin can be decreased when combined with Verapamil. Cephaloglycin Cephaloglycin may decrease the excretion rate of Verapamil which could result in a higher serum level. Ceritinib Verapamil may increase the bradycardic activities of Ceritinib. Cerivastatin The metabolism of Cerivastatin can be decreased when combined with Verapamil. Certolizumab pegol The metabolism of Verapamil can be increased when combined with Certolizumab pegol. Cetirizine Cetirizine may decrease the excretion rate of Verapamil which could result in a higher serum level. Cevimeline The metabolism of Cevimeline can be decreased when combined with Verapamil. Chenodeoxycholic acid The metabolism of Chenodeoxycholic acid can be decreased when combined with Verapamil. Chloral hydrate Verapamil may decrease the excretion rate of Chloral hydrate which could result in a higher serum level. Chloramphenicol The metabolism of Verapamil can be decreased when combined with Chloramphenicol. Chloroquine The metabolism of Chloroquine can be decreased when combined with Verapamil. Chlorothiazide The risk or severity of adverse effects can be increased when Verapamil is combined with Chlorothiazide. Chlorpheniramine The metabolism of Chlorpheniramine can be decreased when combined with Verapamil. Chlorpromazine The metabolism of Chlorpromazine can be decreased when combined with Verapamil. Chlorpropamide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Chlorpropamide. Chlorthalidone The risk or severity of adverse effects can be increased when Chlorthalidone is combined with Verapamil. Chlorzoxazone The metabolism of Chlorzoxazone can be decreased when combined with Verapamil. Cholecalciferol The metabolism of Cholecalciferol can be decreased when combined with Verapamil. Choline The risk or severity of adverse effects can be increased when Choline is combined with Verapamil. Choline C 11 Verapamil may decrease the excretion rate of Choline C 11 which could result in a higher serum level. Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Verapamil which could result in a higher serum level. Choline salicylate The risk or severity of bleeding can be increased when Verapamil is combined with Choline salicylate. Chondroitin sulfate Verapamil may decrease the excretion rate of Chondroitin sulfate which could result in a higher serum level. Chromic chloride Verapamil may decrease the excretion rate of Chromic chloride which could result in a higher serum level. Chromic nitrate Verapamil may decrease the excretion rate of Chromic nitrate which could result in a higher serum level. Chromium Verapamil may decrease the excretion rate of Chromium which could result in a higher serum level. Chromium gluconate Verapamil may decrease the excretion rate of Chromium gluconate which could result in a higher serum level. Chromium nicotinate Verapamil may decrease the excretion rate of Chromium nicotinate which could result in a higher serum level. Chromous sulfate Verapamil may decrease the excretion rate of Chromous sulfate which could result in a higher serum level. Ciclesonide The metabolism of Ciclesonide can be decreased when combined with Verapamil. Cidofovir Cidofovir may decrease the excretion rate of Verapamil which could result in a higher serum level. Cilazapril The risk or severity of adverse effects can be increased when Verapamil is combined with Cilazapril. Cilostazol The metabolism of Cilostazol can be decreased when combined with Verapamil. Cimetidine The serum concentration of Verapamil can be increased when it is combined with Cimetidine. Cinacalcet The metabolism of Cinacalcet can be decreased when combined with Verapamil. Cinnarizine Cinnarizine may increase the arrhythmogenic activities of Verapamil. Cinoxacin The metabolism of Verapamil can be decreased when combined with Cinoxacin. Ciprofloxacin The metabolism of Verapamil can be decreased when combined with Ciprofloxacin. Cisapride The metabolism of Cisapride can be decreased when combined with Verapamil. Cisatracurium Verapamil may increase the neuromuscular blocking activities of Cisatracurium. Cisplatin Verapamil may decrease the excretion rate of Cisplatin which could result in a higher serum level. Citalopram The metabolism of Citalopram can be decreased when combined with Verapamil. Clarithromycin The risk or severity of adverse effects can be increased when Clarithromycin is combined with Verapamil. Clenbuterol The therapeutic efficacy of Clenbuterol can be decreased when used in combination with Verapamil. Clevidipine Verapamil may increase the arrhythmogenic activities of Clevidipine. Clindamycin The metabolism of Clindamycin can be decreased when combined with Verapamil. Clobazam The metabolism of Clobazam can be decreased when combined with Verapamil. Clobetasol propionate The metabolism of Clobetasol propionate can be decreased when combined with Verapamil. Clofarabine The risk or severity of adverse effects can be increased when Clofarabine is combined with Verapamil. Clofazimine The serum concentration of Verapamil can be increased when it is combined with Clofazimine. Clofibrate The metabolism of Clofibrate can be decreased when combined with Verapamil. Clomifene The serum concentration of Clomifene can be increased when it is combined with Verapamil. Clomipramine The metabolism of Clomipramine can be decreased when combined with Verapamil. Clonazepam The metabolism of Clonazepam can be decreased when combined with Verapamil. Clonidine Verapamil may increase the atrioventricular blocking (AV block) activities of Clonidine. Clopidogrel The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Verapamil. Clorazepic acid The metabolism of Clorazepic acid can be decreased when combined with Verapamil. Clotiazepam The metabolism of Clotiazepam can be decreased when combined with Verapamil. Clove oil Verapamil may decrease the excretion rate of Clove oil which could result in a higher serum level. Clozapine The serum concentration of Clozapine can be increased when it is combined with Verapamil. Cobicistat The metabolism of Verapamil can be decreased when combined with Cobicistat. Cobimetinib The metabolism of Cobimetinib can be decreased when combined with Verapamil. Codeine The metabolism of Codeine can be decreased when combined with Verapamil. Colchicine The serum concentration of Colchicine can be increased when it is combined with Verapamil. Colistimethate Colistimethate may decrease the excretion rate of Verapamil which could result in a higher serum level. Colistin Verapamil may decrease the excretion rate of Colistin which could result in a higher serum level. Conivaptan The metabolism of Verapamil can be decreased when combined with Conivaptan. Conjugated estrogens The metabolism of Conjugated estrogens can be decreased when combined with Verapamil. Copanlisib The metabolism of Copanlisib can be decreased when combined with Verapamil. Corifollitropin alfa Verapamil may decrease the excretion rate of Corifollitropin alfa which could result in a higher serum level. Corticotropin The metabolism of Corticotropin can be decreased when combined with Verapamil. Cortisone acetate The metabolism of Cortisone acetate can be decreased when combined with Verapamil. Crizotinib Crizotinib may increase the bradycardic activities of Verapamil. Cryptenamine Verapamil may increase the hypotensive activities of Cryptenamine. Curcumin The metabolism of Verapamil can be decreased when combined with Curcumin. Cyanocobalamin Cyanocobalamin may decrease the excretion rate of Verapamil which could result in a higher serum level. Cyclandelate Verapamil may increase the arrhythmogenic activities of Cyclandelate. Cyclobenzaprine The metabolism of Cyclobenzaprine can be decreased when combined with Verapamil. Cyclopenthiazide Cyclopenthiazide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Cyclophosphamide The metabolism of Cyclophosphamide can be decreased when combined with Verapamil. Cyclosporine The serum concentration of Cyclosporine can be increased when it is combined with Verapamil. Cyclothiazide Cyclothiazide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Cyproterone acetate The metabolism of Verapamil can be increased when combined with Cyproterone acetate. Cytarabine The risk or severity of adverse effects can be increased when Verapamil is combined with Cytarabine. Dabigatran etexilate The serum concentration of Dabigatran etexilate can be increased when it is combined with Verapamil. Dabrafenib The serum concentration of Verapamil can be decreased when it is combined with Dabrafenib. Dacarbazine The metabolism of Dacarbazine can be decreased when combined with Verapamil. Daclatasvir The metabolism of Daclatasvir can be decreased when combined with Verapamil. Dacomitinib The serum concentration of Dacomitinib can be increased when it is combined with Verapamil. Dactinomycin The serum concentration of Dactinomycin can be increased when it is combined with Verapamil. Dalfampridine Verapamil may decrease the excretion rate of Dalfampridine which could result in a higher serum level. Danazol The metabolism of Verapamil can be decreased when combined with Danazol. Danicopan The serum concentration of Verapamil can be increased when it is combined with Danicopan. Dantrolene The risk or severity of hyperkalemia can be increased when Dantrolene is combined with Verapamil. Dantron The therapeutic efficacy of Dantron can be decreased when used in combination with Verapamil. Dapagliflozin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Dapagliflozin. Dapsone The metabolism of Dapsone can be decreased when combined with Verapamil. Daptomycin The serum concentration of Daptomycin can be increased when it is combined with Verapamil. Daridorexant The metabolism of Daridorexant can be decreased when combined with Verapamil. Darifenacin The metabolism of Darifenacin can be decreased when combined with Verapamil. Darolutamide The metabolism of Darolutamide can be decreased when combined with Verapamil. Darunavir The serum concentration of Verapamil can be increased when it is combined with Darunavir. Dasabuvir The metabolism of Dasabuvir can be decreased when combined with Verapamil. Dasatinib The serum concentration of Dasatinib can be increased when it is combined with Verapamil. Dasiglucagon Verapamil may increase the hypotensive activities of Dasiglucagon. Daunorubicin The metabolism of Verapamil can be increased when combined with Daunorubicin. Debrisoquine The metabolism of Debrisoquine can be decreased when combined with Verapamil. Deferasirox The serum concentration of Verapamil can be increased when it is combined with Deferasirox. Deferiprone Verapamil may decrease the excretion rate of Deferiprone which could result in a higher serum level. Deflazacort The serum concentration of Deflazacort can be increased when it is combined with Verapamil. Dehydrocholic acid The therapeutic efficacy of Dehydrocholic acid can be decreased when used in combination with Verapamil. Delafloxacin Verapamil may decrease the excretion rate of Delafloxacin which could result in a higher serum level. Delamanid The metabolism of Delamanid can be decreased when combined with Verapamil. Delavirdine The metabolism of Verapamil can be decreased when combined with Delavirdine. Deserpidine Verapamil may increase the hypotensive activities of Deserpidine. Desflurane The risk or severity of myocardial depression can be increased when Verapamil is combined with Desflurane. Desipramine The metabolism of Desipramine can be decreased when combined with Verapamil. Deslanoside Verapamil may increase the arrhythmogenic activities of Deslanoside. Desmopressin Desmopressin may decrease the excretion rate of Verapamil which could result in a higher serum level. Desogestrel The metabolism of Desogestrel can be decreased when combined with Verapamil. Desoxycorticosterone acetate The metabolism of Desoxycorticosterone acetate can be decreased when combined with Verapamil. Desvenlafaxine The metabolism of Desvenlafaxine can be decreased when combined with Verapamil. Deutetrabenazine The metabolism of Deutetrabenazine can be decreased when combined with Verapamil. Dexamethasone The metabolism of Verapamil can be increased when combined with Dexamethasone. Dexamethasone acetate The metabolism of Dexamethasone acetate can be decreased when combined with Verapamil. Dexchlorpheniramine maleate The metabolism of Dexchlorpheniramine maleate can be decreased when combined with Verapamil. Dexfenfluramine The metabolism of Dexfenfluramine can be decreased when combined with Verapamil. Dexibuprofen Dexibuprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Dexketoprofen Dexketoprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Dexlansoprazole The metabolism of Dexlansoprazole can be decreased when combined with Verapamil. Dexmedetomidine The metabolism of Verapamil can be decreased when combined with Dexmedetomidine. Dexpanthenol Verapamil may decrease the excretion rate of Dexpanthenol which could result in a higher serum level. Dexrazoxane Dexrazoxane may decrease the excretion rate of Verapamil which could result in a higher serum level. Dextran Verapamil may decrease the excretion rate of Dextran which could result in a higher serum level. Dextroamphetamine The therapeutic efficacy of Verapamil can be decreased when used in combination with Dextroamphetamine. Dextromethorphan The metabolism of Dextromethorphan can be decreased when combined with Verapamil. Dextropropoxyphene The metabolism of Dextropropoxyphene can be decreased when combined with Verapamil. Diacerein The metabolism of Verapamil can be decreased when combined with Diacerein. Diatrizoate Diatrizoate may decrease the excretion rate of Verapamil which could result in a higher serum level. Diazepam The metabolism of Diazepam can be decreased when combined with Verapamil. Diazoxide The risk or severity of adverse effects can be increased when Verapamil is combined with Diazoxide. Dichlorobenzyl alcohol Verapamil may decrease the excretion rate of Dichlorobenzyl alcohol which could result in a higher serum level. Diclofenac The metabolism of Diclofenac can be decreased when combined with Verapamil. Diclofenamide The risk or severity of adverse effects can be increased when Verapamil is combined with Diclofenamide. Dicyclomine Verapamil may decrease the excretion rate of Dicyclomine which could result in a higher serum level. Didanosine Verapamil may decrease the excretion rate of Didanosine which could result in a higher serum level. Dienogest The metabolism of Dienogest can be decreased when combined with Verapamil. Diethylpropion The therapeutic efficacy of Verapamil can be decreased when used in combination with Diethylpropion. Diethylstilbestrol The metabolism of Diethylstilbestrol can be decreased when combined with Verapamil. Diflunisal The risk or severity of bleeding can be increased when Verapamil is combined with Diflunisal. Difluocortolone The metabolism of Difluocortolone can be decreased when combined with Verapamil. Digitoxin Verapamil may increase the arrhythmogenic activities of Digitoxin. Digoxin The serum concentration of Digoxin can be increased when it is combined with Verapamil. Dihydralazine The metabolism of Verapamil can be decreased when combined with Dihydralazine. Dihydro-alpha-ergocryptine The metabolism of Dihydro-alpha-ergocryptine can be decreased when combined with Verapamil. Dihydrocodeine The metabolism of Dihydrocodeine can be decreased when combined with Verapamil. Dihydroergocornine The metabolism of Dihydroergocornine can be decreased when combined with Verapamil. Dihydroergocristine The metabolism of Dihydroergocristine can be decreased when combined with Verapamil. Dihydroergotamine The metabolism of Dihydroergotamine can be decreased when combined with Verapamil. Dihydrostreptomycin Dihydrostreptomycin may decrease the excretion rate of Verapamil which could result in a higher serum level. Diltiazem Diltiazem may increase the arrhythmogenic activities of Verapamil. Dimercaprol Verapamil may decrease the excretion rate of Dimercaprol which could result in a higher serum level. Dimethyl sulfoxide Verapamil may decrease the excretion rate of Dimethyl sulfoxide which could result in a higher serum level. Dinutuximab The risk or severity of adverse effects can be increased when Verapamil is combined with Dinutuximab. Diosmin The serum concentration of Verapamil can be increased when it is combined with Diosmin. Diphenhydramine The metabolism of Diphenhydramine can be decreased when combined with Verapamil. Dipotassium phosphate The therapeutic efficacy of Dipotassium phosphate can be decreased when used in combination with Verapamil. Dipyridamole The risk or severity of adverse effects can be increased when Verapamil is combined with Dipyridamole. Disopyramide The risk or severity of sinus node depression can be increased when Verapamil is combined with Disopyramide. Disulfiram The metabolism of Disulfiram can be decreased when combined with Verapamil. DL-Methylephedrine Verapamil may decrease the excretion rate of DL-Methylephedrine which could result in a higher serum level. Dobutamine Verapamil may decrease the excretion rate of Dobutamine which could result in a higher serum level. Docetaxel The metabolism of Docetaxel can be decreased when combined with Verapamil. Docusate The therapeutic efficacy of Docusate can be decreased when used in combination with Verapamil. Dofetilide The serum concentration of Dofetilide can be increased when it is combined with Verapamil. Dolasetron The metabolism of Dolasetron can be decreased when combined with Verapamil. Dolutegravir The serum concentration of Dolutegravir can be increased when it is combined with Verapamil. Domperidone The metabolism of Domperidone can be decreased when combined with Verapamil. Donepezil The metabolism of Donepezil can be decreased when combined with Verapamil. Dopamine The risk or severity of adverse effects can be increased when Verapamil is combined with Dopamine. Dopexamine The therapeutic efficacy of Dopexamine can be decreased when used in combination with Verapamil. Doravirine The metabolism of Doravirine can be decreased when combined with Verapamil. Doripenem Verapamil may decrease the excretion rate of Doripenem which could result in a higher serum level. Dosulepin The metabolism of Verapamil can be decreased when combined with Dosulepin. Doxacurium Verapamil may increase the neuromuscular blocking activities of Doxacurium. Doxazosin The metabolism of Doxazosin can be decreased when combined with Verapamil. Doxepin The metabolism of Doxepin can be decreased when combined with Verapamil. Doxorubicin The serum concentration of Doxorubicin can be increased when it is combined with Verapamil. Doxycycline Doxycycline may decrease the excretion rate of Verapamil which could result in a higher serum level. Dronabinol The serum concentration of Dronabinol can be increased when it is combined with Verapamil. Dronedarone The serum concentration of Verapamil can be increased when it is combined with Dronedarone. Droperidol The risk or severity of hypotension can be increased when Droperidol is combined with Verapamil. Drospirenone The metabolism of Drospirenone can be decreased when combined with Verapamil. Droxidopa Verapamil may decrease the hypertensive activities of Droxidopa. Dulaglutide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Dulaglutide. Duloxetine The risk or severity of orthostatic hypotension and syncope can be increased when Verapamil is combined with Duloxetine. Dutasteride The metabolism of Dutasteride can be decreased when combined with Verapamil. Duvelisib The metabolism of Duvelisib can be decreased when combined with Verapamil. Dydrogesterone The metabolism of Dydrogesterone can be decreased when combined with Verapamil. Dyphylline Dyphylline may decrease the excretion rate of Verapamil which could result in a higher serum level. Ebastine The metabolism of Ebastine can be decreased when combined with Verapamil. Edoxaban The serum concentration of Edoxaban can be increased when it is combined with Verapamil. Edrophonium Verapamil may decrease the excretion rate of Edrophonium which could result in a higher serum level. Efavirenz The serum concentration of Verapamil can be decreased when it is combined with Efavirenz. Elacestrant The serum concentration of Elacestrant can be increased when it is combined with Verapamil. Elagolix The serum concentration of Elagolix can be increased when it is combined with Verapamil. Elbasvir The metabolism of Elbasvir can be decreased when combined with Verapamil. Eletriptan The metabolism of Eletriptan can be decreased when combined with Verapamil. Elexacaftor The serum concentration of Elexacaftor can be increased when it is combined with Verapamil. Eliglustat The metabolism of Eliglustat can be decreased when combined with Verapamil. Eltrombopag The metabolism of Eltrombopag can be decreased when combined with Verapamil. Elvitegravir The metabolism of Verapamil can be decreased when combined with Elvitegravir. Emapalumab The metabolism of Verapamil can be increased when combined with Emapalumab. Empagliflozin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Empagliflozin. Enalapril The risk or severity of adverse effects can be increased when Enalapril is combined with Verapamil. Enalaprilat The risk or severity of adverse effects can be increased when Verapamil is combined with Enalaprilat. Enasidenib The metabolism of Enasidenib can be decreased when combined with Verapamil. Encainide Verapamil may increase the arrhythmogenic activities of Encainide. Encorafenib The serum concentration of Encorafenib can be increased when it is combined with Verapamil. Enflurane The risk or severity of myocardial depression can be increased when Verapamil is combined with Enflurane. Enfortumab vedotin The metabolism of Enfortumab vedotin can be decreased when combined with Verapamil. Enoxacin The metabolism of Verapamil can be decreased when combined with Enoxacin. Entecavir The metabolism of Verapamil can be decreased when combined with Entecavir. Entrectinib The metabolism of Entrectinib can be decreased when combined with Verapamil. Enzalutamide The serum concentration of Verapamil can be decreased when it is combined with Enzalutamide. Epcoritamab The serum concentration of Verapamil can be increased when it is combined with Epcoritamab. Ephedrine Verapamil may decrease the hypertensive activities of Ephedrine. Epinastine The metabolism of Epinastine can be decreased when combined with Verapamil. Epinephrine The risk or severity of adverse effects can be increased when Verapamil is combined with Epinephrine. Eplerenone The metabolism of Eplerenone can be decreased when combined with Verapamil. Epoprostenol The risk or severity of adverse effects can be increased when Verapamil is combined with Epoprostenol. Eprosartan The risk or severity of adverse effects can be increased when Verapamil is combined with Eprosartan. Eravacycline The metabolism of Eravacycline can be decreased when combined with Verapamil. Erdafitinib The serum concentration of Verapamil can be increased when it is combined with Erdafitinib. Ergoloid mesylate The metabolism of Ergoloid mesylate can be decreased when combined with Verapamil. Ergometrine The metabolism of Ergometrine can be decreased when combined with Verapamil. Ergotamine The metabolism of Verapamil can be decreased when combined with Ergotamine. Erlotinib The metabolism of Erlotinib can be decreased when combined with Verapamil. Ertapenem Ertapenem may decrease the excretion rate of Verapamil which could result in a higher serum level. Ertugliflozin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Ertugliflozin. Erythrityl tetranitrate Verapamil may increase the vasodilatory activities of Erythrityl tetranitrate. Erythromycin The risk or severity of adverse effects can be increased when Erythromycin is combined with Verapamil. Escitalopram The metabolism of Escitalopram can be decreased when combined with Verapamil. Esketamine The metabolism of Esketamine can be decreased when combined with Verapamil. Esmolol The risk or severity of adverse effects can be increased when Verapamil is combined with Esmolol. Esomeprazole The metabolism of Esomeprazole can be decreased when combined with Verapamil. Estazolam The metabolism of Estazolam can be decreased when combined with Verapamil. Esterified estrogens The metabolism of Esterified estrogens can be decreased when combined with Verapamil. Estetrol The metabolism of Estetrol can be decreased when combined with Verapamil. Estradiol The metabolism of Estradiol can be decreased when combined with Verapamil. Estradiol acetate The metabolism of Estradiol acetate can be decreased when combined with Verapamil. Estradiol benzoate The metabolism of Estradiol benzoate can be decreased when combined with Verapamil. Estradiol cypionate The metabolism of Estradiol cypionate can be decreased when combined with Verapamil. Estradiol dienanthate The metabolism of Estradiol dienanthate can be decreased when combined with Verapamil. Estradiol valerate The metabolism of Estradiol valerate can be decreased when combined with Verapamil. Estramustine The metabolism of Estramustine can be decreased when combined with Verapamil. Estrone sulfate The metabolism of Estrone sulfate can be decreased when combined with Verapamil. Eszopiclone The metabolism of Eszopiclone can be decreased when combined with Verapamil. Etacrynic acid The risk or severity of adverse effects can be increased when Verapamil is combined with Etacrynic acid. Etafedrine Verapamil may decrease the excretion rate of Etafedrine which could result in a higher serum level. Etanercept The metabolism of Verapamil can be increased when combined with Etanercept. Ethambutol Ethambutol may decrease the excretion rate of Verapamil which could result in a higher serum level. Ethanol The serum concentration of Ethanol can be increased when it is combined with Verapamil. Ethinylestradiol The metabolism of Ethinylestradiol can be decreased when combined with Verapamil. Ethosuximide Ethosuximide may increase the arrhythmogenic activities of Verapamil. Ethynodiol diacetate The metabolism of Ethynodiol diacetate can be decreased when combined with Verapamil. Etilefrine The therapeutic efficacy of Etilefrine can be decreased when used in combination with Verapamil. Etodolac Etodolac may decrease the excretion rate of Verapamil which could result in a higher serum level. Etomidate Etomidate may decrease the excretion rate of Verapamil which could result in a higher serum level. Etonogestrel The metabolism of Etonogestrel can be decreased when combined with Verapamil. Etoposide The serum concentration of Etoposide can be increased when it is combined with Verapamil. Etoricoxib The metabolism of Etoricoxib can be decreased when combined with Verapamil. Etrasimod The risk or severity of QTc prolongation and torsade de pointes can be increased when Etrasimod is combined with Verapamil. Etravirine The metabolism of Etravirine can be decreased when combined with Verapamil. Eucalyptus oil Verapamil may decrease the excretion rate of Eucalyptus oil which could result in a higher serum level. Everolimus The serum concentration of Everolimus can be increased when it is combined with Verapamil. Exemestane The metabolism of Exemestane can be decreased when combined with Verapamil. Exenatide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Exenatide. Ezogabine Verapamil may decrease the excretion rate of Ezogabine which could result in a higher serum level. Famotidine The metabolism of Verapamil can be decreased when combined with Famotidine. Favipiravir The serum concentration of Verapamil can be increased when it is combined with Favipiravir. Fedratinib The serum concentration of Verapamil can be increased when it is combined with Fedratinib. Felbamate The metabolism of Felbamate can be decreased when combined with Verapamil. Felodipine Verapamil may increase the arrhythmogenic activities of Felodipine. Fenbufen Fenbufen may decrease the excretion rate of Verapamil which could result in a higher serum level. Fenfluramine The metabolism of Verapamil can be decreased when combined with Fenfluramine. Fenofibrate The metabolism of Fenofibrate can be decreased when combined with Verapamil. Fenofibric acid Verapamil may decrease the excretion rate of Fenofibric acid which could result in a higher serum level. Fenoldopam The risk or severity of adverse effects can be increased when Verapamil is combined with Fenoldopam. Fenoprofen Fenoprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Fenoterol The therapeutic efficacy of Fenoterol can be decreased when used in combination with Verapamil. Fentanyl The metabolism of Fentanyl can be decreased when combined with Verapamil. Fesoterodine The metabolism of Fesoterodine can be decreased when combined with Verapamil. Fexinidazole The risk or severity of adverse effects can be increased when Verapamil is combined with Fexinidazole. Fexofenadine The serum concentration of Fexofenadine can be increased when it is combined with Verapamil. Fezolinetant The metabolism of Fezolinetant can be decreased when combined with Verapamil. Finasteride The metabolism of Finasteride can be decreased when combined with Verapamil. Finerenone The serum concentration of Finerenone can be increased when it is combined with Verapamil. Fingolimod The risk or severity of bradycardia can be increased when Verapamil is combined with Fingolimod. Fish oil Verapamil may increase the arrhythmogenic activities of Fish oil. Flavoxate Verapamil may decrease the excretion rate of Flavoxate which could result in a higher serum level. Flecainide The risk or severity of adverse effects can be increased when Verapamil is combined with Flecainide. Flibanserin The metabolism of Flibanserin can be decreased when combined with Verapamil. Floctafenine Floctafenine may decrease the excretion rate of Verapamil which could result in a higher serum level. Florbetaben F-18 Verapamil may decrease the excretion rate of Florbetaben (18F) which could result in a higher serum level. Florbetapir (18F) Verapamil may decrease the excretion rate of Florbetapir (18F) which could result in a higher serum level. Floxuridine Floxuridine may decrease the excretion rate of Verapamil which could result in a higher serum level. Fluconazole The metabolism of Verapamil can be decreased when combined with Fluconazole. Flucytosine Verapamil may decrease the excretion rate of Flucytosine which could result in a higher serum level. Fludeoxyglucose (18F) Verapamil may decrease the excretion rate of Fludeoxyglucose (18F) which could result in a higher serum level. Fludrocortisone The metabolism of Fludrocortisone can be decreased when combined with Verapamil. Flumazenil Verapamil may decrease the excretion rate of Flumazenil which could result in a higher serum level. Flumethasone The metabolism of Flumethasone can be decreased when combined with Verapamil. Flunarizine Verapamil may increase the arrhythmogenic activities of Flunarizine. Flunitrazepam The metabolism of Flunitrazepam can be decreased when combined with Verapamil. Fluocinolone acetonide The metabolism of Fluocinolone acetonide can be decreased when combined with Verapamil. Fluocinonide The metabolism of Fluocinonide can be decreased when combined with Verapamil. Fluocortolone The metabolism of Fluocortolone can be decreased when combined with Verapamil. Fluorouracil The metabolism of Verapamil can be decreased when combined with Fluorouracil. Fluoxetine The metabolism of Verapamil can be decreased when combined with Fluoxetine. Flupentixol The risk or severity of hypotension can be increased when Flupentixol is combined with Verapamil. Fluprednisolone The metabolism of Fluprednisolone can be decreased when combined with Verapamil. Flurazepam The metabolism of Flurazepam can be decreased when combined with Verapamil. Flurbiprofen Flurbiprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Fluspirilene Verapamil may increase the arrhythmogenic activities of Fluspirilene. Flutamide The metabolism of Flutamide can be decreased when combined with Verapamil. Fluticasone The metabolism of Fluticasone can be decreased when combined with Verapamil. Fluticasone furoate The serum concentration of Fluticasone furoate can be increased when it is combined with Verapamil. Fluticasone propionate The metabolism of Fluticasone propionate can be decreased when combined with Verapamil. Fluvastatin The metabolism of Fluvastatin can be decreased when combined with Verapamil. Fluvoxamine The metabolism of Verapamil can be decreased when combined with Fluvoxamine. Folic acid Folic acid may decrease the excretion rate of Verapamil which could result in a higher serum level. Fomepizole Verapamil may decrease the excretion rate of Fomepizole which could result in a higher serum level. Fondaparinux Fondaparinux may decrease the excretion rate of Verapamil which could result in a higher serum level. Formestane Verapamil may decrease the excretion rate of Formestane which could result in a higher serum level. Formoterol The risk or severity of adverse effects can be increased when Verapamil is combined with Formoterol. Fosamprenavir The metabolism of Fosamprenavir can be decreased when combined with Verapamil. Fosaprepitant The metabolism of Fosaprepitant can be decreased when combined with Verapamil. Foscarnet Foscarnet may decrease the excretion rate of Verapamil which could result in a higher serum level. Fosfomycin Verapamil may decrease the excretion rate of Fosfomycin which could result in a higher serum level. Fosinopril The risk or severity of adverse effects can be increased when Fosinopril is combined with Verapamil. Fosnetupitant The metabolism of Fosnetupitant can be decreased when combined with Verapamil. Fosphenytoin The serum concentration of Verapamil can be decreased when it is combined with Fosphenytoin. Fostamatinib The metabolism of Fostamatinib can be decreased when combined with Verapamil. Fostemsavir The metabolism of Fostemsavir can be decreased when combined with Verapamil. Framycetin Framycetin may decrease the excretion rate of Verapamil which could result in a higher serum level. Frangula purshiana bark The therapeutic efficacy of Frangula purshiana bark can be decreased when used in combination with Verapamil. Frovatriptan The metabolism of Frovatriptan can be decreased when combined with Verapamil. Fruquintinib The metabolism of Fruquintinib can be decreased when combined with Verapamil. Furosemide The risk or severity of adverse effects can be increased when Verapamil is combined with Furosemide. Fusidic acid The metabolism of Fusidic acid can be decreased when combined with Verapamil. Futibatinib The serum concentration of Futibatinib can be increased when it is combined with Verapamil. Gabapentin enacarbil Verapamil may decrease the excretion rate of Gabapentin enacarbil which could result in a higher serum level. Gadobenic acid Verapamil may decrease the excretion rate of Gadobenic acid which could result in a higher serum level. Gadodiamide Gadodiamide may decrease the excretion rate of Verapamil which could result in a higher serum level. Gadofosveset trisodium Verapamil may decrease the excretion rate of Gadofosveset trisodium which could result in a higher serum level. Gadopentetic acid Verapamil may decrease the excretion rate of Gadopentetic acid which could result in a higher serum level. Gadoteric acid Verapamil may decrease the excretion rate of Gadoteric acid which could result in a higher serum level. Gadoteridol Gadoteridol may decrease the excretion rate of Verapamil which could result in a higher serum level. Galantamine The metabolism of Galantamine can be decreased when combined with Verapamil. Gallamine triethiodide Verapamil may increase the neuromuscular blocking activities of Gallamine triethiodide. Ganciclovir The risk or severity of adverse effects can be increased when Verapamil is combined with Ganciclovir. Gatifloxacin The metabolism of Verapamil can be decreased when combined with Gatifloxacin. Gefitinib The metabolism of Gefitinib can be decreased when combined with Verapamil. Gemcitabine The serum concentration of Gemcitabine can be increased when it is combined with Verapamil. Gemfibrozil The metabolism of Gemfibrozil can be decreased when combined with Verapamil. Gemifloxacin The metabolism of Verapamil can be decreased when combined with Gemifloxacin. Gentamicin Verapamil may decrease the excretion rate of Gentamicin which could result in a higher serum level. Gepirone The serum concentration of Gepirone can be increased when it is combined with Verapamil. Gestrinone The metabolism of Gestrinone can be decreased when combined with Verapamil. Gilteritinib The metabolism of Gilteritinib can be decreased when combined with Verapamil. Gimeracil Verapamil may decrease the excretion rate of Gimeracil which could result in a higher serum level. Givosiran The serum concentration of Verapamil can be increased when it is combined with Givosiran. Glasdegib The metabolism of Glasdegib can be decreased when combined with Verapamil. Glecaprevir The serum concentration of Glecaprevir can be increased when it is combined with Verapamil. Gliclazide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Gliclazide. Glimepiride The risk or severity of hypoglycemia can be increased when Verapamil is combined with Glimepiride. Glipizide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Glipizide. Gliquidone The risk or severity of hypoglycemia can be increased when Verapamil is combined with Gliquidone. Glofitamab The serum concentration of Verapamil can be increased when it is combined with Glofitamab. Gluconic Acid The therapeutic efficacy of Gluconic Acid can be decreased when used in combination with Verapamil. Glyburide The metabolism of Glyburide can be decreased when combined with Verapamil. Glycerin The therapeutic efficacy of Glycerin can be decreased when used in combination with Verapamil. Glycerol phenylbutyrate Verapamil may decrease the excretion rate of Glycerol phenylbutyrate which could result in a higher serum level. Glymidine The risk or severity of hypoglycemia can be increased when Verapamil is combined with Glymidine. Golimumab The metabolism of Verapamil can be increased when combined with Golimumab. Golodirsen Verapamil may decrease the excretion rate of Golodirsen which could result in a higher serum level. Goserelin Goserelin may decrease the excretion rate of Verapamil which could result in a higher serum level. Granisetron The metabolism of Granisetron can be decreased when combined with Verapamil. Grazoprevir The metabolism of Grazoprevir can be decreased when combined with Verapamil. Grepafloxacin The metabolism of Grepafloxacin can be decreased when combined with Verapamil. Guanabenz The metabolism of Verapamil can be decreased when combined with Guanabenz. Guanadrel Verapamil may increase the hypotensive activities of Guanadrel. Guanethidine Verapamil may decrease the excretion rate of Guanethidine which could result in a higher serum level. Guanfacine The metabolism of Guanfacine can be decreased when combined with Verapamil. Guanoxan Verapamil may increase the hypotensive activities of Guanoxan. Halofantrine The metabolism of Halofantrine can be decreased when combined with Verapamil. Haloperidol The serum concentration of Haloperidol can be increased when it is combined with Verapamil. Halothane The risk or severity of myocardial depression can be increased when Verapamil is combined with Halothane. Histamine The risk or severity of adverse effects can be increased when Verapamil is combined with Histamine. Hydralazine The risk or severity of adverse effects can be increased when Verapamil is combined with Hydralazine. Hydrochlorothiazide The risk or severity of adverse effects can be increased when Verapamil is combined with Hydrochlorothiazide. Hydrocodone The metabolism of Hydrocodone can be decreased when combined with Verapamil. Hydrocortisone The metabolism of Hydrocortisone can be decreased when combined with Verapamil. Hydrocortisone acetate The metabolism of Hydrocortisone acetate can be decreased when combined with Verapamil. Hydrocortisone butyrate The metabolism of Hydrocortisone butyrate can be decreased when combined with Verapamil. Hydrocortisone cypionate The metabolism of Hydrocortisone cypionate can be decreased when combined with Verapamil. Hydrocortisone phosphate The metabolism of Hydrocortisone phosphate can be decreased when combined with Verapamil. Hydrocortisone succinate The metabolism of Hydrocortisone succinate can be decreased when combined with Verapamil. Hydroflumethiazide The risk or severity of adverse effects can be increased when Verapamil is combined with Hydroflumethiazide. Hydromorphone Hydromorphone may decrease the excretion rate of Verapamil which could result in a higher serum level. Hydrotalcite The risk or severity of hypotension can be increased when Hydrotalcite is combined with Verapamil. Hydroxocobalamin Hydroxocobalamin may decrease the excretion rate of Verapamil which could result in a higher serum level. Hydroxychloroquine The metabolism of Hydroxychloroquine can be decreased when combined with Verapamil. Hydroxyethyl Starch Verapamil may decrease the excretion rate of Hydroxyethyl Starch which could result in a higher serum level. Hydroxyprogesterone caproate The metabolism of Hydroxyprogesterone caproate can be decreased when combined with Verapamil. Hydroxyzine The metabolism of Hydroxyzine can be decreased when combined with Verapamil. Hyoscyamine Hyoscyamine may increase the arrhythmogenic activities of Verapamil. Ibrexafungerp The metabolism of Ibrexafungerp can be decreased when combined with Verapamil. Ibrutinib The metabolism of Ibrutinib can be decreased when combined with Verapamil. Ibuprofen The metabolism of Ibuprofen can be decreased when combined with Verapamil. Ibutilide Ibutilide may increase the arrhythmogenic activities of Verapamil. Icatibant Verapamil may decrease the excretion rate of Icatibant which could result in a higher serum level. Icosapent Icosapent may decrease the excretion rate of Verapamil which could result in a higher serum level. Idarubicin The metabolism of Idarubicin can be decreased when combined with Verapamil. Idarucizumab Verapamil may decrease the excretion rate of Idarucizumab which could result in a higher serum level. Idebenone Verapamil may decrease the excretion rate of Idebenone which could result in a higher serum level. Idelalisib The metabolism of Idelalisib can be decreased when combined with Verapamil. Ifosfamide The metabolism of Ifosfamide can be decreased when combined with Verapamil. Iloperidone The risk or severity of hypotension can be increased when Verapamil is combined with Iloperidone. Iloprost Iloprost may increase the hypotensive activities of Verapamil. Imatinib The metabolism of Imatinib can be decreased when combined with Verapamil. Imipramine The serum concentration of Imipramine can be increased when it is combined with Verapamil. Indacaterol The metabolism of Indacaterol can be decreased when combined with Verapamil. Indapamide The metabolism of Indapamide can be decreased when combined with Verapamil. Indigotindisulfonic acid Verapamil may decrease the excretion rate of Indigotindisulfonic acid which could result in a higher serum level. Indinavir The metabolism of Verapamil can be decreased when combined with Indinavir. Indomethacin Indomethacin may decrease the excretion rate of Verapamil which could result in a higher serum level. Indoramin The risk or severity of hypotension can be increased when Indoramin is combined with Verapamil. Infigratinib The metabolism of Infigratinib can be decreased when combined with Verapamil. Infliximab The metabolism of Verapamil can be increased when combined with Infliximab. Inosine pranobex Verapamil may decrease the excretion rate of Inosine pranobex which could result in a higher serum level. Inositol Verapamil may decrease the excretion rate of Inositol which could result in a higher serum level. Inotersen Inotersen may decrease the excretion rate of Verapamil which could result in a higher serum level. Insulin aspart The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin aspart. Insulin beef The metabolism of Verapamil can be increased when combined with Insulin beef. Insulin degludec The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin degludec. Insulin detemir The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin detemir. Insulin glargine The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin glargine. Insulin glulisine The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin glulisine. Insulin human The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin human. Insulin lispro The risk or severity of hypoglycemia can be increased when Verapamil is combined with Insulin lispro. Insulin pork The metabolism of Verapamil can be increased when combined with Insulin pork. Interferon alfa-2a The metabolism of Verapamil can be decreased when combined with Interferon alfa-2a. Interferon alfa-2b The metabolism of Verapamil can be decreased when combined with Interferon alfa-2b. Interferon alfa-n1 The metabolism of Verapamil can be decreased when combined with Interferon alfa-n1. Interferon alfa-n3 The metabolism of Verapamil can be decreased when combined with Interferon alfa-n3. Interferon alfacon-1 The metabolism of Verapamil can be decreased when combined with Interferon alfacon-1. Interferon beta-1a The metabolism of Verapamil can be decreased when combined with Interferon beta-1a. Interferon beta-1b The metabolism of Verapamil can be decreased when combined with Interferon beta-1b. Interferon gamma-1b The metabolism of Verapamil can be decreased when combined with Interferon gamma-1b. Iobenguane sulfate I-123 Verapamil may decrease the excretion rate of Iobenguane sulfate I-123 which could result in a higher serum level. Iodixanol Verapamil may decrease the excretion rate of Iodixanol which could result in a higher serum level. Iofetamine I-123 The therapeutic efficacy of Verapamil can be decreased when used in combination with Iofetamine I-123. Ioflupane I-123 Verapamil may decrease the excretion rate of Ioflupane I-123 which could result in a higher serum level. Iopromide Verapamil may decrease the excretion rate of Iopromide which could result in a higher serum level. Iothalamic acid Verapamil may decrease the excretion rate of Iothalamic acid which could result in a higher serum level. Ioversol Verapamil may decrease the excretion rate of Ioversol which could result in a higher serum level. Ioxilan Verapamil may decrease the excretion rate of Ioxilan which could result in a higher serum level. Ipecac The metabolism of Ipecac can be decreased when combined with Verapamil. Ipilimumab Verapamil may decrease the excretion rate of Ipilimumab which could result in a higher serum level. Iptacopan The metabolism of Iptacopan can be decreased when combined with Verapamil. Irbesartan The risk or severity of adverse effects can be increased when Verapamil is combined with Irbesartan. Irinotecan The metabolism of Irinotecan can be decreased when combined with Verapamil. Isavuconazole The serum concentration of Verapamil can be increased when it is combined with Isavuconazole. Isavuconazonium The serum concentration of Verapamil can be increased when it is combined with Isavuconazonium. Isocarboxazid Isocarboxazid may increase the orthostatic hypotensive activities of Verapamil. Isoetharine The therapeutic efficacy of Isoetharine can be decreased when used in combination with Verapamil. Isoflurane The risk or severity of myocardial depression can be increased when Verapamil is combined with Isoflurane. Isometheptene The therapeutic efficacy of Isometheptene can be decreased when used in combination with Verapamil. Isoniazid The metabolism of Verapamil can be decreased when combined with Isoniazid. Isoprenaline The therapeutic efficacy of Isoprenaline can be decreased when used in combination with Verapamil. Isosorbide Verapamil may increase the vasodilatory activities of Isosorbide. Isosorbide dinitrate Verapamil may increase the vasodilatory activities of Isosorbide dinitrate. Isosorbide mononitrate Verapamil may increase the vasodilatory activities of Isosorbide mononitrate. Isosulfan blue Verapamil may decrease the excretion rate of Isosulfan blue which could result in a higher serum level. Isotretinoin The metabolism of Isotretinoin can be decreased when combined with Verapamil. Isoxicam Isoxicam may decrease the excretion rate of Verapamil which could result in a higher serum level. Isoxsuprine The risk or severity of adverse effects can be increased when Verapamil is combined with Isoxsuprine. Isradipine Isradipine may increase the arrhythmogenic activities of Verapamil. Istradefylline The metabolism of Istradefylline can be decreased when combined with Verapamil. Itraconazole The metabolism of Verapamil can be decreased when combined with Itraconazole. Ivabradine The metabolism of Ivabradine can be decreased when combined with Verapamil. Ivacaftor The metabolism of Ivacaftor can be decreased when combined with Verapamil. Ivermectin The metabolism of Ivermectin can be decreased when combined with Verapamil. Ivosidenib The metabolism of Ivosidenib can be decreased when combined with Verapamil. Ixabepilone The metabolism of Ixabepilone can be decreased when combined with Verapamil. Ixazomib The metabolism of Ixazomib can be decreased when combined with Verapamil. Kanamycin Verapamil may decrease the excretion rate of Kanamycin which could result in a higher serum level. Ketamine The metabolism of Ketamine can be decreased when combined with Verapamil. Ketazolam The metabolism of Ketazolam can be decreased when combined with Verapamil. Ketoconazole The metabolism of Verapamil can be decreased when combined with Ketoconazole. Ketoprofen Ketoprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Ketorolac Ketorolac may decrease the excretion rate of Verapamil which could result in a higher serum level. Labetalol The risk or severity of adverse effects can be increased when Verapamil is combined with Labetalol. Lacidipine Verapamil may increase the hypotensive activities of Lacidipine. Lacosamide The risk or severity of ventricular arrhythmias, bradycardia, and heart block can be increased when Verapamil is combined with Lacosamide. Lactitol The therapeutic efficacy of Lactitol can be decreased when used in combination with Verapamil. Lactulose The therapeutic efficacy of Lactulose can be decreased when used in combination with Verapamil. Lamivudine The risk or severity of adverse effects can be increased when Verapamil is combined with Lamivudine. Lamotrigine Lamotrigine may increase the arrhythmogenic activities of Verapamil. Lanreotide Verapamil may increase the bradycardic activities of Lanreotide. Lansoprazole The metabolism of Lansoprazole can be decreased when combined with Verapamil. Lapatinib The metabolism of Lapatinib can be decreased when combined with Verapamil. Larotrectinib The metabolism of Larotrectinib can be decreased when combined with Verapamil. Lasmiditan The serum concentration of Verapamil can be increased when it is combined with Lasmiditan. Latamoxef Latamoxef may decrease the excretion rate of Verapamil which could result in a higher serum level. Ledipasvir The serum concentration of Ledipasvir can be increased when it is combined with Verapamil. Lefamulin Verapamil may decrease the excretion rate of Lefamulin which could result in a higher serum level. Leflunomide The serum concentration of Verapamil can be decreased when it is combined with Leflunomide. Lemborexant The serum concentration of Lemborexant can be increased when it is combined with Verapamil. Lenacapavir The metabolism of Lenacapavir can be decreased when combined with Verapamil. Lenalidomide Lenalidomide may decrease the excretion rate of Verapamil which could result in a higher serum level. Leniolisib The metabolism of Verapamil can be decreased when combined with Leniolisib. Lenvatinib The serum concentration of Lenvatinib can be increased when it is combined with Verapamil. Lercanidipine Lercanidipine may increase the arrhythmogenic activities of Verapamil. Lesinurad Verapamil may decrease the excretion rate of Lesinurad which could result in a higher serum level. Letermovir The metabolism of Verapamil can be decreased when combined with Letermovir. Letrozole The metabolism of Letrozole can be decreased when combined with Verapamil. Leuprolide Leuprolide may decrease the excretion rate of Verapamil which could result in a higher serum level. Levacetylmethadol The metabolism of Levacetylmethadol can be decreased when combined with Verapamil. Levamlodipine The serum concentration of Levamlodipine can be increased when it is combined with Verapamil. Levobetaxolol The risk or severity of adverse effects can be increased when Verapamil is combined with Levobetaxolol. Levobunolol The risk or severity of adverse effects can be increased when Verapamil is combined with Levobunolol. Levobupivacaine The metabolism of Levobupivacaine can be decreased when combined with Verapamil. Levocarnitine Levocarnitine may decrease the excretion rate of Verapamil which could result in a higher serum level. Levocetirizine The metabolism of Levocetirizine can be decreased when combined with Verapamil. Levodopa The risk or severity of hypotension and orthostatic hypotension can be increased when Verapamil is combined with Levodopa. Levofloxacin Verapamil may decrease the excretion rate of Levofloxacin which could result in a higher serum level. Levoketoconazole The metabolism of Verapamil can be decreased when combined with Levoketoconazole. Levomenthol Verapamil may increase the arrhythmogenic activities of Levomenthol. Levomilnacipran The metabolism of Levomilnacipran can be decreased when combined with Verapamil. Levonordefrin Verapamil may decrease the hypertensive activities of Levonordefrin. Levonorgestrel The metabolism of Levonorgestrel can be decreased when combined with Verapamil. Levosalbutamol Verapamil may decrease the excretion rate of Levosalbutamol which could result in a higher serum level. Levosimendan Verapamil may increase the arrhythmogenic activities of Levosimendan. Lidocaine Lidocaine may increase the arrhythmogenic activities of Verapamil. Lidoflazine Verapamil may increase the arrhythmogenic activities of Lidoflazine. Linaclotide The therapeutic efficacy of Linaclotide can be decreased when used in combination with Verapamil. Linagliptin The metabolism of Linagliptin can be decreased when combined with Verapamil. Linezolid Linezolid may increase the orthostatic hypotensive activities of Verapamil. Liothyronine Liothyronine may decrease the excretion rate of Verapamil which could result in a higher serum level. Liotrix The metabolism of Liotrix can be decreased when combined with Verapamil. Liraglutide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Liraglutide. Lisdexamfetamine The serum concentration of dextroamphetamine, an active metabolite of Lisdexamfetamine, can be increased when used in combination with Verapamil. Lisinopril The risk or severity of adverse effects can be increased when Verapamil is combined with Lisinopril. Lisuride The metabolism of Lisuride can be decreased when combined with Verapamil. Lithium carbonate The risk or severity of adverse effects can be increased when Verapamil is combined with Lithium carbonate. Lithium citrate The risk or severity of adverse effects can be increased when Verapamil is combined with Lithium citrate. Lithium hydroxide The risk or severity of adverse effects can be increased when Verapamil is combined with Lithium hydroxide. Lixisenatide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Lixisenatide. Lofexidine The metabolism of Lofexidine can be decreased when combined with Verapamil. Lomefloxacin The metabolism of Lomefloxacin can be decreased when combined with Verapamil. Lomitapide The metabolism of Lomitapide can be decreased when combined with Verapamil. Lonafarnib The metabolism of Verapamil can be decreased when combined with Lonafarnib. Lonapegsomatropin The metabolism of Verapamil can be increased when combined with Lonapegsomatropin. Loncastuximab tesirine The serum concentration of Loncastuximab tesirine can be increased when it is combined with Verapamil. Loperamide The excretion of Loperamide can be decreased when combined with Verapamil. Lopinavir The metabolism of Verapamil can be decreased when combined with Lopinavir. Loracarbef Loracarbef may decrease the excretion rate of Verapamil which could result in a higher serum level. Loratadine The metabolism of Loratadine can be decreased when combined with Verapamil. Lorazepam Lorazepam may decrease the excretion rate of Verapamil which could result in a higher serum level. Lorcaserin The metabolism of Lorcaserin can be decreased when combined with Verapamil. Lorlatinib The metabolism of Lorlatinib can be decreased when combined with Verapamil. Lornoxicam Lornoxicam may decrease the excretion rate of Verapamil which could result in a higher serum level. Lorpiprazole The metabolism of Lorpiprazole can be decreased when combined with Verapamil. Losartan Verapamil may increase the arrhythmogenic activities of Losartan. Lovastatin The risk or severity of myopathy and rhabdomyolysis can be increased when Verapamil is combined with Lovastatin. Loxapine The serum concentration of Verapamil can be increased when it is combined with Loxapine. Loxoprofen Loxoprofen may decrease the excretion rate of Verapamil which could result in a higher serum level. Lubiprostone The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Verapamil. Lucinactant Verapamil may increase the bradycardic activities of Lucinactant. Lumacaftor The serum concentration of Verapamil can be decreased when it is combined with Lumacaftor. Lumateperone The serum concentration of Lumateperone can be increased when it is combined with Verapamil. Lumefantrine The metabolism of Lumefantrine can be decreased when combined with Verapamil. Lumiracoxib Lumiracoxib may decrease the excretion rate of Verapamil which could result in a higher serum level. Lurasidone The metabolism of Lurasidone can be decreased when combined with Verapamil. Lurbinectedin The serum concentration of Lurbinectedin can be increased when it is combined with Verapamil. Lusutrombopag The serum concentration of Lusutrombopag can be increased when it is combined with Verapamil. Lynestrenol The metabolism of Lynestrenol can be decreased when combined with Verapamil. Macimorelin The metabolism of Macimorelin can be decreased when combined with Verapamil. Macitentan The metabolism of Macitentan can be decreased when combined with Verapamil. Magaldrate The risk or severity of hypotension can be increased when Magaldrate is combined with Verapamil. Magnesium Magnesium can cause a decrease in the absorption of Verapamil resulting in a reduced serum concentration and potentially a decrease in efficacy. Magnesium acetate The therapeutic efficacy of Magnesium acetate can be decreased when used in combination with Verapamil. Magnesium acetate tetrahydrate The therapeutic efficacy of Magnesium acetate tetrahydrate can be decreased when used in combination with Verapamil. Magnesium carbonate The risk or severity of hypotension can be increased when Magnesium carbonate is combined with Verapamil. Magnesium cation The therapeutic efficacy of Magnesium cation can be decreased when used in combination with Verapamil. Magnesium chloride The risk or severity of hypotension can be increased when Magnesium chloride is combined with Verapamil. Magnesium citrate The risk or severity of hypotension can be increased when Magnesium citrate is combined with Verapamil. Magnesium gluconate The risk or severity of hypotension can be increased when Magnesium gluconate is combined with Verapamil. Magnesium glycinate The therapeutic efficacy of Magnesium glycinate can be decreased when used in combination with Verapamil. Magnesium hydroxide The risk or severity of hypotension can be increased when Magnesium hydroxide is combined with Verapamil. Magnesium oxide The risk or severity of hypotension can be increased when Magnesium oxide is combined with Verapamil. Magnesium silicate The risk or severity of hypotension can be increased when Magnesium silicate is combined with Verapamil. Magnesium sulfate Magnesium sulfate may increase the arrhythmogenic activities of Verapamil. Magnesium trisilicate The risk or severity of hypotension can be increased when Magnesium trisilicate is combined with Verapamil. Mangafodipir Verapamil may decrease the excretion rate of Mangafodipir which could result in a higher serum level. Manidipine Verapamil may increase the arrhythmogenic activities of Manidipine. Mannitol The serum concentration of Mannitol can be increased when it is combined with Verapamil. Maprotiline The metabolism of Maprotiline can be decreased when combined with Verapamil. Maraviroc The metabolism of Maraviroc can be decreased when combined with Verapamil. Maribavir The metabolism of Maribavir can be decreased when combined with Verapamil. Mavacamten The serum concentration of Mavacamten can be increased when it is combined with Verapamil. Mecamylamine The risk or severity of adverse effects can be increased when Mecamylamine is combined with Verapamil. Mecasermin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Mecasermin. Meclizine The metabolism of Meclizine can be decreased when combined with Verapamil. Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Verapamil which could result in a higher serum level. Medrogestone The metabolism of Medrogestone can be decreased when combined with Verapamil. Medroxyprogesterone acetate The metabolism of Medroxyprogesterone acetate can be decreased when combined with Verapamil. Mefenamic acid The metabolism of Mefenamic acid can be decreased when combined with Verapamil. Mefloquine The metabolism of Mefloquine can be decreased when combined with Verapamil. Megestrol acetate The metabolism of Megestrol acetate can be decreased when combined with Verapamil. Melatonin The therapeutic efficacy of Verapamil can be decreased when used in combination with Melatonin. Meloxicam The metabolism of Meloxicam can be decreased when combined with Verapamil. Memantine Verapamil may decrease the excretion rate of Memantine which could result in a higher serum level. Meperidine The metabolism of Meperidine can be decreased when combined with Verapamil. Mephentermine The therapeutic efficacy of Verapamil can be decreased when used in combination with Mephentermine. Mephenytoin The metabolism of Verapamil can be decreased when combined with Mephenytoin. Mepivacaine Verapamil may decrease the excretion rate of Mepivacaine which could result in a higher serum level. Meprednisone The metabolism of Meprednisone can be decreased when combined with Verapamil. Meropenem Verapamil may decrease the excretion rate of Meropenem which could result in a higher serum level. Mesalazine The risk or severity of bleeding can be increased when Verapamil is combined with Mesalazine. Mesoridazine The metabolism of Mesoridazine can be decreased when combined with Verapamil. Mestranol The metabolism of Mestranol can be decreased when combined with Verapamil. Metamfetamine The therapeutic efficacy of Verapamil can be decreased when used in combination with Metamfetamine. Metamizole Metamizole may decrease the excretion rate of Verapamil which could result in a higher serum level. Metaraminol The therapeutic efficacy of Metaraminol can be decreased when used in combination with Verapamil. Metaxalone Metaxalone may decrease the excretion rate of Verapamil which could result in a higher serum level. Metformin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Metformin. Methadone The metabolism of Methadone can be decreased when combined with Verapamil. Methazolamide The risk or severity of adverse effects can be increased when Verapamil is combined with Methazolamide. Methimazole The metabolism of Verapamil can be decreased when combined with Methimazole. Methohexital Methohexital may increase the hypotensive activities of Verapamil. Methotrexate The metabolism of Methotrexate can be decreased when combined with Verapamil. Methotrimeprazine The risk or severity of hypotension can be increased when Methotrimeprazine is combined with Verapamil. Methoxamine The therapeutic efficacy of Methoxamine can be decreased when used in combination with Verapamil. Methoxsalen The metabolism of Verapamil can be decreased when combined with Methoxsalen. Methoxyflurane The risk or severity of myocardial depression can be increased when Verapamil is combined with Methoxyflurane. Methoxyphenamine The therapeutic efficacy of Verapamil can be decreased when used in combination with Methoxyphenamine. Methsuximide Verapamil may increase the arrhythmogenic activities of Methsuximide. Methyl salicylate The risk or severity of bleeding can be increased when Verapamil is combined with Methyl salicylate. Methylcellulose The therapeutic efficacy of Methylcellulose can be decreased when used in combination with Verapamil. Methyldopa The risk or severity of adverse effects can be increased when Verapamil is combined with Methyldopa. Methylene blue Methylene blue may increase the orthostatic hypotensive activities of Verapamil. Methylergometrine The metabolism of Methylergometrine can be decreased when combined with Verapamil. Methylnaltrexone Verapamil may decrease the excretion rate of Methylnaltrexone which could result in a higher serum level. Methylphenobarbital Methylphenobarbital may increase the hypotensive activities of Verapamil. Methylprednisolone The metabolism of Methylprednisolone can be decreased when combined with Verapamil. Methylprednisone The metabolism of Methylprednisone can be decreased when combined with Verapamil. Methyltestosterone The metabolism of Methyltestosterone can be decreased when combined with Verapamil. Methysergide The metabolism of Methysergide can be decreased when combined with Verapamil. Meticrane Meticrane may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Metipranolol The risk or severity of adverse effects can be increased when Verapamil is combined with Metipranolol. Metoclopramide The metabolism of Metoclopramide can be decreased when combined with Verapamil. Metocurine Verapamil may increase the neuromuscular blocking activities of Metocurine. Metocurine iodide Verapamil may increase the neuromuscular blocking activities of Metocurine iodide. Metolazone The risk or severity of adverse effects can be increased when Metolazone is combined with Verapamil. Metoprolol The risk or severity of adverse effects can be increased when Verapamil is combined with Metoprolol. Metreleptin The metabolism of Verapamil can be increased when combined with Metreleptin. Metronidazole The metabolism of Metronidazole can be decreased when combined with Verapamil. Metyrapone Verapamil may decrease the excretion rate of Metyrapone which could result in a higher serum level. Metyrosine Verapamil may increase the hypotensive activities of Metyrosine. Mexiletine Mexiletine may increase the arrhythmogenic activities of Verapamil. Mianserin The metabolism of Mianserin can be decreased when combined with Verapamil. Miconazole The metabolism of Verapamil can be decreased when combined with Miconazole. Midazolam The serum concentration of Midazolam can be increased when it is combined with Verapamil. Midodrine Midodrine may increase the bradycardic activities of Verapamil. Midostaurin The metabolism of Verapamil can be decreased when combined with Midostaurin. Mifepristone The metabolism of Mifepristone can be decreased when combined with Verapamil. Migalastat Verapamil may decrease the excretion rate of Migalastat which could result in a higher serum level. Miglitol The risk or severity of hypoglycemia can be increased when Verapamil is combined with Miglitol. Milnacipran The metabolism of Milnacipran can be decreased when combined with Verapamil. Milrinone Milrinone may decrease the excretion rate of Verapamil which could result in a higher serum level. Minaprine Minaprine may increase the orthostatic hypotensive activities of Verapamil. Mineral oil The therapeutic efficacy of Mineral oil can be decreased when used in combination with Verapamil. Minoxidil The risk or severity of adverse effects can be increased when Minoxidil is combined with Verapamil. Mirabegron The metabolism of Mirabegron can be decreased when combined with Verapamil. Mirtazapine The metabolism of Mirtazapine can be decreased when combined with Verapamil. Mitapivat The metabolism of Mitapivat can be decreased when combined with Verapamil. Mitotane The metabolism of Verapamil can be increased when combined with Mitotane. Mivacurium Verapamil may increase the neuromuscular blocking activities of Mivacurium. Mobocertinib The metabolism of Mobocertinib can be decreased when combined with Verapamil. Moclobemide Moclobemide may increase the orthostatic hypotensive activities of Verapamil. Modafinil The metabolism of Modafinil can be decreased when combined with Verapamil. Moexipril The risk or severity of adverse effects can be increased when Verapamil is combined with Moexipril. Mometasone furoate The metabolism of Mometasone furoate can be decreased when combined with Verapamil. Monopotassium phosphate The therapeutic efficacy of Monopotassium phosphate can be decreased when used in combination with Verapamil. Montelukast The metabolism of Montelukast can be decreased when combined with Verapamil. Moricizine Verapamil may increase the arrhythmogenic activities of Moricizine. Morphine The metabolism of Morphine can be decreased when combined with Verapamil. Moxifloxacin The metabolism of Verapamil can be decreased when combined with Moxifloxacin. Moxisylyte Verapamil may decrease the excretion rate of Moxisylyte which could result in a higher serum level. Moxonidine The risk or severity of adverse effects can be increased when Verapamil is combined with Moxonidine. Muzolimine Muzolimine may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Mycophenolate mofetil The metabolism of Mycophenolate mofetil can be decreased when combined with Verapamil. Mycophenolic acid Verapamil may decrease the excretion rate of Mycophenolic acid which could result in a higher serum level. N-acetyltyrosine Verapamil may decrease the excretion rate of N-acetyltyrosine which could result in a higher serum level. Nabilone The metabolism of Nabilone can be decreased when combined with Verapamil. Nabumetone The metabolism of Verapamil can be decreased when combined with Nabumetone. Nadolol The risk or severity of adverse effects can be increased when Verapamil is combined with Nadolol. Nafcillin The therapeutic efficacy of Verapamil can be decreased when used in combination with Nafcillin. Naldemedine Verapamil may decrease the excretion rate of Naldemedine which could result in a higher serum level. Nalidixic acid The metabolism of Verapamil can be decreased when combined with Nalidixic acid. Nalmefene Verapamil may decrease the excretion rate of Nalmefene which could result in a higher serum level. Naloxegol The serum concentration of Naloxegol can be increased when it is combined with Verapamil. Naloxone Verapamil may decrease the excretion rate of Naloxone which could result in a higher serum level. Naphazoline The therapeutic efficacy of Naphazoline can be decreased when used in combination with Verapamil. Naproxen The metabolism of Naproxen can be decreased when combined with Verapamil. Nateglinide The metabolism of Nateglinide can be decreased when combined with Verapamil. Nebivolol The risk or severity of adverse effects can be increased when Verapamil is combined with Nebivolol. Nedaplatin Verapamil may decrease the excretion rate of Nedaplatin which could result in a higher serum level. Nedocromil Verapamil may decrease the excretion rate of Nedocromil which could result in a higher serum level. Nefazodone The metabolism of Verapamil can be decreased when combined with Nefazodone. Nelfinavir The metabolism of Verapamil can be decreased when combined with Nelfinavir. Neomycin Verapamil may decrease the excretion rate of Neomycin which could result in a higher serum level. Neratinib The metabolism of Neratinib can be decreased when combined with Verapamil. Nesiritide The risk or severity of adverse effects can be increased when Verapamil is combined with Nesiritide. Netilmicin Verapamil may decrease the excretion rate of Netilmicin which could result in a higher serum level. Netupitant The metabolism of Netupitant can be decreased when combined with Verapamil. Nevirapine The metabolism of Nevirapine can be decreased when combined with Verapamil. Nialamide Nialamide may increase the orthostatic hypotensive activities of Verapamil. Nicardipine Nicardipine may increase the arrhythmogenic activities of Verapamil. Nicergoline The risk or severity of hypotension can be increased when Nicergoline is combined with Verapamil. Niclosamide The metabolism of Verapamil can be decreased when combined with Niclosamide. Nicorandil Nicorandil may increase the hypotensive activities of Verapamil. Nifedipine Verapamil may increase the arrhythmogenic activities of Nifedipine. Nilotinib The metabolism of Verapamil can be decreased when combined with Nilotinib. Nilutamide Verapamil may decrease the excretion rate of Nilutamide which could result in a higher serum level. Nilvadipine Verapamil may increase the arrhythmogenic activities of Nilvadipine. Nimesulide Verapamil may increase the arrhythmogenic activities of Nimesulide. Nimodipine Nimodipine may increase the arrhythmogenic activities of Verapamil. Nintedanib The metabolism of Nintedanib can be decreased when combined with Verapamil. Nirmatrelvir The metabolism of Nirmatrelvir can be decreased when combined with Verapamil. Nirogacestat The serum concentration of Nirogacestat can be increased when it is combined with Verapamil. Nisoldipine Nisoldipine may increase the arrhythmogenic activities of Verapamil. Nitrazepam The metabolism of Nitrazepam can be decreased when combined with Verapamil. Nitrendipine Verapamil may increase the arrhythmogenic activities of Nitrendipine. Nitric Oxide The risk or severity of adverse effects can be increased when Nitric Oxide is combined with Verapamil. Nitrofurantoin Verapamil may decrease the excretion rate of Nitrofurantoin which could result in a higher serum level. Nitroglycerin Verapamil may increase the vasodilatory activities of Nitroglycerin. Nitroprusside Verapamil may increase the hypotensive activities of Nitroprusside. Nitrous acid The risk or severity of adverse effects can be increased when Verapamil is combined with Nitrous acid. Nitrous oxide The risk or severity of myocardial depression can be increased when Verapamil is combined with Nitrous oxide. Nomegestrol The metabolism of Nomegestrol can be decreased when combined with Verapamil. Nomegestrol acetate The metabolism of Nomegestrol acetate can be decreased when combined with Verapamil. Norelgestromin The metabolism of Norelgestromin can be decreased when combined with Verapamil. Norepinephrine The risk or severity of adverse effects can be increased when Verapamil is combined with Norepinephrine. Norethisterone The metabolism of Norethisterone can be decreased when combined with Verapamil. Norethynodrel The metabolism of Norethynodrel can be decreased when combined with Verapamil. Norfloxacin The metabolism of Verapamil can be decreased when combined with Norfloxacin. Norgestimate The metabolism of Norgestimate can be decreased when combined with Verapamil. Norgestrel The metabolism of Norgestrel can be decreased when combined with Verapamil. Nortriptyline The serum concentration of Nortriptyline can be increased when it is combined with Verapamil. Nylidrin Verapamil may increase the arrhythmogenic activities of Nylidrin. Obeticholic acid The metabolism of Verapamil can be decreased when combined with Obeticholic acid. Obinutuzumab The risk or severity of adverse effects can be increased when Verapamil is combined with Obinutuzumab. Octinoxate Verapamil may decrease the excretion rate of Octinoxate which could result in a higher serum level. Octreotide The serum concentration of the active metabolites of Octreotide can be increased when Octreotide is used in combination with Verapamil. Olanzapine The metabolism of Verapamil can be decreased when combined with Olanzapine. Olaparib The metabolism of Olaparib can be decreased when combined with Verapamil. Oliceridine The serum concentration of Oliceridine can be increased when it is combined with Verapamil. Olmesartan The risk or severity of adverse effects can be increased when Olmesartan is combined with Verapamil. Olodaterol The therapeutic efficacy of Olodaterol can be decreased when used in combination with Verapamil. Olsalazine The risk or severity of bleeding can be increased when Verapamil is combined with Olsalazine. Olutasidenib The metabolism of Olutasidenib can be decreased when combined with Verapamil. Omadacycline The serum concentration of Omadacycline can be increased when it is combined with Verapamil. Omaveloxolone The serum concentration of Omaveloxolone can be increased when it is combined with Verapamil. Ombitasvir The serum concentration of Ombitasvir can be increased when it is combined with Verapamil. Ondansetron The metabolism of Ondansetron can be decreased when combined with Verapamil. Opicapone The risk or severity of adverse effects can be increased when Verapamil is combined with Opicapone. Opium The metabolism of Opium can be decreased when combined with Verapamil. Orciprenaline The therapeutic efficacy of Orciprenaline can be decreased when used in combination with Verapamil. Orphenadrine The metabolism of Orphenadrine can be decreased when combined with Verapamil. Oseltamivir Oseltamivir may decrease the excretion rate of Verapamil which could result in a higher serum level. Osilodrostat The metabolism of Osilodrostat can be decreased when combined with Verapamil. Osimertinib The serum concentration of Verapamil can be decreased when it is combined with Osimertinib. Ospemifene The metabolism of Ospemifene can be decreased when combined with Verapamil. Oteseconazole The therapeutic efficacy of Oteseconazole can be increased when used in combination with Verapamil. Ouabain The serum concentration of Ouabain can be increased when it is combined with Verapamil. Oxacillin Verapamil may decrease the excretion rate of Oxacillin which could result in a higher serum level. Oxaprozin Oxaprozin may decrease the excretion rate of Verapamil which could result in a higher serum level. Oxazepam Verapamil may decrease the excretion rate of Oxazepam which could result in a higher serum level. Oxcarbazepine The serum concentration of the active metabolites of Oxcarbazepine can be decreased when Oxcarbazepine is used in combination with Verapamil. Oxprenolol The risk or severity of adverse effects can be increased when Verapamil is combined with Oxprenolol. Oxtriphylline The metabolism of Oxtriphylline can be decreased when combined with Verapamil. Oxybenzone Verapamil may decrease the excretion rate of Oxybenzone which could result in a higher serum level. Oxybutynin The metabolism of Oxybutynin can be decreased when combined with Verapamil. Oxycodone The metabolism of Oxycodone can be decreased when combined with Verapamil. Oxymetazoline The therapeutic efficacy of Oxymetazoline can be decreased when used in combination with Verapamil. Oxymorphone The metabolism of Oxymorphone can be decreased when combined with Verapamil. Oxyphenbutazone Oxyphenbutazone may decrease the excretion rate of Verapamil which could result in a higher serum level. Oxyphenisatin acetate The therapeutic efficacy of Oxyphenisatin acetate can be decreased when used in combination with Verapamil. Oxyquinoline Verapamil may decrease the excretion rate of Oxyquinoline which could result in a higher serum level. Paclitaxel The metabolism of Paclitaxel can be decreased when combined with Verapamil. Pacritinib The serum concentration of Pacritinib can be increased when it is combined with Verapamil. Palbociclib The metabolism of Palbociclib can be decreased when combined with Verapamil. Paliperidone The metabolism of Paliperidone can be decreased when combined with Verapamil. Palonosetron The metabolism of Palonosetron can be decreased when combined with Verapamil. Palovarotene The serum concentration of Palovarotene can be increased when it is combined with Verapamil. Pamidronic acid Pamidronic acid may decrease the excretion rate of Verapamil which could result in a higher serum level. Pancuronium Verapamil may increase the neuromuscular blocking activities of Pancuronium. Panobinostat The serum concentration of Panobinostat can be increased when it is combined with Verapamil. Pantoprazole The metabolism of Pantoprazole can be decreased when combined with Verapamil. Papaverine The risk or severity of adverse effects can be increased when Verapamil is combined with Papaverine. Paramethadione The metabolism of Paramethadione can be decreased when combined with Verapamil. Parecoxib The metabolism of Parecoxib can be decreased when combined with Verapamil. Pargyline Pargyline may increase the orthostatic hypotensive activities of Verapamil. Paricalcitol The metabolism of Paricalcitol can be decreased when combined with Verapamil. Paritaprevir The metabolism of Paritaprevir can be decreased when combined with Verapamil. Paromomycin Paromomycin may decrease the excretion rate of Verapamil which could result in a higher serum level. Paroxetine The metabolism of Paroxetine can be decreased when combined with Verapamil. Pasireotide Verapamil may increase the bradycardic activities of Pasireotide. Patent Blue The therapeutic efficacy of Verapamil can be decreased when used in combination with Patent Blue. Pazopanib The serum concentration of Pazopanib can be increased when it is combined with Verapamil. Pefloxacin The metabolism of Verapamil can be decreased when combined with Pefloxacin. Pegaptanib Verapamil may decrease the excretion rate of Pegaptanib which could result in a higher serum level. Peginesatide Verapamil may decrease the excretion rate of Peginesatide which could result in a higher serum level. Peginterferon alfa-2a The metabolism of Verapamil can be decreased when combined with Peginterferon alfa-2a. Peginterferon alfa-2b The serum concentration of Verapamil can be increased when it is combined with Peginterferon alfa-2b. Pemetrexed Verapamil may decrease the excretion rate of Pemetrexed which could result in a higher serum level. Pemigatinib The metabolism of Pemigatinib can be decreased when combined with Verapamil. Penbutolol The risk or severity of adverse effects can be increased when Verapamil is combined with Penbutolol. Penciclovir The metabolism of Verapamil can be decreased when combined with Penciclovir. Pentaerythritol tetranitrate Verapamil may increase the vasodilatory activities of Pentaerythritol tetranitrate. Pentamidine The metabolism of Pentamidine can be decreased when combined with Verapamil. Pentastarch Verapamil may decrease the excretion rate of Pentastarch which could result in a higher serum level. Pentetic acid Verapamil may decrease the excretion rate of Pentetic acid which could result in a higher serum level. Pentobarbital The metabolism of Verapamil can be increased when combined with Pentobarbital. Pentolinium Verapamil may increase the hypotensive activities of Pentolinium. Pentostatin Verapamil may decrease the excretion rate of Pentostatin which could result in a higher serum level. Pentoxifylline The metabolism of Pentoxifylline can be decreased when combined with Verapamil. Perampanel The metabolism of Perampanel can be decreased when combined with Verapamil. Pergolide The therapeutic efficacy of Pergolide can be decreased when used in combination with Verapamil. Perhexiline Verapamil may increase the arrhythmogenic activities of Perhexiline. Periciazine The risk or severity of hypotension can be increased when Periciazine is combined with Verapamil. Perindopril The risk or severity of adverse effects can be increased when Verapamil is combined with Perindopril. Permethrin Verapamil may decrease the excretion rate of Permethrin which could result in a higher serum level. Perphenazine The metabolism of Perphenazine can be decreased when combined with Verapamil. Pexidartinib The metabolism of Pexidartinib can be decreased when combined with Verapamil. Phenazopyridine Phenazopyridine may decrease the excretion rate of Verapamil which could result in a higher serum level. Phendimetrazine The therapeutic efficacy of Verapamil can be decreased when used in combination with Phendimetrazine. Phenelzine Phenelzine may increase the orthostatic hypotensive activities of Verapamil. Phenformin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Phenformin. Phenobarbital The metabolism of Verapamil can be increased when combined with Phenobarbital. Phenolphthalein The therapeutic efficacy of Phenolphthalein can be decreased when used in combination with Verapamil. Phenoxybenzamine The risk or severity of hypotension can be increased when Phenoxybenzamine is combined with Verapamil. Phenprocoumon The metabolism of Phenprocoumon can be decreased when combined with Verapamil. Phentermine The therapeutic efficacy of Verapamil can be decreased when used in combination with Phentermine. Phentolamine The risk or severity of hypotension can be increased when Phentolamine is combined with Verapamil. Phenyl aminosalicylate The risk or severity of bleeding can be increased when Verapamil is combined with Phenyl aminosalicylate. Phenylbutazone Phenylbutazone may decrease the excretion rate of Verapamil which could result in a higher serum level. Phenylephrine The risk or severity of hypertension can be decreased when Verapamil is combined with Phenylephrine. Phenylpropanolamine The therapeutic efficacy of Phenylpropanolamine can be decreased when used in combination with Verapamil. Phenytoin The serum concentration of Verapamil can be decreased when it is combined with Phenytoin. Pholcodine Verapamil may decrease the excretion rate of Pholcodine which could result in a higher serum level. Phosphoric acid Verapamil may decrease the excretion rate of Phosphoric acid which could result in a higher serum level. Phylloquinone Verapamil may decrease the excretion rate of Phylloquinone which could result in a higher serum level. Pibrentasvir The serum concentration of Pibrentasvir can be increased when it is combined with Verapamil. Picosulfuric acid The therapeutic efficacy of Picosulfuric acid can be decreased when used in combination with Verapamil. Pimavanserin The metabolism of Pimavanserin can be increased when combined with Verapamil. Pimozide The metabolism of Pimozide can be decreased when combined with Verapamil. Pinacidil The metabolism of Pinacidil can be decreased when combined with Verapamil. Pinaverium Verapamil may increase the arrhythmogenic activities of Pinaverium. Pindolol The risk or severity of adverse effects can be increased when Verapamil is combined with Pindolol. Pioglitazone The metabolism of Pioglitazone can be decreased when combined with Verapamil. Pipecuronium Verapamil may increase the neuromuscular blocking activities of Pipecuronium. Piperacillin Piperacillin may decrease the excretion rate of Verapamil which could result in a higher serum level. Piperaquine The metabolism of Piperaquine can be decreased when combined with Verapamil. Piperazine The metabolism of Piperazine can be decreased when combined with Verapamil. Pipotiazine The metabolism of Pipotiazine can be decreased when combined with Verapamil. Piracetam Verapamil may decrease the excretion rate of Piracetam which could result in a higher serum level. Pirbuterol The therapeutic efficacy of Pirbuterol can be decreased when used in combination with Verapamil. Piretanide Piretanide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Pirfenidone The metabolism of Pirfenidone can be decreased when combined with Verapamil. Piroxicam Piroxicam may decrease the excretion rate of Verapamil which could result in a higher serum level. Pirtobrutinib The metabolism of Pirtobrutinib can be decreased when combined with Verapamil. Pitolisant The serum concentration of Verapamil can be decreased when it is combined with Pitolisant. Pizotifen The risk or severity of hypotension can be increased when Pizotifen is combined with Verapamil. Plantago ovata seed The therapeutic efficacy of Plantago ovata seed can be decreased when used in combination with Verapamil. Plantago seed The therapeutic efficacy of Plantago seed can be decreased when used in combination with Verapamil. Plazomicin Verapamil may decrease the excretion rate of Plazomicin which could result in a higher serum level. Plecanatide The therapeutic efficacy of Plecanatide can be decreased when used in combination with Verapamil. Plerixafor Verapamil may decrease the excretion rate of Plerixafor which could result in a higher serum level. Polatuzumab vedotin The metabolism of Polatuzumab vedotin can be decreased when combined with Verapamil. Polyethylene glycol The therapeutic efficacy of Polyethylene glycol can be decreased when used in combination with Verapamil. Polythiazide Polythiazide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Pomalidomide The serum concentration of Pomalidomide can be increased when it is combined with Verapamil. Ponatinib The metabolism of Ponatinib can be decreased when combined with Verapamil. Ponesimod The risk or severity of bradycardia can be increased when Ponesimod is combined with Verapamil. Poractant alfa Verapamil may increase the bradycardic activities of Poractant alfa. Posaconazole The metabolism of Verapamil can be decreased when combined with Posaconazole. Potassium Potassium may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Potassium acetate Verapamil may decrease the excretion rate of Potassium acetate which could result in a higher serum level. Potassium bicarbonate Verapamil may decrease the excretion rate of Potassium bicarbonate which could result in a higher serum level. Potassium cation Verapamil may decrease the excretion rate of Potassium cation which could result in a higher serum level. Potassium chloride Verapamil may decrease the excretion rate of Potassium chloride which could result in a higher serum level. Potassium citrate Potassium citrate may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Potassium lactate The therapeutic efficacy of Potassium lactate can be decreased when used in combination with Verapamil. Potassium nitrate Verapamil may decrease the excretion rate of Potassium nitrate which could result in a higher serum level. Potassium perchlorate Verapamil may decrease the excretion rate of Potassium perchlorate which could result in a higher serum level. Potassium sulfate The therapeutic efficacy of Potassium sulfate can be decreased when used in combination with Verapamil. Practolol The risk or severity of adverse effects can be increased when Verapamil is combined with Practolol. Pralatrexate Verapamil may decrease the excretion rate of Pralatrexate which could result in a higher serum level. Pralidoxime Verapamil may decrease the excretion rate of Pralidoxime which could result in a higher serum level. Pralsetinib The serum concentration of Pralsetinib can be increased when it is combined with Verapamil. Pramipexole The risk or severity of adverse effects can be increased when Verapamil is combined with Pramipexole. Pramlintide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Pramlintide. Prasugrel Verapamil may decrease the excretion rate of Prasugrel which could result in a higher serum level. Pravastatin The serum concentration of Pravastatin can be increased when it is combined with Verapamil. Prazepam The metabolism of Prazepam can be decreased when combined with Verapamil. Praziquantel The metabolism of Praziquantel can be decreased when combined with Verapamil. Prazosin The risk or severity of adverse effects can be increased when Verapamil is combined with Prazosin. Prednisolone The metabolism of Prednisolone can be decreased when combined with Verapamil. Prednisolone acetate The metabolism of Prednisolone acetate can be decreased when combined with Verapamil. Prednisolone phosphate The metabolism of Prednisolone phosphate can be decreased when combined with Verapamil. Prednisone The metabolism of Prednisone can be decreased when combined with Verapamil. Prednisone acetate The metabolism of Verapamil can be increased when combined with Prednisone acetate. Pregabalin Pregabalin may increase the bradycardic activities of Verapamil. Pregnenolone The metabolism of Pregnenolone can be decreased when combined with Verapamil. Prenylamine Verapamil may increase the arrhythmogenic activities of Prenylamine. Pretomanid The serum concentration of Pretomanid can be increased when it is combined with Verapamil. Primaquine The metabolism of Primaquine can be decreased when combined with Verapamil. Primidone The metabolism of Verapamil can be increased when combined with Primidone. Probenecid Verapamil may decrease the excretion rate of Probenecid which could result in a higher serum level. Procainamide Verapamil may increase the arrhythmogenic activities of Procainamide. Procaine Procaine may increase the orthostatic hypotensive activities of Verapamil. Procaine benzylpenicillin Verapamil may decrease the excretion rate of Procaine benzylpenicillin which could result in a higher serum level. Procarbazine Procarbazine may increase the orthostatic hypotensive activities of Verapamil. Procaterol The therapeutic efficacy of Procaterol can be decreased when used in combination with Verapamil. Prochlorperazine The metabolism of Prochlorperazine can be decreased when combined with Verapamil. Progesterone The metabolism of Progesterone can be decreased when combined with Verapamil. Promazine The metabolism of Promazine can be decreased when combined with Verapamil. Promethazine Verapamil may decrease the excretion rate of Promethazine which could result in a higher serum level. Propafenone The risk or severity of adverse effects can be increased when Verapamil is combined with Propafenone. Propantheline Verapamil may decrease the excretion rate of Propantheline which could result in a higher serum level. Propiomazine The risk or severity of hypotension can be increased when Propiomazine is combined with Verapamil. Propiverine The metabolism of Propiverine can be decreased when combined with Verapamil. Propofol The risk or severity of adverse effects can be increased when Verapamil is combined with Propofol. Propranolol The risk or severity of adverse effects can be increased when Verapamil is combined with Propranolol. Propylhexedrine The therapeutic efficacy of Propylhexedrine can be decreased when used in combination with Verapamil. Protokylol Verapamil may decrease the hypertensive activities of Protokylol. Prucalopride The serum concentration of Prucalopride can be increased when it is combined with Verapamil. Pseudoephedrine The therapeutic efficacy of Verapamil can be decreased when used in combination with Pseudoephedrine. Pyrantel Verapamil may decrease the excretion rate of Pyrantel which could result in a higher serum level. Pyrazinamide Pyrazinamide may decrease the excretion rate of Verapamil which could result in a higher serum level. Pyridoxine Pyridoxine may decrease the excretion rate of Verapamil which could result in a higher serum level. Quazepam The metabolism of Quazepam can be decreased when combined with Verapamil. Quetiapine The metabolism of Quetiapine can be decreased when combined with Verapamil. Quinapril The risk or severity of adverse effects can be increased when Verapamil is combined with Quinapril. Quinethazone Quinethazone may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Quinidine Verapamil may increase the hypotensive activities of Quinidine. Quinine Verapamil may increase the hypotensive activities of Quinine. Quizartinib The metabolism of Quizartinib can be decreased when combined with Verapamil. Rabeprazole Verapamil may decrease the excretion rate of Rabeprazole which could result in a higher serum level. Racephedrine The therapeutic efficacy of Racephedrine can be decreased when used in combination with Verapamil. Racepinephrine Verapamil may decrease the hypertensive activities of Racepinephrine. Ramelteon The metabolism of Ramelteon can be decreased when combined with Verapamil. Ramipril The risk or severity of adverse effects can be increased when Ramipril is combined with Verapamil. Ranitidine The metabolism of Ranitidine can be decreased when combined with Verapamil. Ranolazine The serum concentration of Ranolazine can be increased when it is combined with Verapamil. Rapacuronium Verapamil may increase the neuromuscular blocking activities of Rapacuronium. Rasagiline Rasagiline may increase the orthostatic hypotensive activities of Verapamil. Reboxetine The metabolism of Reboxetine can be decreased when combined with Verapamil. Regorafenib The serum concentration of Regorafenib can be increased when it is combined with Verapamil. Relugolix The serum concentration of Relugolix can be increased when it is combined with Verapamil. Remdesivir The metabolism of Remdesivir can be decreased when combined with Verapamil. Remifentanil The risk or severity of adverse effects can be increased when Verapamil is combined with Remifentanil. Remoxipride The metabolism of Remoxipride can be decreased when combined with Verapamil. Repaglinide The metabolism of Repaglinide can be decreased when combined with Verapamil. Repotrectinib The serum concentration of Repotrectinib can be increased when it is combined with Verapamil. Rescinnamine Verapamil may increase the hypotensive activities of Rescinnamine. Reserpine The serum concentration of Verapamil can be increased when it is combined with Reserpine. Resorcinol Verapamil may decrease the excretion rate of Resorcinol which could result in a higher serum level. Retapamulin The metabolism of Retapamulin can be decreased when combined with Verapamil. Revefenacin The serum concentration of Revefenacin can be increased when it is combined with Verapamil. Ribavirin Verapamil may decrease the excretion rate of Ribavirin which could result in a higher serum level. Ribociclib The metabolism of Verapamil can be decreased when combined with Ribociclib. Ribostamycin Verapamil may decrease the excretion rate of Ribostamycin which could result in a higher serum level. Rifabutin The metabolism of Rifabutin can be decreased when combined with Verapamil. Rifampin The metabolism of Verapamil can be increased when combined with Rifampicin. Rifamycin The metabolism of Verapamil can be increased when combined with Rifamycin. Rifapentine The metabolism of Verapamil can be increased when combined with Rifapentine. Rifaximin The serum concentration of Rifaximin can be increased when it is combined with Verapamil. Rilmenidine The therapeutic efficacy of Rilmenidine can be decreased when used in combination with Verapamil. Rilonacept The metabolism of Verapamil can be increased when combined with Rilonacept. Rilpivirine The serum concentration of Rilpivirine can be increased when it is combined with Verapamil. Riluzole The metabolism of Riluzole can be decreased when combined with Verapamil. Rimegepant The serum concentration of Rimegepant can be increased when it is combined with Verapamil. Rimonabant The metabolism of Rimonabant can be decreased when combined with Verapamil. Riociguat The metabolism of Riociguat can be decreased when combined with Verapamil. Ripretinib The metabolism of Ripretinib can be decreased when combined with Verapamil. Risperidone The serum concentration of Risperidone can be increased when it is combined with Verapamil. Ritlecitinib The serum concentration of Verapamil can be increased when it is combined with Ritlecitinib. Ritodrine The therapeutic efficacy of Ritodrine can be decreased when used in combination with Verapamil. Ritonavir The serum concentration of Verapamil can be increased when it is combined with Ritonavir. Rivaroxaban The metabolism of Rivaroxaban can be decreased when combined with Verapamil. Rivastigmine Verapamil may increase the bradycardic activities of Rivastigmine. Rizatriptan Verapamil may decrease the excretion rate of Rizatriptan which could result in a higher serum level. Rocuronium Verapamil may increase the neuromuscular blocking activities of Rocuronium. Rofecoxib The metabolism of Verapamil can be decreased when combined with Rofecoxib. Roflumilast The serum concentration of Roflumilast can be increased when it is combined with Verapamil. Rolapitant The metabolism of Rolapitant can be decreased when combined with Verapamil. Romidepsin The serum concentration of Romidepsin can be increased when it is combined with Verapamil. Ropeginterferon alfa-2b The metabolism of Verapamil can be decreased when combined with Ropeginterferon alfa-2b. Ropinirole The risk or severity of adverse effects can be increased when Ropinirole is combined with Verapamil. Ropivacaine The metabolism of Verapamil can be decreased when combined with Ropivacaine. Rosiglitazone The metabolism of Rosiglitazone can be decreased when combined with Verapamil. Rosoxacin The metabolism of Verapamil can be decreased when combined with Rosoxacin. Rosuvastatin The metabolism of Rosuvastatin can be decreased when combined with Verapamil. Rotigotine The metabolism of Rotigotine can be decreased when combined with Verapamil. Roxithromycin The risk or severity of adverse effects can be increased when Roxithromycin is combined with Verapamil. Rucaparib The metabolism of Rucaparib can be decreased when combined with Verapamil. Rupatadine The metabolism of Rupatadine can be decreased when combined with Verapamil. Ruxolitinib Ruxolitinib may increase the bradycardic activities of Verapamil. Sacubitril The risk or severity of adverse effects can be increased when Verapamil is combined with Sacubitril. Safinamide Safinamide may increase the orthostatic hypotensive activities of Verapamil. Salicylamide Salicylamide may decrease the excretion rate of Verapamil which could result in a higher serum level. Salicylic acid The risk or severity of bleeding can be increased when Verapamil is combined with Salicylic acid. Salmeterol The metabolism of Salmeterol can be decreased when combined with Verapamil. Salmon calcitonin Salmon calcitonin may decrease the excretion rate of Verapamil which could result in a higher serum level. Salsalate Salsalate may decrease the excretion rate of Verapamil which could result in a higher serum level. Samidorphan The metabolism of Samidorphan can be decreased when combined with Verapamil. Sapropterin The serum concentration of Verapamil can be increased when it is combined with Sapropterin. Saquinavir The metabolism of Verapamil can be decreased when combined with Saquinavir. Sarecycline The serum concentration of Verapamil can be increased when it is combined with Sarecycline. Satralizumab The serum concentration of Verapamil can be decreased when it is combined with Satralizumab. Saxagliptin The metabolism of Saxagliptin can be decreased when combined with Verapamil. Scopolamine The metabolism of Scopolamine can be decreased when combined with Verapamil. Secobarbital Secobarbital may increase the hypotensive activities of Verapamil. Secukinumab The metabolism of Verapamil can be increased when combined with Secukinumab. Selegiline Selegiline may increase the orthostatic hypotensive activities of Verapamil. Selenious acid Verapamil may decrease the excretion rate of Selenious acid which could result in a higher serum level. Selenium Verapamil may decrease the excretion rate of Selenium which could result in a higher serum level. Selexipag The metabolism of Selexipag can be decreased when combined with Verapamil. Selinexor The metabolism of Selinexor can be decreased when combined with Verapamil. Selpercatinib The serum concentration of Selpercatinib can be increased when it is combined with Verapamil. Selumetinib The serum concentration of Selumetinib can be increased when it is combined with Verapamil. Semaglutide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Semaglutide. Senna leaf The therapeutic efficacy of Senna leaf can be decreased when used in combination with Verapamil. Sertindole The metabolism of Sertindole can be decreased when combined with Verapamil. Sertraline The metabolism of Sertraline can be decreased when combined with Verapamil. Sevoflurane The risk or severity of myocardial depression can be increased when Verapamil is combined with Sevoflurane. Sibutramine The metabolism of Sibutramine can be decreased when combined with Verapamil. Sildenafil The metabolism of Sildenafil can be decreased when combined with Verapamil. Silodosin The excretion of Silodosin can be decreased when combined with Verapamil. Siltuximab The metabolism of Verapamil can be increased when combined with Siltuximab. Simeprevir The metabolism of Simeprevir can be decreased when combined with Verapamil. Simvastatin The risk or severity of myopathy and rhabdomyolysis can be increased when Verapamil is combined with Simvastatin. Siponimod The risk or severity of adverse effects can be increased when Verapamil is combined with Siponimod. Sirolimus The serum concentration of Sirolimus can be increased when it is combined with Verapamil. Sitagliptin The metabolism of Sitagliptin can be decreased when combined with Verapamil. Sitaxentan Verapamil may increase the hypotensive activities of Sitaxentan. Sodium acetate Verapamil may decrease the excretion rate of Sodium acetate which could result in a higher serum level. Sodium ascorbate The therapeutic efficacy of Sodium ascorbate can be decreased when used in combination with Verapamil. Sodium aurothiomalate Verapamil may decrease the excretion rate of Sodium aurothiomalate which could result in a higher serum level. Sodium ferric gluconate complex The risk or severity of hypotension can be increased when Sodium ferric gluconate complex is combined with Verapamil. Sodium fluoride Verapamil may decrease the excretion rate of Sodium fluoride which could result in a higher serum level. Sodium fluorophosphate The therapeutic efficacy of Sodium fluorophosphate can be decreased when used in combination with Verapamil. Sodium phosphate, dibasic The therapeutic efficacy of Sodium phosphate, dibasic can be decreased when used in combination with Verapamil. Sodium phosphate, dibasic, unspecified form The therapeutic efficacy of Sodium phosphate, dibasic, unspecified form can be decreased when used in combination with Verapamil. Sodium phosphate, monobasic The therapeutic efficacy of Sodium phosphate, monobasic can be decreased when used in combination with Verapamil. Sodium phosphate, monobasic, unspecified form The therapeutic efficacy of Sodium phosphate, monobasic, unspecified form can be decreased when used in combination with Verapamil. Sodium sulfate The therapeutic efficacy of Sodium sulfate can be decreased when used in combination with Verapamil. Sodium tartrate The therapeutic efficacy of Sodium tartrate can be decreased when used in combination with Verapamil. Sofosbuvir The serum concentration of Sofosbuvir can be increased when it is combined with Verapamil. Solifenacin The metabolism of Solifenacin can be decreased when combined with Verapamil. Solriamfetol Verapamil may decrease the excretion rate of Solriamfetol which could result in a higher serum level. Somapacitan The metabolism of Verapamil can be increased when combined with Somapacitan. Somatotropin The metabolism of Verapamil can be increased when combined with Somatotropin. Somatrem The metabolism of Verapamil can be increased when combined with Somatrem. Somatrogon The metabolism of Verapamil can be increased when combined with Somatrogon. Sonidegib The metabolism of Sonidegib can be decreased when combined with Verapamil. Sorafenib The metabolism of Sorafenib can be decreased when combined with Verapamil. Sorbitol The therapeutic efficacy of Sorbitol can be decreased when used in combination with Verapamil. Sotagliflozin The serum concentration of Verapamil can be increased when it is combined with Sotagliflozin. Sotalol The risk or severity of adverse effects can be increased when Verapamil is combined with Sotalol. Sotorasib The serum concentration of Verapamil can be decreased when it is combined with Sotorasib. Sparsentan The metabolism of Sparsentan can be decreased when combined with Verapamil. Spirapril Verapamil may increase the hypotensive activities of Spirapril. Spironolactone The risk or severity of adverse effects can be increased when Spironolactone is combined with Verapamil. St. John's Wort The metabolism of Verapamil can be increased when combined with St. John's Wort. Stiripentol The metabolism of Verapamil can be decreased when combined with Stiripentol. Streptokinase The risk or severity of adverse effects can be increased when Streptokinase is combined with Verapamil. Streptomycin Verapamil may decrease the excretion rate of Streptomycin which could result in a higher serum level. Strontium chloride Verapamil may decrease the excretion rate of Strontium chloride which could result in a higher serum level. Sucralfate Sucralfate may decrease the excretion rate of Verapamil which could result in a higher serum level. Sufentanil The metabolism of Sufentanil can be decreased when combined with Verapamil. Sulbactam Verapamil may decrease the excretion rate of Sulbactam which could result in a higher serum level. Sulfadiazine The metabolism of Sulfadiazine can be decreased when combined with Verapamil. Sulfamethoxazole The risk or severity of hypoglycemia can be increased when Verapamil is combined with Sulfamethoxazole. Sulfasalazine The risk or severity of bleeding can be increased when Verapamil is combined with Sulfasalazine. Sulfinpyrazone The metabolism of Sulfinpyrazone can be decreased when combined with Verapamil. Sulfisoxazole The risk or severity of hypoglycemia can be increased when Verapamil is combined with Sulfisoxazole. Sulindac Sulindac may decrease the excretion rate of Verapamil which could result in a higher serum level. Sumatriptan Verapamil may decrease the excretion rate of Sumatriptan which could result in a higher serum level. Sunitinib The metabolism of Sunitinib can be decreased when combined with Verapamil. Suvorexant The metabolism of Suvorexant can be decreased when combined with Verapamil. Synthetic Conjugated Estrogens, A The metabolism of Synthetic Conjugated Estrogens, A can be decreased when combined with Verapamil. Synthetic Conjugated Estrogens, B The metabolism of Synthetic Conjugated Estrogens, B can be decreased when combined with Verapamil. Tacrine The metabolism of Verapamil can be decreased when combined with Tacrine. Tacrolimus The serum concentration of Tacrolimus can be increased when it is combined with Verapamil. Tadalafil The metabolism of Tadalafil can be decreased when combined with Verapamil. Tafenoquine The metabolism of Tafenoquine can be decreased when combined with Verapamil. Talazoparib The serum concentration of Talazoparib can be increased when it is combined with Verapamil. Tamoxifen The metabolism of Tamoxifen can be decreased when combined with Verapamil. Tamsulosin The metabolism of Tamsulosin can be decreased when combined with Verapamil. Tasimelteon The metabolism of Tasimelteon can be decreased when combined with Verapamil. Tazemetostat The metabolism of Tazemetostat can be decreased when combined with Verapamil. Technetium Tc-99m exametazime Verapamil may decrease the excretion rate of Technetium Tc-99m exametazime which could result in a higher serum level. Technetium Tc-99m mebrofenin Verapamil may decrease the excretion rate of Technetium Tc-99m mebrofenin which could result in a higher serum level. Technetium Tc-99m oxidronate Verapamil may decrease the excretion rate of Technetium Tc-99m oxidronate which could result in a higher serum level. Technetium Tc-99m pyrophosphate Verapamil may decrease the excretion rate of Technetium Tc-99m pyrophosphate which could result in a higher serum level. Technetium Tc-99m sestamibi The serum concentration of Technetium Tc-99m sestamibi can be increased when it is combined with Verapamil. Teduglutide Verapamil may decrease the excretion rate of Teduglutide which could result in a higher serum level. Tegafur The metabolism of Tegafur can be decreased when combined with Verapamil. Tegaserod The serum concentration of Tegaserod can be increased when it is combined with Verapamil. Telaprevir The metabolism of Verapamil can be decreased when combined with Telaprevir. Telavancin Verapamil may decrease the excretion rate of Telavancin which could result in a higher serum level. Telithromycin The risk or severity of adverse effects can be increased when Telithromycin is combined with Verapamil. Telmisartan The risk or severity of adverse effects can be increased when Verapamil is combined with Telmisartan. Telotristat ethyl The serum concentration of Verapamil can be decreased when it is combined with Telotristat ethyl. Temazepam Temazepam may decrease the excretion rate of Verapamil which could result in a higher serum level. Temozolomide Verapamil may decrease the excretion rate of Temozolomide which could result in a higher serum level. Temsirolimus The serum concentration of Temsirolimus can be increased when it is combined with Verapamil. Teniposide The metabolism of Teniposide can be decreased when combined with Verapamil. Tenofovir alafenamide The serum concentration of Tenofovir alafenamide can be increased when it is combined with Verapamil. Tenofovir disoproxil The serum concentration of Tenofovir disoproxil can be increased when it is combined with Verapamil. Tenoxicam Tenoxicam may decrease the excretion rate of Verapamil which could result in a higher serum level. Tepotinib The serum concentration of Tepotinib can be increased when it is combined with Verapamil. Terazosin The risk or severity of hypotension can be increased when Terazosin is combined with Verapamil. Terbinafine The metabolism of Terbinafine can be decreased when combined with Verapamil. Terbutaline Verapamil may decrease the excretion rate of Terbutaline which could result in a higher serum level. Terfenadine The metabolism of Verapamil can be decreased when combined with Terfenadine. Teriflunomide The serum concentration of Verapamil can be decreased when it is combined with Teriflunomide. Testolactone Verapamil may decrease the excretion rate of Testolactone which could result in a higher serum level. Testosterone The metabolism of Testosterone can be decreased when combined with Verapamil. Testosterone cypionate The metabolism of Testosterone cypionate can be decreased when combined with Verapamil. Testosterone enanthate The metabolism of Testosterone enanthate can be decreased when combined with Verapamil. Testosterone propionate The metabolism of Testosterone propionate can be decreased when combined with Verapamil. Testosterone undecanoate Verapamil may decrease the excretion rate of Testosterone undecanoate which could result in a higher serum level. Tetrabenazine The metabolism of Tetrabenazine can be decreased when combined with Verapamil. Tetracycline The metabolism of Tetracycline can be decreased when combined with Verapamil. Tetradecyl hydrogen sulfate (ester) Verapamil may decrease the excretion rate of Tetradecyl hydrogen sulfate (ester) which could result in a higher serum level. Tetryzoline The therapeutic efficacy of Tetryzoline can be decreased when used in combination with Verapamil. Tezacaftor The metabolism of Tezacaftor can be decreased when combined with Verapamil. Thalidomide The metabolism of Thalidomide can be decreased when combined with Verapamil. Theophylline The serum concentration of Theophylline can be increased when it is combined with Verapamil. Thiabendazole The metabolism of Verapamil can be decreased when combined with Thiabendazole. Thiamine The risk or severity of adverse effects can be increased when Verapamil is combined with Thiamine. Thiamylal Thiamylal may increase the hypotensive activities of Verapamil. Thiethylperazine Thiethylperazine may decrease the excretion rate of Verapamil which could result in a higher serum level. Thiopental Thiopental may increase the hypotensive activities of Verapamil. Thioridazine The risk or severity of hypotension can be increased when Thioridazine is combined with Verapamil. Thiotepa The metabolism of Thiotepa can be decreased when combined with Verapamil. Thiothixene The metabolism of Thiothixene can be decreased when combined with Verapamil. Tiagabine The metabolism of Tiagabine can be decreased when combined with Verapamil. Tiaprofenic acid Tiaprofenic acid may decrease the excretion rate of Verapamil which could result in a higher serum level. Ticagrelor The metabolism of Ticagrelor can be decreased when combined with Verapamil. Ticlopidine The metabolism of Verapamil can be decreased when combined with Ticlopidine. Tiludronic acid Verapamil may decrease the excretion rate of Tiludronic acid which could result in a higher serum level. Timolol The risk or severity of adverse effects can be increased when Verapamil is combined with Timolol. Tinidazole The metabolism of Tinidazole can be decreased when combined with Verapamil. Tiopronin Verapamil may decrease the excretion rate of Tiopronin which could result in a higher serum level. Tiotropium The metabolism of Tiotropium can be decreased when combined with Verapamil. Tipranavir The metabolism of Verapamil can be decreased when combined with Tipranavir. Tirofiban Verapamil may decrease the excretion rate of Tirofiban which could result in a higher serum level. Tirzepatide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Tirzepatide. Tisotumab vedotin The metabolism of Tisotumab vedotin can be decreased when combined with Verapamil. Tivozanib The serum concentration of Tivozanib can be increased when it is combined with Verapamil. Tixocortol Verapamil may decrease the excretion rate of Tixocortol which could result in a higher serum level. Tizanidine The metabolism of Tizanidine can be decreased when combined with Verapamil. Tobramycin Verapamil may decrease the excretion rate of Tobramycin which could result in a higher serum level. Tocainide Verapamil may increase the arrhythmogenic activities of Tocainide. Tocilizumab The metabolism of Verapamil can be increased when combined with Tocilizumab. Tocofersolan The metabolism of Tocofersolan can be decreased when combined with Verapamil. Tocopherol The metabolism of Tocopherol can be decreased when combined with Verapamil. Tofacitinib The metabolism of Tofacitinib can be decreased when combined with Verapamil. Tolazamide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Tolazamide. Tolazoline The risk or severity of hypotension can be increased when Tolazoline is combined with Verapamil. Tolbutamide The risk or severity of hypoglycemia can be increased when Verapamil is combined with Tolbutamide. Tolcapone The risk or severity of adverse effects can be increased when Tolcapone is combined with Verapamil. Tolfenamic acid The metabolism of Tolfenamic acid can be decreased when combined with Verapamil. Tolmetin Tolmetin may decrease the excretion rate of Verapamil which could result in a higher serum level. Tolterodine The metabolism of Tolterodine can be decreased when combined with Verapamil. Tolvaptan The serum concentration of Tolvaptan can be increased when it is combined with Verapamil. Topiramate Topiramate may decrease the excretion rate of Verapamil which could result in a higher serum level. Topotecan The serum concentration of Topotecan can be increased when it is combined with Verapamil. Torasemide The risk or severity of adverse effects can be increased when Torasemide is combined with Verapamil. Toremifene The metabolism of Toremifene can be decreased when combined with Verapamil. Tositumomab Tositumomab may decrease the excretion rate of Verapamil which could result in a higher serum level. Trabectedin The metabolism of Trabectedin can be decreased when combined with Verapamil. Tramadol The metabolism of Tramadol can be decreased when combined with Verapamil. Trametinib Verapamil may decrease the excretion rate of Trametinib which could result in a higher serum level. Tranylcypromine Tranylcypromine may increase the orthostatic hypotensive activities of Verapamil. Trastuzumab emtansine The serum concentration of Trastuzumab emtansine can be increased when it is combined with Verapamil. Trazodone The metabolism of Trazodone can be decreased when combined with Verapamil. Treprostinil Verapamil may increase the hypotensive activities of Treprostinil. Tretinoin The metabolism of Tretinoin can be decreased when combined with Verapamil. Triamcinolone The metabolism of Triamcinolone can be decreased when combined with Verapamil. Triamterene The metabolism of Verapamil can be decreased when combined with Triamterene. Triazolam The metabolism of Triazolam can be decreased when combined with Verapamil. Trichlormethiazide Trichlormethiazide may increase the excretion rate of Verapamil which could result in a lower serum level and potentially a reduction in efficacy. Trichloroethylene The risk or severity of myocardial depression can be increased when Verapamil is combined with Trichloroethylene. Triclabendazole The metabolism of Triclabendazole can be decreased when combined with Verapamil. Triethylenetetramine Verapamil may decrease the excretion rate of Triethylenetetramine which could result in a higher serum level. Trifluoperazine The metabolism of Trifluoperazine can be decreased when combined with Verapamil. Trifluridine Trifluridine may decrease the excretion rate of Verapamil which could result in a higher serum level. Trilaciclib The serum concentration of Trilaciclib can be increased when it is combined with Verapamil. Trimebutine Verapamil may increase the arrhythmogenic activities of Trimebutine. Trimethadione Trimethadione may increase the arrhythmogenic activities of Verapamil. Trimethaphan Verapamil may increase the hypotensive activities of Trimethaphan. Trimethoprim The metabolism of Trimethoprim can be decreased when combined with Verapamil. Trimetrexate Verapamil may decrease the excretion rate of Trimetrexate which could result in a higher serum level. Trimipramine The serum concentration of Trimipramine can be increased when it is combined with Verapamil. Troglitazone The metabolism of Verapamil can be decreased when combined with Troglitazone. Troleandomycin The metabolism of Verapamil can be decreased when combined with Troleandomycin. Tropisetron Verapamil may increase the arrhythmogenic activities of Tropisetron. Trovafloxacin The metabolism of Verapamil can be decreased when combined with Trovafloxacin. Tubocurarine Verapamil may increase the neuromuscular blocking activities of Tubocurarine. Tucatinib Tucatinib may decrease the excretion rate of Verapamil which could result in a higher serum level. Ubrogepant The serum concentration of Ubrogepant can be increased when it is combined with Verapamil. Udenafil The metabolism of Udenafil can be decreased when combined with Verapamil. Ulipristal The metabolism of Ulipristal can be decreased when combined with Verapamil. Umbralisib The serum concentration of Verapamil can be increased when it is combined with Umbralisib. Umeclidinium The serum concentration of Umeclidinium can be increased when it is combined with Verapamil. Upadacitinib The metabolism of Upadacitinib can be decreased when combined with Verapamil. Vaborbactam Verapamil may decrease the excretion rate of Vaborbactam which could result in a higher serum level. Vadadustat The serum concentration of Verapamil can be increased when it is combined with Vadadustat. Valaciclovir Valaciclovir may decrease the excretion rate of Verapamil which could result in a higher serum level. Valbenazine The metabolism of Valbenazine can be decreased when combined with Verapamil. Valdecoxib The metabolism of Valdecoxib can be decreased when combined with Verapamil. Valganciclovir Verapamil may decrease the excretion rate of Valganciclovir which could result in a higher serum level. Valproic acid The metabolism of Verapamil can be decreased when combined with Valproic acid. Valsartan The risk or severity of adverse effects can be increased when Valsartan is combined with Verapamil. Vamorolone The metabolism of Vamorolone can be decreased when combined with Verapamil. Vancomycin Verapamil may decrease the excretion rate of Vancomycin which could result in a higher serum level. Vandetanib The metabolism of Vandetanib can be decreased when combined with Verapamil. Vardenafil The metabolism of Vardenafil can be decreased when combined with Verapamil. Varenicline Verapamil may decrease the excretion rate of Varenicline which could result in a higher serum level. Vecuronium Verapamil may increase the neuromuscular blocking activities of Vecuronium. Velpatasvir The metabolism of Velpatasvir can be decreased when combined with Verapamil. Vemurafenib The serum concentration of Verapamil can be increased when it is combined with Vemurafenib. Venetoclax The serum concentration of Venetoclax can be increased when it is combined with Verapamil. Venlafaxine The metabolism of Venlafaxine can be decreased when combined with Verapamil. Vericiguat The risk or severity of adverse effects can be increased when Verapamil is combined with Vericiguat. Vernakalant Verapamil may increase the arrhythmogenic activities of Vernakalant. Vibegron The therapeutic efficacy of Vibegron can be decreased when used in combination with Verapamil. Vilanterol The metabolism of Vilanterol can be decreased when combined with Verapamil. Vilazodone The metabolism of Vilazodone can be decreased when combined with Verapamil. Vildagliptin The risk or severity of hypoglycemia can be increased when Verapamil is combined with Vildagliptin. Viloxazine The metabolism of Verapamil can be decreased when combined with Viloxazine. Vinblastine The serum concentration of Vinblastine can be increased when it is combined with Verapamil. Vincristine The excretion of Vincristine can be decreased when combined with Verapamil. Vindesine The metabolism of Vindesine can be decreased when combined with Verapamil. Vinflunine The serum concentration of Vinflunine can be increased when it is combined with Verapamil. Vinorelbine The metabolism of Vinorelbine can be decreased when combined with Verapamil. Vitamin D The metabolism of Vitamin D can be decreased when combined with Verapamil. Vitamin E The metabolism of Vitamin E can be decreased when combined with Verapamil. Voclosporin The metabolism of Voclosporin can be decreased when combined with Verapamil. Vonoprazan The metabolism of Vonoprazan can be decreased when combined with Verapamil. Vorapaxar The metabolism of Vorapaxar can be decreased when combined with Verapamil. Voriconazole The metabolism of Verapamil can be decreased when combined with Voriconazole. Vortioxetine The metabolism of Vortioxetine can be decreased when combined with Verapamil. Voxelotor The serum concentration of Voxelotor can be increased when it is combined with Verapamil. Voxilaprevir The metabolism of Voxilaprevir can be decreased when combined with Verapamil. Warfarin The serum concentration of Warfarin can be increased when it is combined with Verapamil. Xamoterol The therapeutic efficacy of Xamoterol can be decreased when used in combination with Verapamil. Xylometazoline Verapamil may increase the arrhythmogenic activities of Xylometazoline. Yohimbine The metabolism of Yohimbine can be decreased when combined with Verapamil. Zaleplon The metabolism of Zaleplon can be decreased when combined with Verapamil. Zanamivir Zanamivir may decrease the excretion rate of Verapamil which could result in a higher serum level. Zanubrutinib The metabolism of Zanubrutinib can be decreased when combined with Verapamil. Ziconotide Verapamil may increase the arrhythmogenic activities of Ziconotide. Zidovudine The metabolism of Zidovudine can be decreased when combined with Verapamil. Zileuton The metabolism of Zileuton can be decreased when combined with Verapamil. Zimelidine The metabolism of Verapamil can be decreased when combined with Zimelidine. Ziprasidone The metabolism of Verapamil can be decreased when combined with Ziprasidone. Zofenopril Verapamil may increase the hypotensive activities of Zofenopril. Zolmitriptan The metabolism of Verapamil can be decreased when combined with Zolmitriptan. Zolpidem The metabolism of Zolpidem can be decreased when combined with Verapamil. Zonisamide Verapamil may increase the arrhythmogenic activities of Zonisamide. Zopiclone The metabolism of Zopiclone can be decreased when combined with Verapamil. Zotepine The metabolism of Zotepine can be decreased when combined with Verapamil. Zuclopenthixol The metabolism of Zuclopenthixol can be decreased when combined with Verapamil. Zuranolone The metabolism of Zuranolone can be decreased when combined with Verapamil. - Food Interactions
- Avoid alcohol. Verapamil significantly inhibits the elimination of alcohol, leading to elevated blood alcohol levels.
- Avoid grapefruit products. Co-administration with grapefruit may significantly increase serum concentrations.
- Take with or without food. Recommendations vary from product to product - consult individual product monographs for additional information.
Products
- Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.
- Product Ingredients
Ingredient UNII CAS InChI Key Verapamil hydrochloride V3888OEY5R 152-11-4 DOQPXTMNIUCOSY-UHFFFAOYSA-N - Product Images
- International/Other Brands
- Bosoptin (Bosnalijek) / Isoptin (Abbott) / Verisop (Gerard) / Vermin (Ratiopharm) / Vermine (Pharmasant) / Verogalid (Ivax) / Verogalid ER (Ivax) / Verpamil (Mylan) / Vertab (Trinity-Chiesi) / Vetrimil (CCPC) / Zolvera (Rosemont)
- Brand Name Prescription Products
- Generic Prescription Products
- Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Tarka Verapamil hydrochloride (180 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral AbbVie Inc. 1996-10-22 2021-08-14 US Tarka Verapamil hydrochloride (240 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral AbbVie Inc. 1996-10-22 2021-09-13 US Tarka Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, extended release Oral Abbott 2002-07-15 2010-11-12 Canada Tarka Verapamil hydrochloride (240 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Physicians Total Care, Inc. 2005-05-27 Not applicable US Tarka Verapamil hydrochloride (240 mg) + Trandolapril (2 mg) Tablet, extended release Oral Bgp Pharma Ulc 2002-07-15 2019-11-19 Canada Tarka Verapamil hydrochloride (240 mg) + Trandolapril (4 mg) Tablet, extended release Oral Bgp Pharma Ulc 2002-07-15 2019-11-19 Canada Tarka Verapamil hydrochloride (180 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Physicians Total Care, Inc. 2009-01-01 Not applicable US Tarka Verapamil hydrochloride (240 mg/1) + Trandolapril (1 mg/1) Tablet, film coated, extended release Oral AbbVie Inc. 1996-10-22 2018-02-28 US Tarka Verapamil hydrochloride (240 mg/1) + Trandolapril (4 mg/1) Tablet, film coated, extended release Oral AbbVie Inc. 1996-10-22 2021-08-18 US Tarka Verapamil hydrochloride (240 mg/1) + Trandolapril (4 mg/1) Tablet, film coated, extended release Oral Physicians Total Care, Inc. 2009-06-25 Not applicable US Tarka Verapamil hydrochloride (240 mg) + Trandolapril (1 mg) Tablet, extended release Oral Abbott 2002-07-15 2010-11-12 Canada TARKA 180/2 FILM TABLET, 28 ADET Verapamil (180 mg) + Trandolapril (2 mg) Tablet, film coated Oral ABBOTT LABORATUARLARI İTHALAT İHRACAT VE TİC. LTD. ŞTİ. 2013-01-29 Not applicable Turkey TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 180MG/2MG Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 240MG/2MG Verapamil hydrochloride (240 mg) + Trandolapril (2 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA 240MG/4MG Verapamil hydrochloride (240 mg) + Trandolapril (4 mg) Tablet, delayed release Oral 2016-07-01 Not applicable Germany TARKA FORTE 240/4 FILM TABLET, 28 ADET Verapamil (240 mg) + Trandolapril (4 mg) Tablet, film coated Oral ABBOTT LABORATUARLARI İTHALAT İHRACAT VE TİC. LTD. ŞTİ. 2013-01-29 Not applicable Turkey TARKA® SR TABLETAS Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, extended release Oral ABBOTT LABORATORIES DE COLOMBIA S.A.S. 2008-12-01 Not applicable Colombia TARKA® SR240/4 TABLETAS. Verapamil hydrochloride (240 mg) + Trandolapril (4 mg) Tablet, extended release Oral ABBOTT LABORATORIES DE COLOMBIA S.A. 2007-07-18 Not applicable Colombia Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (180 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Med Pharma Co., Ltd. 2011-07-15 2012-08-01 US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (1 mg/1) Tablet, film coated, extended release Oral Glenmark Pharmaceuticals Inc., USA 2015-02-25 Not applicable US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (4 mg/1) Tablet, film coated, extended release Oral Glenmark Pharmaceuticals Inc., USA 2015-02-25 Not applicable US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (4 mg/1) Tablet, film coated, extended release Oral Med Pharma Co., Ltd. 2011-07-15 2012-08-01 US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (1 mg/1) Tablet, film coated, extended release Oral Med Pharma Co., Ltd. 2011-07-15 2012-08-01 US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Glenmark Pharmaceuticals Inc., USA 2015-02-25 Not applicable US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (240 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Med Pharma Co., Ltd. 2011-07-15 2012-08-01 US Trandolapril and Verapamil Hydrochloride Verapamil hydrochloride (180 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Glenmark Pharmaceuticals Inc., USA 2015-02-25 Not applicable US Trandolapril and Verapamil Hydrochloride ER Verapamil hydrochloride (240 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Greenstone LLC 2015-02-25 2021-05-28 US Trandolapril and Verapamil Hydrochloride ER Verapamil hydrochloride (240 mg/1) + Trandolapril (1 mg/1) Tablet, film coated, extended release Oral Greenstone LLC 2015-02-25 2018-02-28 US Trandolapril and Verapamil Hydrochloride ER Verapamil hydrochloride (240 mg/1) + Trandolapril (4 mg/1) Tablet, film coated, extended release Oral Greenstone LLC 2015-02-25 2021-08-18 US Trandolapril and Verapamil Hydrochloride ER Verapamil hydrochloride (180 mg/1) + Trandolapril (2 mg/1) Tablet, film coated, extended release Oral Greenstone LLC 2015-02-25 2021-08-14 US VERACOMB MR 180/2 MG KAPSÜL, 28 ADET Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Capsule Oral NEUTEC İLAÇ SAN. TİC. A.Ş. 2012-10-17 Not applicable Turkey VERACOMB MR 240/4 MG KAPSÜL, 28 ADET Verapamil hydrochloride (240 mg) + Trandolapril (4 mg) Capsule Oral NEUTEC İLAÇ SAN. TİC. A.Ş. 2012-10-17 Not applicable Turkey VERAPIN 180 MG/2 MG FILM TABLET, 28 ADET Verapamil hydrochloride (180 mg) + Trandolapril (2 mg) Tablet, film coated Oral İLKO İLAÇ SAN.VE TİC. A.Ş. 2017-01-25 Not applicable Turkey VERAPIN FORTE 240MG/4MG FILM TABLET,28 ADET Verapamil hydrochloride (240 mg) + Trandolapril (4 mg) Tablet, film coated Oral İLKO İLAÇ SAN.VE TİC. A.Ş. 2016-06-15 Not applicable Turkey
Categories
- ATC Codes
- C09BB10 — Trandolapril and verapamil
- C09BB — ACE inhibitors and calcium channel blockers
- C09B — ACE INHIBITORS, COMBINATIONS
- C09 — AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM
- C — CARDIOVASCULAR SYSTEM
- C08DA — Phenylalkylamine derivatives
- C08D — SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS
- C08 — CALCIUM CHANNEL BLOCKERS
- C — CARDIOVASCULAR SYSTEM
- Drug Categories
- ACE Inhibitors and Calcium Channel Blockers
- Adrenergic alpha-1 Receptor Antagonists
- Adrenergic alpha-Antagonists
- Adrenergic Antagonists
- Amines
- Antiarrhythmic agents
- Antihypertensive Agents
- Antihypertensive Agents Indicated for Hypertension
- Bradycardia-Causing Agents
- Calcium Channel Blockers
- Calcium Channel Blockers (Nondihydropyridine)
- Cardiovascular Agents
- Cytochrome P-450 CYP1A2 Substrates
- Cytochrome P-450 CYP2B6 Substrates
- Cytochrome P-450 CYP2C18 Substrates
- Cytochrome P-450 CYP2C19 Substrates
- Cytochrome P-450 CYP2C8 Inhibitors
- Cytochrome P-450 CYP2C8 Inhibitors (strength unknown)
- Cytochrome P-450 CYP2C8 Substrates
- Cytochrome P-450 CYP2C9 Inhibitors
- Cytochrome P-450 CYP2C9 Inhibitors (weak)
- Cytochrome P-450 CYP2C9 Substrates
- Cytochrome P-450 CYP2D6 Inhibitors
- Cytochrome P-450 CYP2D6 Inhibitors (strength unknown)
- Cytochrome P-450 CYP2D6 Inhibitors (weak)
- Cytochrome P-450 CYP2E1 Substrates
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 CYP3A Substrates
- Cytochrome P-450 CYP3A4 Inhibitors
- Cytochrome P-450 CYP3A4 Inhibitors (moderate)
- Cytochrome P-450 CYP3A4 Substrates
- Cytochrome P-450 CYP3A5 Inhibitors
- Cytochrome P-450 CYP3A5 Inhibitors (moderate)
- Cytochrome P-450 CYP3A5 Substrates
- Cytochrome P-450 Enzyme Inhibitors
- Cytochrome P-450 Substrates
- Drugs that are Mainly Renally Excreted
- Hypotensive Agents
- MATE 1 Inhibitors
- MATE 2 Inhibitors
- MATE inhibitors
- Membrane Transport Modulators
- Miscellaneous Calcium-channel Blocking Agents
- Negative Inotrope
- OATP1B1/SLCO1B1 Inhibitors
- OCT1 inhibitors
- OCT1 substrates
- P-glycoprotein inhibitors
- P-glycoprotein substrates
- Phenylalkylamine Derivatives
- Selective Calcium Channel Blockers With Direct Cardiac Effects
- Vasodilating Agents
- Verapamil and analogues
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of organic compounds known as phenylbutylamines. These are compounds containing a phenylbutylamine moiety, which consists of a phenyl group substituted at the fourth carbon by an butan-1-amine.
- Kingdom
- Organic compounds
- Super Class
- Benzenoids
- Class
- Benzene and substituted derivatives
- Sub Class
- Phenylbutylamines
- Direct Parent
- Phenylbutylamines
- Alternative Parents
- Dimethoxybenzenes / Phenylpropanes / Phenethylamines / Phenoxy compounds / Anisoles / Aralkylamines / Alkyl aryl ethers / Trialkylamines / Nitriles / Organopnictogen compounds show 1 more
- Substituents
- Alkyl aryl ether / Amine / Anisole / Aralkylamine / Aromatic homomonocyclic compound / Carbonitrile / Dimethoxybenzene / Ether / Hydrocarbon derivative / Methoxybenzene show 14 more
- Molecular Framework
- Aromatic homomonocyclic compounds
- External Descriptors
- tertiary amino compound, aromatic ether, nitrile, polyether (CHEBI:77733)
- Affected organisms
- Humans and other mammals
Chemical Identifiers
- UNII
- CJ0O37KU29
- CAS number
- 52-53-9
- InChI Key
- SGTNSNPWRIOYBX-UHFFFAOYSA-N
- InChI
- InChI=1S/C27H38N2O4/c1-20(2)27(19-28,22-10-12-24(31-5)26(18-22)33-7)14-8-15-29(3)16-13-21-9-11-23(30-4)25(17-21)32-6/h9-12,17-18,20H,8,13-16H2,1-7H3
- IUPAC Name
- 2-(3,4-dimethoxyphenyl)-5-{[2-(3,4-dimethoxyphenyl)ethyl](methyl)amino}-2-(propan-2-yl)pentanenitrile
- SMILES
- COC1=C(OC)C=C(CCN(C)CCCC(C#N)(C(C)C)C2=CC(OC)=C(OC)C=C2)C=C1
References
- Synthesis Reference
Philippe Baudier, Arthur De Boeck, Jacques Fossion, "Novel galenic forms of verapamil, their preparation and medicines containing said novel galenic forms." U.S. Patent US4859469, issued April, 1987.
US4859469- General References
- Bellamy WT: P-glycoproteins and multidrug resistance. Annu Rev Pharmacol Toxicol. 1996;36:161-83. [Article]
- Ahmed JH, Meredith PA, Elliott HL: The influence of age on the pharmacokinetics of verapamil. Pharmacol Res. 1991 Oct;24(3):227-33. doi: 10.1016/1043-6618(91)90085-c. [Article]
- Dadashzadeh S, Javadian B, Sadeghian S: The effect of gender on the pharmacokinetics of verapamil and norverapamil in human. Biopharm Drug Dispos. 2006 Oct;27(7):329-34. doi: 10.1002/bdd.512. [Article]
- Tfelt-Hansen P, Tfelt-Hansen J: Verapamil for cluster headache. Clinical pharmacology and possible mode of action. Headache. 2009 Jan;49(1):117-25. doi: 10.1111/j.1526-4610.2008.01298.x. [Article]
- Busse D, Fromm MF, Morike K, Drescher S, Kuhlkamp V, Eichelbaum M: Disposition and pharmacologic effects of R/S-verapamil in patients with chronic atrial fibrillation: an investigation comparing single and multiple dosing. Clin Pharmacol Ther. 2001 May;69(5):324-32. doi: 10.1067/mcp.2001.115125. [Article]
- Ninomiya T, Takano M, Haruna T, Kono Y, Horie M: Verapamil, a Ca2+ entry blocker, targets the pore-forming subunit of cardiac type KATP channel (Kir6.2). J Cardiovasc Pharmacol. 2003 Aug;42(2):161-8. doi: 10.1097/00005344-200308000-00002. [Article]
- Bergson P, Lipkind G, Lee SP, Duban ME, Hanck DA: Verapamil block of T-type calcium channels. Mol Pharmacol. 2011 Mar;79(3):411-9. doi: 10.1124/mol.110.069492. Epub 2010 Dec 13. [Article]
- Perez-Reyes E, Van Deusen AL, Vitko I: Molecular pharmacology of human Cav3.2 T-type Ca2+ channels: block by antihypertensives, antiarrhythmics, and their analogs. J Pharmacol Exp Ther. 2009 Feb;328(2):621-7. doi: 10.1124/jpet.108.145672. Epub 2008 Oct 30. [Article]
- Zhou SF, Zhou ZW, Yang LP, Cai JP: Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675. Epub 2009 Sep 1. [Article]
- Striessnig J, Ortner NJ, Pinggera A: Pharmacology of L-type Calcium Channels: Novel Drugs for Old Targets? Curr Mol Pharmacol. 2015;8(2):110-22. [Article]
- Shibata K, Hirasawa A, Foglar R, Ogawa S, Tsujimoto G: Effects of quinidine and verapamil on human cardiovascular alpha1-adrenoceptors. Circulation. 1998 Apr 7;97(13):1227-30. [Article]
- Motulsky HJ, Snavely MD, Hughes RJ, Insel PA: Interaction of verapamil and other calcium channel blockers with alpha 1- and alpha 2-adrenergic receptors. Circ Res. 1983 Feb;52(2):226-31. [Article]
- Echizen H, Eichelbaum M: Clinical pharmacokinetics of verapamil, nifedipine and diltiazem. Clin Pharmacokinet. 1986 Nov-Dec;11(6):425-49. doi: 10.2165/00003088-198611060-00002. [Article]
- Dobrev D, Milde AS, Andreas K, Ravens U: The effects of verapamil and diltiazem on N-, P- and Q-type calcium channels mediating dopamine release in rat striatum. Br J Pharmacol. 1999 May;127(2):576-82. doi: 10.1038/sj.bjp.0702574. [Article]
- Freeze BS, McNulty MM, Hanck DA: State-dependent verapamil block of the cloned human Ca(v)3.1 T-type Ca(2+) channel. Mol Pharmacol. 2006 Aug;70(2):718-26. Epub 2006 May 12. [Article]
- Duan JJ, Ma JH, Zhang PH, Wang XP, Zou AR, Tu DN: Verapamil blocks HERG channel by the helix residue Y652 and F656 in the S6 transmembrane domain. Acta Pharmacol Sin. 2007 Jul;28(7):959-67. [Article]
- FDA Approved Drug Products: Verelan® PM extended-release capsules [Link]
- FDA Approved Drug Products: Verapamil HCl for intravenous injection [Link]
- Verapamil FDA Label [Link]
- FDA Approved Drugs: Tarka® extended-release tablets [Link]
- CaymanChem: Verapamil MSDS [Link]
- FDA Approved Drug Products: Calan SR tablets [Link]
- External Links
- Human Metabolome Database
- HMDB0001850
- KEGG Drug
- D02356
- KEGG Compound
- C07188
- PubChem Compound
- 2520
- PubChem Substance
- 46508158
- ChemSpider
- 2425
- BindingDB
- 81939
- 11170
- ChEBI
- 77733
- ChEMBL
- CHEMBL6966
- Therapeutic Targets Database
- DAP000040
- PharmGKB
- PA451868
- Guide to Pharmacology
- GtP Drug Page
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- Wikipedia
- Verapamil
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- Dosage Forms
Form Route Strength Tablet, film coated Oral 80 mg Tablet Oral Tablet, extended release Oral 180 mg Tablet Oral 240.000 mg Capsule 180 mg Capsule 240 mg Capsule, coated Oral 240 mg Tablet, coated Oral 120 mg Injection, solution Intravenous 125 MG/50ML Pill 80 MG Solution Intravenous 5 mg/2ml Solution 5 mg/2ml Tablet, film coated Oral 120 MG Tablet, sugar coated Oral 40 mg Injection, solution Intravenous 5 mg/2ml Tablet, sugar coated Oral Tablet, film coated Oral 40 MG Tablet, film coated Oral 240 mg Tablet, coated Oral 120 mg/1 Tablet, coated Oral 180 mg/1 Tablet, coated Oral 240 mg/1 Tablet, extended release Oral Tablet, extended release Oral 240 mg Tablet, film coated Oral 240.0 mg Injection Parenteral 5 mg Tablet Oral 120 mg Tablet, extended release Oral 120 mg Solution Parenteral 5 mg Tablet Oral 40 mg Tablet Oral 80 mg Tablet, extended release Oral Tablet, film coated, extended release Oral Tablet, film coated Oral Tablet, delayed release Oral Capsule, coated Oral Capsule Tablet Oral 80.00 mg Capsule Oral Solution Intravenous 5.000 mg Tablet, film coated Oral Capsule, delayed release Tablet, coated Oral Pill Tablet Oral 240 MG Injection Intravenous 5 mg/1mL Capsule, delayed release pellets Oral 120 mg/1 Capsule, delayed release pellets Oral 180 mg/1 Capsule, extended release Oral 100 mg/1 Capsule, extended release Oral 120 mg/1 Capsule, extended release Oral 180 mg/1 Capsule, extended release Oral 200 mg/1 Capsule, extended release Oral 240 mg/1 Capsule, extended release Oral 300 mg/1 Injection Intravenous 10 mg/4mL Injection Intravenous 2.5 mg/1mL Injection Intravenous 5 mg/2mL Injection, solution Intravenous 2.5 mg/1mL Injection, solution Intravenous 2.5 mg/1 mL Powder Not applicable 1 kg/1kg Tablet Oral 120 mg/1 Tablet Oral 180 mg/1 Tablet Oral 240 mg/1 Tablet Oral 40 mg/1 Tablet Oral 80 mg/1 Tablet, extended release Oral 120 mg/1 Tablet, extended release Oral 180 mg/1 Tablet, extended release Oral 240 mg/1 Tablet, extended release Oral 240 mg/301 Tablet, film coated Oral 120 mg/1 Tablet, film coated Oral 40 mg/1 Tablet, film coated Oral 80 mg/1 Tablet, film coated, extended release Oral 120 mg/1 Tablet, film coated, extended release Oral 180 mg/1 Tablet, film coated, extended release Oral 240 mg/1 Liquid Intravenous 2.5 mg / mL Solution Intravenous 2.5 mg / mL Capsule, extended release Oral Solution Intravenous 2.50 mg Tablet, coated Oral 12000000 mg Tablet, coated Oral 84 mg Tablet, film coated Oral 81.6 mg Tablet, coated Oral 80 mg Solution Intravenous 5 mg Tablet, delayed release Oral 80 mg Capsule, delayed release pellets Oral 240 mg/1 Capsule, delayed release pellets Oral 360 mg/1 Capsule, extended release Oral 120 mg Capsule, extended release Oral 180 mg Capsule, extended release Oral 240 mg Injection, solution Intravenous 2.5 mg/mL Injection Intravenous 2.5 mg/ml Tablet Oral 80.000 mg Solution Parenteral 250.000 mg Tablet, coated Oral 40 mg - Prices
Unit description Cost Unit Verelan 360 mg 24 Hour Capsule 6.82USD capsule Verelan 360 mg cap pellet 6.73USD pellet Verelan pm 300 mg cap pellet 5.87USD pellet Verelan 240 mg 24 Hour Capsule 4.76USD capsule Verelan 240 mg cap pellet 4.58USD pellet Verelan 180 mg 24 Hour Capsule 4.22USD capsule Verelan 180 mg cap pellet 4.06USD pellet Verelan pm 200 mg cap pellet 4.04USD pellet Verelan 120 mg cap pellet 3.87USD pellet Verapamil HCl CR 300 mg 24 Hour Capsule 3.82USD capsule Isoptin sr 240 mg tablet 3.32USD tablet Verapamil hcl powder 3.24USD g Calan SR 240 mg Controlled Release Tabs 3.15USD tab Isoptin SR 240 mg Controlled Release Tabs 3.14USD tab Verelan pm 100 mg cap pellet 3.13USD pellet Calan sr 240 mg caplet 3.09USD caplet Covera-HS 240 mg 24 Hour tablet 3.09USD tablet Covera-hs 240 mg tablet sa 2.97USD tablet Isoptin sr 180 mg tablet 2.9USD tablet Calan SR 180 mg Controlled Release Tabs 2.8USD tab Isoptin SR 180 mg Controlled Release Tabs 2.74USD tab Calan sr 180 mg caplet 2.7USD caplet Verapamil HCl CR 200 mg 24 Hour Capsule 2.62USD capsule Isoptin sr 120 mg tablet 2.29USD tablet Calan SR 120 mg Controlled Release Tabs 2.27USD tab Covera-HS 180 mg 24 Hour tablet 2.2USD tablet Isoptin SR 120 mg Controlled Release Tabs 2.16USD tab Calan sr 120 mg caplet 2.13USD caplet Covera-hs 180 mg tablet sa 2.11USD tablet Verapamil HCl CR 360 mg 24 Hour Capsule 2.1USD capsule Verapamil HCl CR 100 mg 24 Hour Capsule 2.04USD capsule Isoptin Sr 240 mg Sustained-Release Tablet 2.03USD tablet Calan sr 240 mg caplet sa 1.77USD caplet Verapamil HCl CR 240 mg 24 Hour Capsule 1.69USD capsule Verapamil HCl CR 240 mg Controlled Release Tabs 1.6USD tab Calan 120 mg tablet 1.56USD tablet Isoptin Sr 180 mg Sustained-Release Tablet 1.52USD tablet Verapamil HCl CR 180 mg 24 Hour Capsule 1.5USD capsule Calan sr 180 mg caplet sa 1.46USD caplet Verapamil HCl CR 120 mg 24 Hour Capsule 1.43USD capsule Verapamil HCl CR 180 mg Controlled Release Tabs 1.41USD tab Isoptin Sr 120 mg Sustained-Release Tablet 1.34USD tablet Calan 80 mg tablet 1.25USD tablet Verapamil 2.5 mg/ml vial 1.18USD ml Verapamil HCl CR 120 mg Controlled Release Tabs 1.12USD tab Apo-Verap Sr 240 mg Sustained-Release Tablet 0.91USD tablet Mylan-Verapamil Sr 240 mg Sustained-Release Tablet 0.91USD tablet Novo-Veramil Sr 240 mg Sustained-Release Tablet 0.91USD tablet Pms-Verapamil Sr 240 mg Sustained-Release Tablet 0.91USD tablet Calan 40 mg tablet 0.76USD tablet Apo-Verap Sr 120 mg Sustained-Release Tablet 0.72USD tablet Mylan-Verapamil Sr 120 mg Sustained-Release Tablet 0.72USD tablet Verapamil HCl 120 mg tablet 0.71USD tablet Apo-Verap Sr 180 mg Sustained-Release Tablet 0.69USD tablet Mylan-Verapamil Sr 180 mg Sustained-Release Tablet 0.69USD tablet Verapamil HCl 80 mg tablet 0.56USD tablet Apo-Verap 120 mg Tablet 0.45USD tablet Mylan-Verapamil 120 mg Tablet 0.45USD tablet Nu-Verap 120 mg Tablet 0.45USD tablet Verapamil 120 mg tablet 0.39USD tablet Verapamil 80 mg tablet 0.31USD tablet Verapamil HCl 40 mg tablet 0.29USD tablet Apo-Verap 80 mg Tablet 0.29USD tablet Mylan-Verapamil 80 mg Tablet 0.29USD tablet Nu-Verap 80 mg Tablet 0.29USD tablet Verapamil 40 mg tablet 0.28USD tablet DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US5785994 No 1998-07-28 2009-10-22 US US6096339 No 2000-08-01 2017-04-04 US
Properties
- State
- Solid
- Experimental Properties
- Not Available
- Predicted Properties
Property Value Source Water Solubility 0.00394 mg/mL ALOGPS logP 5.23 ALOGPS logP 5.04 Chemaxon logS -5.1 ALOGPS pKa (Strongest Basic) 9.68 Chemaxon Physiological Charge 1 Chemaxon Hydrogen Acceptor Count 6 Chemaxon Hydrogen Donor Count 0 Chemaxon Polar Surface Area 63.95 Å2 Chemaxon Rotatable Bond Count 13 Chemaxon Refractivity 132.65 m3·mol-1 Chemaxon Polarizability 51.7 Å3 Chemaxon Number of Rings 2 Chemaxon Bioavailability 0 Chemaxon Rule of Five No Chemaxon Ghose Filter No Chemaxon Veber's Rule No Chemaxon MDDR-like Rule No Chemaxon - Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.9371 Blood Brain Barrier + 0.6323 Caco-2 permeable + 0.738 P-glycoprotein substrate Substrate 0.7874 P-glycoprotein inhibitor I Inhibitor 0.9056 P-glycoprotein inhibitor II Inhibitor 0.855 Renal organic cation transporter Inhibitor 0.6259 CYP450 2C9 substrate Non-substrate 0.8029 CYP450 2D6 substrate Non-substrate 0.8706 CYP450 3A4 substrate Substrate 0.7657 CYP450 1A2 substrate Non-inhibitor 0.9553 CYP450 2C9 inhibitor Non-inhibitor 0.9071 CYP450 2D6 inhibitor Non-inhibitor 0.9231 CYP450 2C19 inhibitor Non-inhibitor 0.9026 CYP450 3A4 inhibitor Inhibitor 0.796 CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.9181 Ames test Non AMES toxic 0.8393 Carcinogenicity Non-carcinogens 0.6463 Biodegradation Not ready biodegradable 1.0 Rat acute toxicity 3.4137 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.7687 hERG inhibition (predictor II) Inhibitor 0.8188
Spectra
- Mass Spec (NIST)
- Not Available
- Spectra
- Chromatographic Properties
Collision Cross Sections (CCS)
Adduct CCS Value (Å2) Source type Source [M-H]- 227.5669678 predictedDarkChem Lite v0.1.0 [M-H]- 212.53043 predictedDeepCCS 1.0 (2019) [M+H]+ 227.2429678 predictedDarkChem Lite v0.1.0 [M+H]+ 214.88843 predictedDeepCCS 1.0 (2019) [M+Na]+ 227.7249678 predictedDarkChem Lite v0.1.0 [M+Na]+ 221.00804 predictedDeepCCS 1.0 (2019)
Targets
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Yes
- Actions
- Inhibitor
- General Function
- Voltage-gated calcium channel activity
- Specific Function
- Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hor...
- Gene Name
- CACNA1C
- Uniprot ID
- Q13936
- Uniprot Name
- Voltage-dependent L-type calcium channel subunit alpha-1C
- Molecular Weight
- 248974.1 Da
References
- Dilmac N, Hilliard N, Hockerman GH: Molecular determinants of frequency dependence and Ca2+ potentiation of verapamil block in the pore region of Cav1.2. Mol Pharmacol. 2004 Nov;66(5):1236-47. Epub 2004 Jul 30. [Article]
- Morel N, Buryi V, Feron O, Gomez JP, Christen MO, Godfraind T: The action of calcium channel blockers on recombinant L-type calcium channel alpha1-subunits. Br J Pharmacol. 1998 Nov;125(5):1005-12. [Article]
- Patel MK, Clunn GF, Lymn JS, Austin O, Hughes AD: Effect of serum withdrawal on the contribution of L-type calcium channels (CaV1.2) to intracellular Ca2+ responses and chemotaxis in cultured human vascular smooth muscle cells. Br J Pharmacol. 2005 Jul;145(6):811-7. [Article]
- Tfelt-Hansen P, Tfelt-Hansen J: Verapamil for cluster headache. Clinical pharmacology and possible mode of action. Headache. 2009 Jan;49(1):117-25. doi: 10.1111/j.1526-4610.2008.01298.x. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Voltage-gated calcium channel activity
- Specific Function
- Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hor...
- Gene Name
- CACNA1B
- Uniprot ID
- Q00975
- Uniprot Name
- Voltage-dependent N-type calcium channel subunit alpha-1B
- Molecular Weight
- 262493.84 Da
References
- Dobrev D, Milde AS, Andreas K, Ravens U: The effects of verapamil and diltiazem on N-, P- and Q-type calcium channels mediating dopamine release in rat striatum. Br J Pharmacol. 1999 May;127(2):576-82. doi: 10.1038/sj.bjp.0702574. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Voltage-gated calcium channel activity
- Specific Function
- Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hor...
- Gene Name
- CACNA1A
- Uniprot ID
- O00555
- Uniprot Name
- Voltage-dependent P/Q-type calcium channel subunit alpha-1A
- Molecular Weight
- 282362.39 Da
References
- Dobrev D, Milde AS, Andreas K, Ravens U: The effects of verapamil and diltiazem on N-, P- and Q-type calcium channels mediating dopamine release in rat striatum. Br J Pharmacol. 1999 May;127(2):576-82. doi: 10.1038/sj.bjp.0702574. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Voltage-gated potassium channel activity
- Specific Function
- This receptor is controlled by G proteins. Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. Their voltage ...
- Gene Name
- KCNJ11
- Uniprot ID
- Q14654
- Uniprot Name
- ATP-sensitive inward rectifier potassium channel 11
- Molecular Weight
- 43540.375 Da
References
- Ninomiya T, Takano M, Haruna T, Kono Y, Horie M: Verapamil, a Ca2+ entry blocker, targets the pore-forming subunit of cardiac type KATP channel (Kir6.2). J Cardiovasc Pharmacol. 2003 Aug;42(2):161-8. doi: 10.1097/00005344-200308000-00002. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Scaffold protein binding
- Specific Function
- Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hor...
- Gene Name
- CACNA1G
- Uniprot ID
- O43497
- Uniprot Name
- Voltage-dependent T-type calcium channel subunit alpha-1G
- Molecular Weight
- 262468.62 Da
References
- Freeze BS, McNulty MM, Hanck DA: State-dependent verapamil block of the cloned human Ca(v)3.1 T-type Ca(2+) channel. Mol Pharmacol. 2006 Aug;70(2):718-26. Epub 2006 May 12. [Article]
- Bergson P, Lipkind G, Lee SP, Duban ME, Hanck DA: Verapamil block of T-type calcium channels. Mol Pharmacol. 2011 Mar;79(3):411-9. doi: 10.1124/mol.110.069492. Epub 2010 Dec 13. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Scaffold protein binding
- Specific Function
- Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hor...
- Gene Name
- CACNA1H
- Uniprot ID
- O95180
- Uniprot Name
- Voltage-dependent T-type calcium channel subunit alpha-1H
- Molecular Weight
- 259160.2 Da
References
- Perez-Reyes E, Van Deusen AL, Vitko I: Molecular pharmacology of human Cav3.2 T-type Ca2+ channels: block by antihypertensives, antiarrhythmics, and their analogs. J Pharmacol Exp Ther. 2009 Feb;328(2):621-7. doi: 10.1124/jpet.108.145672. Epub 2008 Oct 30. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Voltage-gated potassium channel activity involved in ventricular cardiac muscle cell action potential repolarization
- Specific Function
- Pore-forming (alpha) subunit of voltage-gated inwardly rectifying potassium channel. Channel properties are modulated by cAMP and subunit assembly. Mediates the rapidly activating component of the ...
- Gene Name
- KCNH2
- Uniprot ID
- Q12809
- Uniprot Name
- Potassium voltage-gated channel subfamily H member 2
- Molecular Weight
- 126653.52 Da
References
- Duan JJ, Ma JH, Zhang PH, Wang XP, Zou AR, Tu DN: Verapamil blocks HERG channel by the helix residue Y652 and F656 in the S6 transmembrane domain. Acta Pharmacol Sin. 2007 Jul;28(7):959-67. [Article]
- Schneider J, Hauser R, Andreas JO, Linz K, Jahnel U: Differential effects of human ether-a-go-go-related gene (HERG) blocking agents on QT duration variability in conscious dogs. Eur J Pharmacol. 2005 Apr 4;512(1):53-60. [Article]
- Tfelt-Hansen P, Tfelt-Hansen J: Verapamil for cluster headache. Clinical pharmacology and possible mode of action. Headache. 2009 Jan;49(1):117-25. doi: 10.1111/j.1526-4610.2008.01298.x. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Unknown
- General Function
- Serotonin:sodium symporter activity
- Specific Function
- Serotonin transporter whose primary function in the central nervous system involves the regulation of serotonergic signaling via transport of serotonin molecules from the synaptic cleft back into t...
- Gene Name
- SLC6A4
- Uniprot ID
- P31645
- Uniprot Name
- Sodium-dependent serotonin transporter
- Molecular Weight
- 70324.165 Da
References
- Tatsumi M, Groshan K, Blakely RD, Richelson E: Pharmacological profile of antidepressants and related compounds at human monoamine transporters. Eur J Pharmacol. 1997 Dec 11;340(2-3):249-58. [Article]
- Brown NL, Sirugue O, Worcel M: The effects of some slow channel blocking drugs on high affinity serotonin uptake by rat brain synaptosomes. Eur J Pharmacol. 1986 Apr 9;123(1):161-5. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Antagonist
- Curator comments
- Inhibits receptor activity but shows little competition for binding. Likely an allosteric modulator.
- General Function
- Protein heterodimerization activity
- Specific Function
- This alpha-adrenergic receptor mediates its action by association with G proteins that activate a phosphatidylinositol-calcium second messenger system. Its effect is mediated by G(q) and G(11) prot...
- Gene Name
- ADRA1A
- Uniprot ID
- P35348
- Uniprot Name
- Alpha-1A adrenergic receptor
- Molecular Weight
- 51486.005 Da
References
- Shibata K, Hirasawa A, Foglar R, Ogawa S, Tsujimoto G: Effects of quinidine and verapamil on human cardiovascular alpha1-adrenoceptors. Circulation. 1998 Apr 7;97(13):1227-30. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Antagonist
- Curator comments
- Inhibits receptor activity but shows little competition for binding. Likely an allosteric modulator.
- General Function
- Protein heterodimerization activity
- Specific Function
- This alpha-adrenergic receptor mediates its action by association with G proteins that activate a phosphatidylinositol-calcium second messenger system. Its effect is mediated by G(q) and G(11) prot...
- Gene Name
- ADRA1B
- Uniprot ID
- P35368
- Uniprot Name
- Alpha-1B adrenergic receptor
- Molecular Weight
- 56835.375 Da
References
- Shibata K, Hirasawa A, Foglar R, Ogawa S, Tsujimoto G: Effects of quinidine and verapamil on human cardiovascular alpha1-adrenoceptors. Circulation. 1998 Apr 7;97(13):1227-30. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Antagonist
- Curator comments
- Inhibits receptor activity but shows little competition for binding. Likely an allosteric modulator.
- General Function
- Alpha1-adrenergic receptor activity
- Specific Function
- This alpha-adrenergic receptor mediates its effect through the influx of extracellular calcium.
- Gene Name
- ADRA1D
- Uniprot ID
- P25100
- Uniprot Name
- Alpha-1D adrenergic receptor
- Molecular Weight
- 60462.205 Da
References
- Shibata K, Hirasawa A, Foglar R, Ogawa S, Tsujimoto G: Effects of quinidine and verapamil on human cardiovascular alpha1-adrenoceptors. Circulation. 1998 Apr 7;97(13):1227-30. [Article]
- Kind
- Protein group
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Voltage-gated calcium channel activity
- Specific Function
- This protein is a subunit of the dihydropyridine (DHP) sensitive calcium channel. Plays a role in excitation-contraction coupling. The skeletal muscle DHP-sensitive Ca(2+) channel may function only...
Components:
References
- Shima E, Katsube M, Kato T, Kitagawa M, Hato F, Hino M, Takahashi T, Fujita H, Kitagawa S: Calcium channel blockers suppress cytokine-induced activation of human neutrophils. Am J Hypertens. 2008 Jan;21(1):78-84. doi: 10.1038/ajh.2007.13. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- InhibitorBlocker
- General Function
- Xenobiotic-transporting atpase activity
- Specific Function
- Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells.
- Gene Name
- ABCB1
- Uniprot ID
- P08183
- Uniprot Name
- Multidrug resistance protein 1
- Molecular Weight
- 141477.255 Da
References
- Asakura T, Imai A, Ohkubo-Uraoka N, Kuroda M, Iidaka Y, Uchida K, Shibasaki T, Ohkawa K: Relationship between expression of drug-resistance factors and drug sensitivity in normal human renal proximal tubular epithelial cells in comparison with renal cell carcinoma. Oncol Rep. 2005 Sep;14(3):601-7. [Article]
Enzymes
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInhibitor
- General Function
- Vitamin d3 25-hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
- Gene Name
- CYP3A4
- Uniprot ID
- P08684
- Uniprot Name
- Cytochrome P450 3A4
- Molecular Weight
- 57342.67 Da
References
- Zhou SF, Zhou ZW, Yang LP, Cai JP: Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675. Epub 2009 Sep 1. [Article]
- Wang YH, Jones DR, Hall SD: Differential mechanism-based inhibition of CYP3A4 and CYP3A5 by verapamil. Drug Metab Dispos. 2005 May;33(5):664-71. doi: 10.1124/dmd.104.001834. Epub 2005 Feb 2. [Article]
- Zhou S, Yung Chan S, Cher Goh B, Chan E, Duan W, Huang M, McLeod HL: Mechanism-based inhibition of cytochrome P450 3A4 by therapeutic drugs. Clin Pharmacokinet. 2005;44(3):279-304. doi: 10.2165/00003088-200544030-00005. [Article]
- Flockhart Table of Drug Interactions [Link]
- FDA Drug Development and Drug Interactions: Table of Substrates, Inhibitors and Inducers [Link]
- Verapamil FDA Label [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygen
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP1A2
- Uniprot ID
- P05177
- Uniprot Name
- Cytochrome P450 1A2
- Molecular Weight
- 58293.76 Da
References
- Kroemer HK, Gautier JC, Beaune P, Henderson C, Wolf CR, Eichelbaum M: Identification of P450 enzymes involved in metabolism of verapamil in humans. Naunyn Schmiedebergs Arch Pharmacol. 1993 Sep;348(3):332-7. [Article]
- Zhou SF, Yang LP, Zhou ZW, Liu YH, Chan E: Insights into the substrate specificity, inhibitors, regulation, and polymorphisms and the clinical impact of human cytochrome P450 1A2. AAPS J. 2009 Sep;11(3):481-94. doi: 10.1208/s12248-009-9127-y. Epub 2009 Jul 10. [Article]
- Flockhart Table of Drug Interactions [Link]
- Verapamil FDA Label [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInhibitor
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2C8
- Uniprot ID
- P10632
- Uniprot Name
- Cytochrome P450 2C8
- Molecular Weight
- 55824.275 Da
References
- Totah RA, Rettie AE: Cytochrome P450 2C8: substrates, inhibitors, pharmacogenetics, and clinical relevance. Clin Pharmacol Ther. 2005 May;77(5):341-52. doi: 10.1016/j.clpt.2004.12.267. [Article]
- Busse D, Cosme J, Beaune P, Kroemer HK, Eichelbaum M: Cytochromes of the P450 2C subfamily are the major enzymes involved in the O-demethylation of verapamil in humans. Naunyn Schmiedebergs Arch Pharmacol. 1995 Dec;353(1):116-21. doi: 10.1007/bf00168924. [Article]
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Verapamil FDA Label [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInhibitor
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2C9
- Uniprot ID
- P11712
- Uniprot Name
- Cytochrome P450 2C9
- Molecular Weight
- 55627.365 Da
References
- Zhou SF, Zhou ZW, Yang LP, Cai JP: Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675. Epub 2009 Sep 1. [Article]
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Verapamil FDA Label [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2C18
- Uniprot ID
- P33260
- Uniprot Name
- Cytochrome P450 2C18
- Molecular Weight
- 55710.075 Da
References
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInhibitor
- General Function
- Oxygen binding
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP3A5
- Uniprot ID
- P20815
- Uniprot Name
- Cytochrome P450 3A5
- Molecular Weight
- 57108.065 Da
References
- Wang YH, Jones DR, Hall SD: Differential mechanism-based inhibition of CYP3A4 and CYP3A5 by verapamil. Drug Metab Dispos. 2005 May;33(5):664-71. doi: 10.1124/dmd.104.001834. Epub 2005 Feb 2. [Article]
- Langaee TY, Gong Y, Yarandi HN, Katz DA, Cooper-DeHoff RM, Pepine CJ, Johnson JA: Association of CYP3A5 polymorphisms with hypertension and antihypertensive response to verapamil. Clin Pharmacol Ther. 2007 Mar;81(3):386-91. doi: 10.1038/sj.clpt.6100090. [Article]
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Flockhart Table of Drug Interactions [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateActivator
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2B6
- Uniprot ID
- P20813
- Uniprot Name
- Cytochrome P450 2B6
- Molecular Weight
- 56277.81 Da
References
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Steroid hydroxylase activity
- Specific Function
- Responsible for the metabolism of a number of therapeutic agents such as the anticonvulsant drug S-mephenytoin, omeprazole, proguanil, certain barbiturates, diazepam, propranolol, citalopram and im...
- Gene Name
- CYP2C19
- Uniprot ID
- P33261
- Uniprot Name
- Cytochrome P450 2C19
- Molecular Weight
- 55930.545 Da
References
- Busse D, Cosme J, Beaune P, Kroemer HK, Eichelbaum M: Cytochromes of the P450 2C subfamily are the major enzymes involved in the O-demethylation of verapamil in humans. Naunyn Schmiedebergs Arch Pharmacol. 1995 Dec;353(1):116-21. doi: 10.1007/bf00168924. [Article]
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Steroid hydroxylase activity
- Specific Function
- Responsible for the metabolism of many drugs and environmental chemicals that it oxidizes. It is involved in the metabolism of drugs such as antiarrhythmics, adrenoceptor antagonists, and tricyclic...
- Gene Name
- CYP2D6
- Uniprot ID
- P10635
- Uniprot Name
- Cytochrome P450 2D6
- Molecular Weight
- 55768.94 Da
References
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Steroid hydroxylase activity
- Specific Function
- Metabolizes several precarcinogens, drugs, and solvents to reactive metabolites. Inactivates a number of drugs and xenobiotics and also bioactivates many xenobiotic substrates to their hepatotoxic ...
- Gene Name
- CYP2E1
- Uniprot ID
- P05181
- Uniprot Name
- Cytochrome P450 2E1
- Molecular Weight
- 56848.42 Da
References
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
Carriers
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Toxic substance binding
- Specific Function
- Serum albumin, the main protein of plasma, has a good binding capacity for water, Ca(2+), Na(+), K(+), fatty acids, hormones, bilirubin and drugs. Its main function is the regulation of the colloid...
- Gene Name
- ALB
- Uniprot ID
- P02768
- Uniprot Name
- Serum albumin
- Molecular Weight
- 69365.94 Da
References
- FDA Approved Drug Products: Verelan® PM extended-release capsules [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Not Available
- Specific Function
- Functions as transport protein in the blood stream. Binds various ligands in the interior of its beta-barrel domain. Also binds synthetic drugs and influences their distribution and availability in...
- Gene Name
- ORM1
- Uniprot ID
- P02763
- Uniprot Name
- Alpha-1-acid glycoprotein 1
- Molecular Weight
- 23511.38 Da
References
- FDA Approved Drug Products: Verelan® PM extended-release capsules [Link]
Transporters
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInhibitor
- General Function
- Xenobiotic-transporting atpase activity
- Specific Function
- Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells.
- Gene Name
- ABCB1
- Uniprot ID
- P08183
- Uniprot Name
- Multidrug resistance protein 1
- Molecular Weight
- 141477.255 Da
References
- Tfelt-Hansen P, Tfelt-Hansen J: Verapamil for cluster headache. Clinical pharmacology and possible mode of action. Headache. 2009 Jan;49(1):117-25. doi: 10.1111/j.1526-4610.2008.01298.x. [Article]
- FDA Drug Development and Drug Interactions: Table of Substrates, Inhibitors and Inducers [Link]
- Verapamil FDA Label [Link]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Secondary active organic cation transmembrane transporter activity
- Specific Function
- Translocates a broad array of organic cations with various structures and molecular weights including the model compounds 1-methyl-4-phenylpyridinium (MPP), tetraethylammonium (TEA), N-1-methylnico...
- Gene Name
- SLC22A1
- Uniprot ID
- O15245
- Uniprot Name
- Solute carrier family 22 member 1
- Molecular Weight
- 61153.345 Da
References
- Cho SK, Kim CO, Park ES, Chung JY: Verapamil decreases the glucose-lowering effect of metformin in healthy volunteers. Br J Clin Pharmacol. 2014 Dec;78(6):1426-32. doi: 10.1111/bcp.12476. [Article]
- Boxberger KH, Hagenbuch B, Lampe JN: Common drugs inhibit human organic cation transporter 1 (OCT1)-mediated neurotransmitter uptake. Drug Metab Dispos. 2014 Jun;42(6):990-5. doi: 10.1124/dmd.113.055095. Epub 2014 Mar 31. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Symporter activity
- Specific Function
- Sodium-ion dependent, low affinity carnitine transporter. Probably transports one sodium ion with one molecule of carnitine. Also transports organic cations such as tetraethylammonium (TEA) without...
- Gene Name
- SLC22A4
- Uniprot ID
- Q9H015
- Uniprot Name
- Solute carrier family 22 member 4
- Molecular Weight
- 62154.48 Da
References
- Yabuuchi H, Tamai I, Nezu J, Sakamoto K, Oku A, Shimane M, Sai Y, Tsuji A: Novel membrane transporter OCTN1 mediates multispecific, bidirectional, and pH-dependent transport of organic cations. J Pharmacol Exp Ther. 1999 May;289(2):768-73. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Symporter activity
- Specific Function
- Sodium-ion dependent, high affinity carnitine transporter. Involved in the active cellular uptake of carnitine. Transports one sodium ion with one molecule of carnitine. Also transports organic cat...
- Gene Name
- SLC22A5
- Uniprot ID
- O76082
- Uniprot Name
- Solute carrier family 22 member 5
- Molecular Weight
- 62751.08 Da
References
- Ohashi R, Tamai I, Yabuuchi H, Nezu JI, Oku A, Sai Y, Shimane M, Tsuji A: Na(+)-dependent carnitine transport by organic cation transporter (OCTN2): its pharmacological and toxicological relevance. J Pharmacol Exp Ther. 1999 Nov;291(2):778-84. [Article]
- Ohashi R, Tamai I, Nezu Ji J, Nikaido H, Hashimoto N, Oku A, Sai Y, Shimane M, Tsuji A: Molecular and physiological evidence for multifunctionality of carnitine/organic cation transporter OCTN2. Mol Pharmacol. 2001 Feb;59(2):358-66. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Organic anion transmembrane transporter activity
- Specific Function
- May act as an inducible transporter in the biliary and intestinal excretion of organic anions. Acts as an alternative route for the export of bile acids and glucuronides from cholestatic hepatocyte...
- Gene Name
- ABCC3
- Uniprot ID
- O15438
- Uniprot Name
- Canalicular multispecific organic anion transporter 2
- Molecular Weight
- 169341.14 Da
References
- Zeng H, Chen ZS, Belinsky MG, Rea PA, Kruh GD: Transport of methotrexate (MTX) and folates by multidrug resistance protein (MRP) 3 and MRP1: effect of polyglutamylation on MTX transport. Cancer Res. 2001 Oct 1;61(19):7225-32. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Sodium-independent organic anion transmembrane transporter activity
- Specific Function
- Mediates the Na(+)-independent uptake of organic anions such as pravastatin, taurocholate, methotrexate, dehydroepiandrosterone sulfate, 17-beta-glucuronosyl estradiol, estrone sulfate, prostagland...
- Gene Name
- SLCO1B1
- Uniprot ID
- Q9Y6L6
- Uniprot Name
- Solute carrier organic anion transporter family member 1B1
- Molecular Weight
- 76447.99 Da
References
- Oostendorp RL, van de Steeg E, van der Kruijssen CM, Beijnen JH, Kenworthy KE, Schinkel AH, Schellens JH: Organic anion-transporting polypeptide 1B1 mediates transport of Gimatecan and BNP1350 and can be inhibited by several classic ATP-binding cassette (ABC) B1 and/or ABCG2 inhibitors. Drug Metab Dispos. 2009 Apr;37(4):917-23. doi: 10.1124/dmd.108.024901. Epub 2009 Jan 12. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Sodium-independent organic anion transmembrane transporter activity
- Specific Function
- Mediates the Na(+)-independent transport of organic anions such as sulfobromophthalein (BSP) and conjugated (taurocholate) and unconjugated (cholate) bile acids (By similarity). Selectively inhibit...
- Gene Name
- SLCO1A2
- Uniprot ID
- P46721
- Uniprot Name
- Solute carrier organic anion transporter family member 1A2
- Molecular Weight
- 74144.105 Da
References
- Cvetkovic M, Leake B, Fromm MF, Wilkinson GR, Kim RB: OATP and P-glycoprotein transporters mediate the cellular uptake and excretion of fexofenadine. Drug Metab Dispos. 1999 Aug;27(8):866-71. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Transporter activity
- Specific Function
- Mediates export of organic anions and drugs from the cytoplasm. Mediates ATP-dependent transport of glutathione and glutathione conjugates, leukotriene C4, estradiol-17-beta-o-glucuronide, methotre...
- Gene Name
- ABCC1
- Uniprot ID
- P33527
- Uniprot Name
- Multidrug resistance-associated protein 1
- Molecular Weight
- 171589.5 Da
References
- Perrotton T, Trompier D, Chang XB, Di Pietro A, Baubichon-Cortay H: (R)- and (S)-verapamil differentially modulate the multidrug-resistant protein MRP1. J Biol Chem. 2007 Oct 26;282(43):31542-8. doi: 10.1074/jbc.M703964200. Epub 2007 Jul 22. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Atpase activity, coupled to transmembrane movement of substances
- Specific Function
- May be an organic anion pump relevant to cellular detoxification.
- Gene Name
- ABCC4
- Uniprot ID
- O15439
- Uniprot Name
- Multidrug resistance-associated protein 4
- Molecular Weight
- 149525.33 Da
References
- Chen ZS, Lee K, Walther S, Raftogianis RB, Kuwano M, Zeng H, Kruh GD: Analysis of methotrexate and folate transport by multidrug resistance protein 4 (ABCC4): MRP4 is a component of the methotrexate efflux system. Cancer Res. 2002 Jun 1;62(11):3144-50. [Article]
- Bai J, Lai L, Yeo HC, Goh BC, Tan TM: Multidrug resistance protein 4 (MRP4/ABCC4) mediates efflux of bimane-glutathione. Int J Biochem Cell Biol. 2004 Feb;36(2):247-57. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Atpase activity, coupled to transmembrane movement of substances
- Specific Function
- ATP-dependent transporter probably involved in cellular detoxification through lipophilic anion extrusion.
- Gene Name
- ABCC10
- Uniprot ID
- Q5T3U5
- Uniprot Name
- Multidrug resistance-associated protein 7
- Molecular Weight
- 161627.375 Da
References
- Chen ZS, Hopper-Borge E, Belinsky MG, Shchaveleva I, Kotova E, Kruh GD: Characterization of the transport properties of human multidrug resistance protein 7 (MRP7, ABCC10). Mol Pharmacol. 2003 Feb;63(2):351-8. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Monovalent cation:proton antiporter activity
- Specific Function
- Solute transporter for tetraethylammonium (TEA), 1-methyl-4-phenylpyridinium (MPP), cimetidine, N-methylnicotinamide (NMN), metformin, creatinine, guanidine, procainamide, topotecan, estrone sulfat...
- Gene Name
- SLC47A1
- Uniprot ID
- Q96FL8
- Uniprot Name
- Multidrug and toxin extrusion protein 1
- Molecular Weight
- 61921.585 Da
References
- Radchenko M, Symersky J, Nie R, Lu M: Structural basis for the blockade of MATE multidrug efflux pumps. Nat Commun. 2015 Aug 6;6:7995. doi: 10.1038/ncomms8995. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Drug transmembrane transporter activity
- Specific Function
- Solute transporter for tetraethylammonium (TEA), 1-methyl-4-phenylpyridinium (MPP), cimetidine, N-methylnicotinamide, metformin, creatinine, guanidine, procainamide, topotecan, estrone sulfate, acy...
- Gene Name
- SLC47A2
- Uniprot ID
- Q86VL8
- Uniprot Name
- Multidrug and toxin extrusion protein 2
- Molecular Weight
- 65083.915 Da
References
- Radchenko M, Symersky J, Nie R, Lu M: Structural basis for the blockade of MATE multidrug efflux pumps. Nat Commun. 2015 Aug 6;6:7995. doi: 10.1038/ncomms8995. [Article]
Drug created at June 13, 2005 13:24 / Updated at June 07, 2024 08:21