Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Verapamil hydrochloride
Drug ID BADD_D02349
Description Verapamil is a phenylalkylamine calcium channel blocker used in the treatment of high blood pressure, heart arrhythmias, and angina,[L8791] and was the first calcium channel antagonist to be introduced into therapy in the early 1960s.[A188514] 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.[L8791] 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.[A188435]
Indications and Usage 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.[L8791] 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.[L10481] Verapamil is commonly used off-label for prophylaxis of cluster headaches.[A13983]
Marketing Status approved
ATC Code C08DA01
DrugBank ID DB00661
KEGG ID D00619
MeSH ID D014700
PubChem ID 62969
TTD Drug ID D0R0FE
NDC Product Code 0591-0404; 65015-750; 50090-4582; 51655-315; 51662-1549; 55150-342; 60687-493; 62175-485; 65145-114; 0378-6320; 0378-6440; 0404-9966; 68071-3446; 68462-292; 70934-396; 71205-607; 71209-047; 71872-7203; 75834-159; 23155-026; 43353-992; 51079-917; 62175-572; 68071-2792; 68071-3435; 0409-4011; 68462-293; 71335-2087; 71872-7183; 51927-1921; 42291-855; 50090-4013; 51662-1270; 53002-1074; 53002-1129; 53002-1205; 62175-487; 62175-580; 63187-849; 68083-447; 68083-448; 68788-6328; 71209-104; 0591-2882; 55289-723; 60687-504; 65145-113; 67296-0937; 67850-071; 70518-1464; 70518-2184; 71205-129; 71872-7210; 17511-132; 51927-0173; 65085-0026; 25021-312; 62135-532; 68788-8338; 70069-272; 70771-1601; 71205-017; 0591-2884; 12711-9279; 42291-854; 43066-031; 51655-957; 51662-1398; 0025-2818; 60687-515; 68071-3434; 70121-1585; 70121-1586; 70518-0605; 70771-1602; 0591-0343; 71209-048; 71335-1004; 72485-108; 75834-320; 49452-8113; 60274-120; 60274-360; 66039-956; 72761-030; 42571-313; 51655-734; 53002-1467; 62175-571; 62175-582; 63629-7845; 67850-072; 0404-9968; 68462-260; 68788-9790; 70756-606; 0591-2886; 71335-1394; 71610-268; 71872-7048; 50090-1400; 51655-959; 51754-0205; 55150-343; 63629-4337; 0409-1144; 0409-9633; 70518-1326; 70710-1643; 70710-1644; 70756-605; 71872-7243; 75834-158; 0591-0345; 38779-0275; 60274-300; 23155-486; 43066-035; 50090-5253; 62175-486; 62175-581; 0404-9967; 70069-271; 70518-3533; 71610-405; 71872-7291; 42291-853; 62175-570; 62175-583; 63629-7893; 63629-7894; 63629-8842; 0378-6380; 68071-3436; 68071-5257; 70069-273; 0591-2880; 72485-109; 60274-100; 60274-180; 60274-200; 60274-240; 23155-059; 51655-984; 51754-0203; 51754-0204; 0025-2712
UNII V3888OEY5R
Synonyms Verapamil | Iproveratril | Cordilox | Dexverapamil | Verapamil Hydrochloride | Hydrochloride, Verapamil | Finoptin | Izoptin | Isoptine | Isoptin | Lekoptin | Calan | Falicard
Chemical Information
Molecular Formula C27H39ClN2O4
CAS Registry Number 152-11-4
SMILES CC(C)C(CCCN(C)CCC1=CC(=C(C=C1)OC)OC)(C#N)C2=CC(=C(C=C2)OC)OC.Cl
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Alopecia23.02.02.001--
Angina pectoris24.04.04.002; 02.02.02.002--
Arthralgia15.01.02.001--
Atrioventricular block complete02.03.01.003--
Bradycardia02.03.02.002--Not Available
Cardiac failure congestive02.05.01.002--Not Available
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest pain02.02.02.011; 22.12.02.003; 08.01.08.002--Not Available
Confusional state19.13.01.001; 17.02.03.005--
Constipation07.02.02.001--
Diarrhoea07.02.01.001--
Dizziness02.11.04.006; 24.06.02.007; 17.02.05.003--
Dry mouth07.06.01.002--
Dyspnoea02.11.05.003; 22.02.01.004--
Ecchymosis24.07.06.002; 23.06.01.001; 01.01.03.001--Not Available
Erythema multiforme23.03.01.003; 10.01.03.015--
Extrapyramidal disorder17.01.02.007--
Fatigue08.01.01.002--
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Galactorrhoea21.05.02.002; 05.03.04.002--Not Available
Gingival hypertrophy07.09.13.008--Not Available
Gynaecomastia21.05.04.003; 05.05.02.003--
Headache17.14.01.001--
Heart rate13.14.04.012--Not Available
Hyperhidrosis23.02.03.004; 08.01.03.028--
Hyperkeratosis23.01.01.001--
Hyperprolactinaemia05.03.01.002--Not Available
Hypotension24.06.03.002--
Insomnia19.02.01.002; 17.15.03.002--
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