The side effects identified in clinical trials and in the post-marketing use of Isoptin® are presented below for organ systems and the frequency of their occurrence in accordance with the WHO classification: very often (≥1/10); often (from ≥ 1/100 to <1/10); infrequently (from ≥ 1/1000 to <1/100); rarely (from ≥ 1/10000 to <1/1000); very rarely (<1/10000); frequency is unknown (can not be determined from available data).
The most common side effects were: headache, dizziness, nausea, constipation, abdominal pain, bradycardia. tachycardia, palpitations, marked decrease in blood pressure, "tides" of blood to the skin of the face, peripheral edema and increased fatigue.
Immune system disorders:
frequency unknown: hypersensitivity.
Disorders from the metabolism and nutrition:
frequency unknown: hyperkalemia.
Disorders of the psyche:
rarely: drowsy.
Impaired nervous system:
often: dizziness, headache; rarely: paresthesia, tremor;
frequency unknown: extrapyramidal disorders, paralysis (tetraparesis)1, convulsive seizures.
Hearing disorders and labyrinthine disturbances:
rarely: tinnitus; frequency unknown: vertigo.
Heart Disease:
often: aetiology; infrequent: a feeling of palpitations. tachycardia;
frequency is unknown: AV blockade of I, II, III degree; heart failure, stopping the sinus node ("sinus arrest"), sinus bradycardia, asystole.
Vascular disorders:
often: "hot flashes" of blood to the skin of the face, marked decrease in blood pressure;
Disturbances from the respiratory system, chest and mediastinal organs:
frequency unknown: bronchospasm, dyspnea.
Disturbances from the gastrointestinal tract:
often: constipation, nausea; infrequently: abdominal pain; rarely: vomiting;
frequency unknown: abdominal discomfort, gingival hyperplasia, intestinal obstruction.
Skin and nip disordersImportant tissues:
rarely: hyperhidrosis; frequency unknown: angioedema, Stevens-Johnson syndrome, erythema multiforme, alopecia, itching, itching, purpura, maculopapular rash, urticaria.
Disturbances from the musculoskeletal and connective tissue:
frequency unknown: arthralgia, muscle weakness, myalgia.
Disorders from the nights and urinary tract:
frequency unknown: renal failure.
Violations of the genitals and breast:
frequency unknown: erectile dysfunction, galactorrhea, gynecomastia.
General disorders:
often: peripheral edema; infrequently: increased fatigue.
Laboratory and instrumental data:
frequency is unknown: increased prolactin concentration, increased activity of liver enzymes.
1 - During the period of post-marketing use of Isoptin®, a single case of development of paralysis (tetranarez) associated with the joint use of verapamil and colchicine was reported. This could be due to the penetration of colchicine through the blood-brain barrier due to the suppression of the activity of the isoenzyme CYP3A4 and P-glycoprotein under the action of verapamil (see the section "Interaction with other drugs").