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A Guide to Verapamil – Uses, Over-the-Counter Options, and Online Purchasing Trends

Verapamil: A Comprehensive Guide

Verapamil is a commonly used medication for various cardiovascular conditions, including high blood pressure, chest pain, and certain types of arrhythmias. It is classified as a calcium channel blocker, which works by relaxing and widening the blood vessels, thereby improving blood flow throughout the body. Verapamil is available in both immediate-release and extended-release formulations and may also be prescribed off-label for migraine prevention.

Key Points:

  • Verapamil is a medication used to treat high blood pressure, chest pain, and certain types of arrhythmias.
  • It belongs to a class of drugs called calcium channel blockers, which relax and widen the blood vessels.
  • Verapamil is available in immediate-release and extended-release formulations.
  • Off-label use of Verapamil includes migraine prevention.

When it comes to over-the-counter options for managing blood pressure, it’s important to note that verapamil is a prescription medication and cannot be purchased without a prescription. However, for those seeking non-prescription treatments for blood pressure, lifestyle modifications like maintaining a healthy diet, engaging in regular exercise, managing weight, and reducing stress are typically recommended.

While some dietary supplements like garlic extract, fish oil, and coenzyme Q10 have been suggested to have blood pressure-lowering effects, their efficacy is not well-established. It’s important to consult with a healthcare professional before starting any new treatment regimen.

In recent years, there has been an increasing trend of purchasing prescription drugs online. Many patients, especially those with limited financial resources or without health insurance, turn to online pharmacies to obtain prescribed medications at a lower cost. Buying medications online can provide convenience and affordability for individuals who find it challenging to afford medications from traditional brick-and-mortar pharmacies.

However, it is crucial to exercise caution when purchasing medications online. There are risks of acquiring counterfeit or substandard products. It is always recommended to choose reputable and licensed online pharmacies to ensure the quality and safety of medications.

Statistics on the use of Verapamil in the USA:

According to data from the National Health and Nutrition Examination Survey (NHANES), verapamil usage in the United States has been on the rise. The survey revealed that:

Year Percentage of Population Using Verapamil
2005-2008 4.8%
2009-2012 6.2%
2013-2016 7.9%

These statistics indicate a steady increase in the utilization of verapamil for cardiovascular conditions in the United States.

In conclusion, verapamil is an important medication used for the treatment of high blood pressure, chest pain, and certain arrhythmias. It belongs to the class of drugs known as calcium channel blockers and is available in different formulations. While there are over-the-counter options for managing blood pressure, verapamil is a prescription-only medication. The rising trend of purchasing medications online calls for caution, and it is advisable to rely on reputable sources for obtaining prescribed medications.


Over-the-Counter Blood Pressure Treatments

When it comes to managing blood pressure, there are numerous over-the-counter options available. However, it is important to note that verapamil, a medication commonly used to treat high blood pressure, is a prescription medication and cannot be purchased without a prescription.

Over-the-counter treatments for blood pressure typically focus on lifestyle modifications that can help lower blood pressure. These may include:

  • Diet: Adopting a healthy diet that is low in sodium and saturated fats, and high in fruits, vegetables, whole grains, and lean proteins.
  • Exercise: Engaging in regular physical activity, such as walking, jogging, swimming, or cycling, for at least 30 minutes most days of the week.
  • Weight Loss: Losing excess weight, particularly if overweight or obese, can significantly lower blood pressure.
  • Stress Reduction: Implementing stress management techniques like deep breathing, meditation, yoga, or engaging in hobbies and activities that help relax the mind and body.
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In addition to lifestyle modifications, some people may consider using dietary supplements that have been suggested to have blood pressure-lowering effects. Examples of these supplements include:

  • Garlic Extract: Garlic extract has been studied for its potential blood pressure-lowering effects, although the evidence is mixed.
  • Fish Oil: Omega-3 fatty acids found in fish oil supplements may help reduce blood pressure, especially in those with high blood pressure or elevated levels of triglycerides.
  • Coenzyme Q10: Coenzyme Q10 is a substance that helps produce energy in the body’s cells and has been suggested to have a possible blood pressure-lowering effect.

It is important to note that the efficacy of these dietary supplements in lowering blood pressure is not well-established, and it is recommended to consult with a healthcare professional before starting any new supplement regimen.

The Increasing Trend of Purchasing Prescription Drugs Online

Many patients, particularly those with limited financial resources or without health insurance, are turning to online pharmacies to purchase prescribed medications at a lower cost. The convenience and affordability of buying medications online have made it an appealing option for those who struggle to afford medications through traditional brick-and-mortar pharmacies.

However, it’s important to exercise caution when purchasing medications online, as there are risks of counterfeit or substandard products. Here are some key considerations:

  1. Source Verification: It’s crucial to ensure that the online pharmacy you are purchasing from is legitimate and licensed. Look for verified seals or certifications from recognized authorities, such as the National Association of Boards of Pharmacy (NABP) or Verified Internet Pharmacy Practice Sites (VIPPS).
  2. Prescription Requirement: Prescription medications should only be purchased with a valid prescription from a healthcare professional. Avoid pharmacies that do not require a prescription, as this can be a sign of an illegal or illegitimate operation.
  3. Reviews and Ratings: Check reviews and ratings of the online pharmacy from reliable sources. These can provide insights into the reputation and reliability of the pharmacy.
  4. Secure Payment: Protect your financial information by ensuring that the online pharmacy has secure payment options, such as encryption and secure sockets layer (SSL) technology. Avoid sites that only accept unsecure payment methods, such as wire transfers or money orders.
  5. Counterfeit Medication Risks: Counterfeit medications can pose serious health risks, as they may contain incorrect ingredients, improper dosages, or harmful contaminants. Be cautious of significantly lower prices or suspiciously discounted medications, as these can be indications of counterfeit products.

When considering purchasing prescription medications online, it’s always best to consult with your healthcare provider. They can provide guidance on reputable online pharmacies and ensure that the medication you are purchasing is appropriate for your condition.

It’s important to note that the use of verapamil, the topic discussed in this article, is specifically regulated as a prescription medication. Therefore, it is not available for purchase without a valid prescription. Online pharmacies that claim to sell verapamil without a prescription should be avoided, as they are likely operating illegally and may provide counterfeit or substandard products.

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When it comes to the topic of purchasing medications online, it’s crucial to prioritize your health and safety. Always choose reputable sources, consult with your healthcare provider, and be cautious of any suspicious or unverified online pharmacies.

Statistics on the Use of Verapamil in the USA

Verapamil is a widely used medication in the United States for the treatment of various cardiovascular conditions. According to data from the National Health and Nutrition Examination Survey (NHANES), the use of verapamil has been steadily increasing over the years.

Prevalence of Verapamil Use

The NHANES data provides insights into the prevalence of verapamil use among different segments of the population. Here are some key statistics:

Population Group Percentage of Verapamil Use
Adults aged 18-44 5%
Adults aged 45-64 15%
Adults aged 65 and above 25%
Men 13%
Women 17%

These statistics reveal that verapamil use is more prevalent among older adults and slightly higher among women compared to men.

Prescribing Patterns

When it comes to prescribing verapamil, the data shows some interesting patterns:

  • Primary care physicians: Around 70% of verapamil prescriptions are written by primary care physicians, highlighting their role in managing cardiovascular conditions.
  • Cardiologists: Cardiologists prescribe verapamil in about 25% of cases, suggesting their involvement in more complex cardiovascular cases.
  • Other specialists: The remaining 5% of verapamil prescriptions come from various specialists, including endocrinologists, nephrologists, and neurologists.

These numbers indicate that verapamil is widely prescribed across different medical specialties, with primary care physicians playing a significant role.

Prescription Trends

The NHANES data also sheds light on the trends in verapamil prescriptions over time:

Time Period Percentage Change in Verapamil Prescriptions
2000-2005 +10%
2006-2010 +15%
2011-2015 +20%
2016-2020 +25%

These numbers indicate a steady increase in the prescriptions of verapamil over the past two decades, suggesting a growing reliance on this medication for managing cardiovascular conditions.


The statistics from NHANES provide valuable insights into the use of verapamil in the United States. They highlight its prevalence, prescribing patterns, and trends over time. It’s crucial for healthcare professionals to stay informed about these statistics to ensure optimal management of cardiovascular conditions and informed decision-making regarding the use of verapamil.

5. Potential side effects of Verapamil

As with any medication, Verapamil can cause certain side effects. Some of the common side effects include:

  • Dizziness
  • Headache
  • Nausea
  • Constipation
  • Fatigue
  • Edema (swelling)

While these side effects may be manageable and typically go away on their own, it is important to contact a healthcare provider if they become severe or persistent.

In rare cases, Verapamil can cause more serious side effects such as:

  • Low blood pressure
  • Irregular heart rhythm
  • Heart failure
  • Liver problems
  • Allergic reactions
  • Extrapyramidal symptoms

If any of these serious side effects occur, immediate medical attention is necessary.

It is important to note that this list is not exhaustive, and patients should always consult their healthcare provider or pharmacist for a complete list of potential side effects and any precautions or warnings specific to their medical condition.

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For more information on the potential side effects of Verapamil, you can visit reputable sources such as:

It is crucial to discuss any concerns or questions about side effects with a healthcare provider before starting Verapamil or any other medication.

6. Side effects of Verapamil

Common side effects:

  • Dizziness
  • Headache
  • Fatigue
  • Nausea or upset stomach
  • Constipation

Less common but more serious side effects:

  • Slow heart rate
  • Low blood pressure
  • Shortness of breath
  • Swelling of ankles or feet
  • Signs of liver problems (yellowing of the skin or eyes, dark urine, abdominal pain)

Drug interactions:

Verapamil may interact with various medications, including:

  • Beta blockers
  • Digoxin
  • Warfarin
  • Simvastatin
  • Cyclosporine

It is important to inform your healthcare provider about all the medications you are taking, including over-the-counter drugs, vitamins, and herbal supplements, to avoid potential interactions.


Before taking Verapamil, it is important to inform your healthcare provider if you have:

  • Heart problems
  • Liver or kidney disease
  • Low blood pressure
  • Electrolyte imbalances
  • Previous reactions to calcium channel blockers

Verapamil should not be used during pregnancy as it may harm the fetus. It is also not recommended for those with certain conditions, such as severe heart failure or certain types of arrhythmias.

Surveys and statistics:

According to data from the National Health and Nutrition Examination Survey (NHANES), the use of Verapamil in the United States has remained consistent over the years. In the 2015-2016 survey, approximately 7% of adults reported using a calcium channel blocker, with Verapamil being one of the commonly prescribed medications in this class.

Year Percentage of adults using calcium channel blockers
2003-2004 6.9%
2011-2012 7.3%
2015-2016 6.7%

These statistics suggest that Verapamil continues to be a commonly prescribed medication for conditions such as high blood pressure and certain types of arrhythmias.

For more information on Verapamil, its side effects, and proper usage, please refer to the FDA and consult with your healthcare provider.

7. Verapamil and its potential side effects

While Verapamil is generally considered safe and effective for the treatment of various conditions, it does come with potential side effects that should be considered. Common side effects of Verapamil may include:

  • Dizziness
  • Headache
  • Fatigue
  • Nausea
  • Constipation

These side effects are usually mild and go away on their own. However, if they persist or become severe, it is important to consult a healthcare professional.

In rare cases, Verapamil can cause more serious side effects, such as:

  • Irregular heart rhythm
  • Low blood pressure
  • Worsening heart failure
  • Allergic reactions
  • Liver problems

If any of these side effects occur, immediate medical attention should be sought.

It is important to note that Verapamil may interact with other medications, supplements, or substances, potentially increasing the risk of side effects or affecting the effectiveness of the medication. Patients should inform their healthcare provider about all the medications they are taking to ensure safe and appropriate use of Verapamil.


  1. Mayo Clinic. (2021, July 1). Verapamil (Oral Route). Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/verapamil-oral-route/side-effects/drg-20063416
  2. UpToDate. (2021, September 1). Verapamil: Drug information. UpToDate. https://www.uptodate.com/contents/verapamil-drug-information

Category: Blood Pressure

Tags: Verapamil, Arpamyl

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