A calcium channel blocker that is a class IV anti-arrhythmia agent. [PubChem]
Indication
For the treatment of hypertension, angina, and cluster headache prophylaxis.
Pharmacology
Verapamil is an L-type calcium channel blocker that also has antiarrythmic activity. The R-enantiomer is more effective at reducing blood pressure compared to the S-enantiomer. However, the S-enantiomer is 20 times more potent than the R-enantiomer at prolonging the PR interval in treating arrhythmias.
Toxicity
LD50=8 mg/kg (i.v. in mice)
Affected Organisms
Humans and other mammals
Absorption
90%
Half Life
2.8-7.4 hours
Protein Binding
90%
Elimination
Approximately 70% of an administered dose is excreted as metabolites in the urine and 16% or more in the feces within 5 days. About 3% to 4% is excreted in the urine as unchanged drug.
References
•
Bellamy WT: P-glycoproteins and multidrug resistance. Annu Rev Pharmacol Toxicol. 1996;36:161-83.
[Pubmed]