Reported Reactions

Drugs › Calcium channel blocker

Generic name

Verapamil hydrochloride: adverse event reports filed with FDA

2,547 reports list it as a suspect or interacting product, 2004–2026. Class: Calcium channel blocker. Also reported as Verapamil Hcl Extended Release Tablets Usp, Verapamil Hcl Extended Release Tablets, Verapamil Hydrochloride Extended-Release Capsules.

2,547
reports as suspect product
0% of all reports · about 114 a year
156
reports, 12 months to June 2026
217 in the 12 months before
87.5%
marked serious by the reporter
87.7% across the class
29.9%
record death among outcomes, as reported
761 reports · not verified by FDA

Between February 2004 and June 2026, 2,547 adverse event reports received by FDA list verapamil hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,107) are left out of every figure here.

In the 12 months to June 2026, 156 reports listed it, down 28% from 217 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 114 reports a year and 0% of the 20,646,523 reports in the database, and 3.3% of the reports for the calcium channel blocker class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are hypotension (11.9%), drug interaction (10.6%) and nausea (10.5%). A report can list several reactions, so shares add to more than 100%; 593 different terms appear across these reports. Hypotension is recorded in 11.9% of these reports, a larger share than in the median calcium channel blocker drug (8.5%).

87.5% of the reports are marked serious by the reporter (87.7% across the class); 29.9% record death among the outcomes and 38.7% record hospitalisation, as reported. 33.2% of the reports came from physicians, and the largest patient age group is 45 to 64 (23.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02957Jul 2021: 18Aug 2021: 4Sep 2021: 9Oct 2021: 31Nov 2021: 19Dec 2021: 182022Jan 2022: 26Feb 2022: 23Mar 2022: 57Apr 2022: 23May 2022: 15Jun 2022: 29Jul 2022: 20Aug 2022: 17Sep 2022: 18Oct 2022: 17Nov 2022: 16Dec 2022: 242023Jan 2023: 29Feb 2023: 25Mar 2023: 28Apr 2023: 21May 2023: 11Jun 2023: 30Jul 2023: 20Aug 2023: 16Sep 2023: 13Oct 2023: 14Nov 2023: 19Dec 2023: 232024Jan 2024: 23Feb 2024: 27Mar 2024: 26Apr 2024: 33May 2024: 26Jun 2024: 27Jul 2024: 23Aug 2024: 13Sep 2024: 24Oct 2024: 35Nov 2024: 5Dec 2024: 152025Jan 2025: 22Feb 2025: 7Mar 2025: 12Apr 2025: 27May 2025: 24Jun 2025: 10Jul 2025: 9Aug 2025: 10Sep 2025: 7Oct 2025: 5Nov 2025: 12Dec 2025: 252026Jan 2026: 8Feb 2026: 28Mar 2026: 5Apr 2026: 11May 2026: 20Jun 2026: 16

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01442872004: 1620042005: 582006: 512007: 1620072008: 402009: 142010: 2720102011: 412012: 442013: 3920132014: 582015: 1382016: 9320162017: 1072018: 1082019: 28720192020: 1652021: 1762022: 28520222023: 2492024: 2772025: 17020252026: 88

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Verapamil hydrochloride reports recording the termmedian drug in calcium channel blocker

  1. Hypotensionlow blood pressure11.9%304
  2. Drug interactionan interaction between medicines10.6%269
  3. Nauseafeeling sick10.5%267
  4. Completed suicidedeath by suicide10.1%258
  5. Dyspnoeashortness of breath9.8%250
  6. Bradycardiaslow heart rate9.1%232
  7. Off label useused for a purpose or in a way not on the label9%228
  8. Dizzinesslight-headedness or unsteadiness8.8%224
  9. Toxicity to various agentspoisoning or toxic effect of one or more substances8.6%219
  10. Abdominal painstomach or belly pain7.9%202
  11. Diarrhoealoose or frequent stools7.9%200
  12. Coma7.8%199
  13. Drug ineffectivethe medicine did not work as expected7.8%198
  14. Headachehead pain7.3%186
  15. Tachycardiafast heart rate7.3%186
  16. Fatiguetiredness7.2%183
  17. Cardio-respiratory arrestthe heart and breathing stopped7.1%181
  18. Coughcough7.1%181
  19. Vomitingbeing sick7%178
  20. Pruritusitching6.7%171
  21. Falla fall6.7%170
  22. Astheniaweakness or lack of energy6.6%169
  23. Blood pressure increaseda raised blood pressure reading6.4%162
  24. Arthralgiajoint pain6.2%159
  25. Sepsisa severe body-wide response to infection6.1%156
  26. Head discomfortdiscomfort in the head5.9%151
  27. Somnolencedrowsiness5.9%151
  28. Chillschills or shivering5.8%147

Top 30 of 593 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 6 drugs in the calcium channel blocker class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death29.9%761
Life-threatening13.6%347
Hospitalisation (initial or prolonged)38.7%985
Disability1.4%36
Congenital anomaly0.1%3
Other serious53.6%1,366
Not serious12.5%319

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 76,049 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.6%16
2 to 110.4%9
12 to 173.1%78
18 to 4413.4%341
45 to 6423.4%597
65 to 7415.1%385
75 and over15.7%400
Age not given28.3%721

Patient sex

Female47%1,196
Male31.3%797
Not given21.8%554

Who reported

Physician33.2%846
Pharmacist13.5%343
Other health professional31.1%793
Lawyer0.1%2
Consumer or non-health professional18.3%466
Not given3.8%97

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 44.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension30311.9%
Atrial fibrillation732.9%
Migraine612.4%
Supraventricular tachycardia371.5%
Cluster headache251%
Tachycardia251%

The indication field is filled in by the reporter and is often blank; shares are of all 2,547 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Verapamil hydrochloride reports
Acetaminophen28711.3%
Aspirin27110.6%
Hydrochlorothiazide26410.4%
Nitroglycerin2409.4%
Simvastatin2319.1%
Pregabalin2078.1%
Celecoxib2058%
Docetaxel2038%
Ezetimibe2027.9%
Cholecalciferol1997.8%

Other products listed in reports where Verapamil hydrochloride is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureVerapamil hydrochlorideCalcium channel blockerAll reports
Reports as suspect product2,54776,04920,646,523
Share of that pool—3.3%0%
Reports, latest 12 months156—1,332,454
Marked serious87.5%87.7%57.4%
Death recorded among outcomes, per 1,000 reports29918791
Hospitalisation recorded, per 1,000 reports387391213
Consumer-filed share18.3%25.1%45.8%
Top term, share of reportsHypotension 11.9%median 8.5%1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the calcium channel blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Amlodipinegeneric52,2164,32493.2%
Norvascbrand12,36212469%
Diltiazem hydrochloridegeneric6,08250488.3%
Caduetbrand1,760366%
Cardizembrand1,0821568.4%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Verapamil hydrochloride reports

How many adverse event reports has FDA received for Verapamil hydrochloride?

2,547 reports list Verapamil hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 156 of them arrived in the latest 12 months. Another 2,107 list it only as a concomitant medication.

What reactions are recorded in Verapamil hydrochloride reports?

hypotension (11.9%), drug interaction (10.6%), nausea (10.5%), completed suicide (10.1%) and dyspnoea (9.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Verapamil hydrochloride was responsible.

How serious are the reports?

87.5% are marked serious by the reporter. Among the outcomes recorded, 29.9% of reports include death and 38.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (33.2%), other health professional (31.1%) and consumer or non-health professional (18.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Verapamil hydrochloride rising?

156 reports in the 12 months to June 2026, down 28% from 217 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Verapamil hydrochloride was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Verapamil hydrochloride?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Verapamil hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (2,107) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.