When This Medicine Should Not Be Used:
This medicine is not right for everyone. Do not use it if you had an allergic reaction to verapamil, or you have low blood pressure or certain heart problems identified by your doctor.

How to Use This Medicine:
Long Acting Capsule, Tablet, Long Acting Tablet

• Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
• It is best to take this medicine with food or milk.
• Swallow the extended-release tablets or extended-release capsules whole. Do not crush, break, or chew them.
• If you take the Verelan® or Verelan® PM extended-release capsule, you may open it and pour the medicine into a small amount of applesauce. Stir this mixture well and swallow it without chewing.
• Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some medicines can affect how verapamil works. Tell your doctor if you are taking any of the following:
  
  • A diuretic (water pill)
  • Aspirin
  • Carbamazepine, phenobarbital
  • Cholesterol medicine
  • Cyclosporine
  • Digoxin
  • Erythromycin, telithromycin
  • Lithium
  • Medicine for heart rhythm problems
  • Rifampin
  • Ritonavir
  • Theophylline
  • Vecuronium
• Do not drink alcohol while you are using this medicine.
• Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney, liver, nerve, or muscle disease. Tell your doctor about all heart problems that you have.
• This medicine may make you dizzy or lightheaded. Do not drive or do anything that could be dangerous until you know how this medicine affects you.
• This medicine may cause a serious liver problem.
• Tell any doctor or dentist who treats you that you use this medicine.
• Your blood pressure may go up if you stop this medicine. High blood pressure usually has no symptoms. Even if you feel well, do not stop using this medicine without asking your doctor.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Chest pain
• Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes
• Fast, slow, uneven, or pounding heartbeat
• Lightheadedness, dizziness, or fainting
• Rapid weight gain, swelling in your legs, feet, or ankles
• Trouble breathing
• Unusual tiredness or weakness

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088