{
  "id": "calan-verapamil-immediate-release",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-09-02",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "CALAN / verapamil immediate-release",
    "generic": "盐酸维拉帕米普通片",
    "aliases": [
      "CALAN",
      "Calan",
      "verapamil",
      "verapamil hydrochloride",
      "verapamil tablets",
      "维拉帕米",
      "盐酸维拉帕米",
      "盐酸维拉帕米片",
      "异搏定",
      "NDA 018817",
      "ANDA 071881",
      "62135-743-90",
      "62135-744-90",
      "62135-745-90",
      "HP59",
      "HP 26",
      "HP 27"
    ],
    "marketBrandNames": [
      {
        "name": "CALAN",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "evidenceStatus": "historical_regulatory_record",
        "note": {
          "zh": "NDA 018817 历史原研/RLD；40、80、120、160 mg 普通片当前列入 DISCN，且标注并非因安全性或有效性撤回。本页不展示历史原品牌包装。",
          "en": "Historical originator/RLD under NDA 018817. The 40, 80, 120 and 160 mg immediate-release tablets are listed as DISCN and marked as not withdrawn for safety or effectiveness. This page does not display a historical original-brand pack."
        },
        "source": {
          "id": "src_3d17358ce65b1cf8",
          "label": "FDA Orange Book 第 46 版（2026）：CALAN NDA 018817 的 40／80／120／160 mg 口服普通片列入 Discontinued Drug Product List",
          "url": "https://www.fda.gov/media/71474/download",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      },
      {
        "name": "verapamil hydrochloride tablets",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "evidenceStatus": "current_regulatory_record",
        "note": {
          "zh": "Chartwell RX ANDA 071881 当前通用药标签；40、80、120 mg 各一个 90 片瓶装。监管标签不等于实时库存。",
          "en": "Current Chartwell RX generic label under ANDA 071881: one 90-tablet bottle each for 40, 80 and 120 mg. A regulatory label is not live stock."
        },
        "source": {
          "id": "src_171abcbe4566484a",
          "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      }
    ],
    "mainlandChinaTradeNameCue": null
  },
  "identity": {
    "therapeuticArea": "心血管",
    "sourceArchiveMarket": "FDA Orange Book 第 46 版把 CALAN NDA 018817 的 40、80、120、160 mg 口服普通片列入停市清单，并以脚注注明并非因安全性或有效性撤回。当前准确包装来自 Chartwell RX ANDA 071881 通用药标签：40、80、120 mg，各一个 90 片瓶装与对应准确包装面板。历史品牌、当前通用药及不同释放/给药产品不得混写。",
    "dosageFormClass": "盐酸维拉帕米普通口服片；CALAN SR、VERELAN、VERELAN PM、COVERA-HS、ISOPTIN SR 等缓释或节律释放产品以及注射剂均是不同准确产品。共同通用名或 mg 数字不建立换算、频次、分片、叠加或替换结论。",
    "dosageFormClassCode": "oral_modified_release",
    "route": "口服",
    "routeCode": "oral",
    "historicalApprovalEntry": "1984（CALAN 美国口服普通片 NDA 018817 的 80／120 mg 批准年份）",
    "archiveSponsorText": "CALAN 历史原研/RLD（Pfizer／G.D. Searle）；Chartwell RX, LLC 为当前展示通用药标签方"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [
      "CALAN",
      "verapamil",
      "verapamil hydrochloride",
      "verapamil tablets",
      "维拉帕米",
      "盐酸维拉帕米",
      "盐酸维拉帕米片",
      "异搏定"
    ],
    "excludedProductCues": [
      "CALAN SR",
      "VERELAN",
      "VERELAN PM",
      "COVERA-HS",
      "ISOPTIN SR",
      "verapamil extended release",
      "verapamil injection",
      "维拉帕米缓释",
      "维拉帕米注射液"
    ],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
    {
      "id": "us-generic-verapamil-ir-40mg-90-tablet-bottle-ndc-6213574390",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 当前美国通用药标签（页面 2025-12-10 更新；正文 Revised 08/2023）",
        "en": "Current U.S. DailyMed generic label (page updated 10 Dec 2025; text revised Aug 2023)"
      },
      "dosageForm": {
        "zh": "盐酸维拉帕米普通薄膜衣口服片",
        "en": "verapamil hydrochloride immediate-release film-coated oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 62135-743-90",
      "pouchCode": null,
      "applicationNumber": "ANDA 071881",
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片盐酸维拉帕米 40 mg；90 片瓶装",
        "en": "40 mg verapamil hydrochloride per tablet; 90-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=verapamil-hcl-tablets-usp-40mg-bottle-label.jpg&setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "盐酸维拉帕米",
            "en": "verapamil hydrochloride"
          },
          "value": 40,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标签标示量；不是个人片数、频次、分片指令，也不是与 CALAN SR、VERELAN、VERELAN PM、其他缓释制剂或注射剂的换算值",
            "en": "labelled amount per tablet; not an individual's tablet count, frequency, splitting instruction or conversion to CALAN SR, VERELAN, VERELAN PM, another extended-release product or an injection"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "瓶装",
          "en": "bottle"
        },
        "fill": null,
        "countPerPackage": 90,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-02",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "current_regulatory_listing_not_live_stock",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 90,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "白色",
          "en": "white"
        },
        "shape": {
          "zh": "圆形普通薄膜衣片",
          "en": "round immediate-release film-coated tablet"
        },
        "imprint": "HP59",
        "scoreStatus": "unscored_no_self_split_permission",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_171abcbe4566484a",
        "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-generic-verapamil-ir-80mg-90-tablet-bottle-ndc-6213574490",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 当前美国通用药标签（页面 2025-12-10 更新；正文 Revised 08/2023）",
        "en": "Current U.S. DailyMed generic label (page updated 10 Dec 2025; text revised Aug 2023)"
      },
      "dosageForm": {
        "zh": "盐酸维拉帕米普通薄膜衣口服片",
        "en": "verapamil hydrochloride immediate-release film-coated oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 62135-744-90",
      "pouchCode": null,
      "applicationNumber": "ANDA 071881",
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片盐酸维拉帕米 80 mg；90 片瓶装",
        "en": "80 mg verapamil hydrochloride per tablet; 90-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=verapamil-hcl-tablets-usp-80mg-bottle-label.jpg&setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "盐酸维拉帕米",
            "en": "verapamil hydrochloride"
          },
          "value": 80,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标签标示量；不是个人片数、频次、分片指令，也不是与 CALAN SR、VERELAN、VERELAN PM、其他缓释制剂或注射剂的换算值",
            "en": "labelled amount per tablet; not an individual's tablet count, frequency, splitting instruction or conversion to CALAN SR, VERELAN, VERELAN PM, another extended-release product or an injection"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "瓶装",
          "en": "bottle"
        },
        "fill": null,
        "countPerPackage": 90,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-02",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "current_regulatory_listing_not_live_stock",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 90,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "白色",
          "en": "white"
        },
        "shape": {
          "zh": "圆形普通薄膜衣片",
          "en": "round immediate-release film-coated tablet"
        },
        "imprint": "HP;26",
        "scoreStatus": "scored_appearance_clue_not_self_split_permission",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_171abcbe4566484a",
        "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-generic-verapamil-ir-120mg-90-tablet-bottle-ndc-6213574590",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 当前美国通用药标签（页面 2025-12-10 更新；正文 Revised 08/2023）",
        "en": "Current U.S. DailyMed generic label (page updated 10 Dec 2025; text revised Aug 2023)"
      },
      "dosageForm": {
        "zh": "盐酸维拉帕米普通薄膜衣口服片",
        "en": "verapamil hydrochloride immediate-release film-coated oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 62135-745-90",
      "pouchCode": null,
      "applicationNumber": "ANDA 071881",
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片盐酸维拉帕米 120 mg；90 片瓶装",
        "en": "120 mg verapamil hydrochloride per tablet; 90-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=verapamil-hcl-tablets-usp-120mg-bottle-label.jpg&setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "盐酸维拉帕米",
            "en": "verapamil hydrochloride"
          },
          "value": 120,
          "unit": "mg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标签标示量；不是个人片数、频次、分片指令，也不是与 CALAN SR、VERELAN、VERELAN PM、其他缓释制剂或注射剂的换算值",
            "en": "labelled amount per tablet; not an individual's tablet count, frequency, splitting instruction or conversion to CALAN SR, VERELAN, VERELAN PM, another extended-release product or an injection"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "瓶装",
          "en": "bottle"
        },
        "fill": null,
        "countPerPackage": 90,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-09-02",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "current_regulatory_listing_not_live_stock",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 90,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "白色",
          "en": "white"
        },
        "shape": {
          "zh": "圆形普通薄膜衣片",
          "en": "round immediate-release film-coated tablet"
        },
        "imprint": "HP;27",
        "scoreStatus": "scored_appearance_clue_not_self_split_permission",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_171abcbe4566484a",
        "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "presentationId": "us-generic-verapamil-ir-40mg-90-tablet-bottle-ndc-6213574390",
    "status": "historical_public_label_image_not_product_authentication",
    "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=verapamil-hcl-tablets-usp-40mg-bottle-label.jpg&setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28&type=img",
    "alt": "Chartwell RX 盐酸维拉帕米 40 mg、NDC 62135-743-90、90 片瓶装的 DailyMed 官方通用药标签面板",
    "archiveMarket": "美国",
    "labelVersion": "DailyMed 当前美国通用药标签（2025 页面更新）",
    "presentation": "40 mg：白色圆形、无刻痕、印有 HP59；NDC 62135-743-90，90 片瓶装。",
    "notice": "此图是当前通用药包装标签，不是 CALAN 历史原品牌包装；只对应 NDC 62135-743-90，不代表 80/120 mg、CALAN SR、VERELAN、VERELAN PM、其他缓释产品、注射剂、其他厂商或其他市场，也不用于鉴定真伪。",
    "source": {
      "id": "src_171abcbe4566484a",
      "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-02",
      "reviewedAt": "2026-09-02"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "盐酸维拉帕米说明书放大阅读：每片 mg、整瓶片数、心率传导、便秘与多药核对",
      "en": "Verapamil enlarged label: per-tablet mg, bottle count, heart rate/conduction, constipation and medicine-list review"
    },
    "summary": {
      "zh": "40、80、120 mg 是每片含量；90 Tablets 是整瓶片数。当前 40 mg 通用药片无刻痕，80/120 mg 有刻痕，但刻痕只是准确产品外观与标签线索，不自动构成自行掰片许可；历史 CALAN 80 mg 的刻痕标签也不能推广到其他厂商、规格或缓释产品。",
      "en": "The 40, 80 and 120 mg figures are amounts per tablet; 90 Tablets is the bottle count. The current 40 mg generic tablet is unscored and the 80/120 mg tablets are scored, but a score is an exact-product appearance and label clue, not automatic permission to self-split. Historical CALAN 80 mg score labelling cannot be extended to another manufacturer, strength or extended-release product."
    },
    "checks": [
      {
        "zh": "低血压、眩晕、晕厥、心动过缓或房室传导阻滞可能增加跌倒和急性风险。老人、多药使用者或已有心率/传导问题者应把脉搏、症状、全部药盒和处方一起交给医生或药师核对；严重晕厥、胸痛、呼吸困难或意识异常应使用当地急救。",
        "en": "Hypotension, dizziness, syncope, bradycardia or atrioventricular block can increase fall and acute risk. Older adults, people using several medicines or those with heart-rate/conduction problems should have pulse, symptoms, every pack and the prescription reviewed together. Severe fainting, chest pain, breathing difficulty or altered awareness needs local emergency care."
      },
      {
        "zh": "标签警示心衰和心肌收缩受影响；与 β 受体阻滞剂、地高辛、可乐定、胺碘酮或其他影响心率/传导/血压的药同时出现时，不要自行错开、加减、轮换或先停其中一种。",
        "en": "The label warns about heart failure and impaired cardiac contractility. If a beta blocker, digoxin, clonidine, amiodarone or another heart-rate/conduction/blood-pressure medicine is also present, do not self-space, add, reduce, alternate or choose one to stop first."
      },
      {
        "zh": "便秘是常见不良反应，标签还记录罕见非梗阻性麻痹性肠梗阻。持续腹胀、剧烈腹痛、呕吐或无法排气排便需要及时医疗评估，不能仅在网页上寻找通便方案。",
        "en": "Constipation is common, and the label also records rare non-obstructive paralytic ileus. Persistent distension, severe abdominal pain, vomiting or inability to pass gas or stool needs timely medical assessment, not only a web search for a laxative plan."
      },
      {
        "zh": "标签列出与辛伐他汀、洛伐他汀及其他 CYP3A4 底物/抑制剂、地高辛、锂、葡萄柚汁等的相互作用线索。网页不根据两个药名或食物名决定能否同用、怎样减量或怎样错开。",
        "en": "The label lists interaction cues with simvastatin, lovastatin and other CYP3A4 substrates/inhibitors, digoxin, lithium and grapefruit juice. The site does not decide co-use, dose reduction or timing from two medicine or food names."
      },
      {
        "zh": "普通片与 CALAN SR、VERELAN、VERELAN PM、COVERA-HS 等产品的释放方式和标签不同；不要把相同通用名、相近 mg 或‘一天一次’等文字当作换算表。",
        "en": "Immediate-release tablets and products such as CALAN SR, VERELAN, VERELAN PM and COVERA-HS differ in release and labelling. Do not treat a shared generic name, similar milligrams or wording such as once daily as a conversion table."
      }
    ],
    "source": {
      "id": "src_171abcbe4566484a",
      "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-02",
      "reviewedAt": "2026-09-02"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "维拉帕米怎样起作用：阻断慢钙通道会同时影响血管、心肌和心脏传导",
      "en": "How verapamil works: slow calcium-channel blockade affects vessels, myocardium and cardiac conduction"
    },
    "summary": {
      "zh": "说明书将维拉帕米归为钙离子流入抑制剂/慢通道阻滞剂。它可影响动脉平滑肌，也影响心肌收缩与传导细胞；这有助理解降压、心率变慢、传导阻滞和心衰风险为何要一起看，但不能预测个人反应或生成剂量。",
      "en": "The label classifies verapamil as a calcium-ion influx inhibitor/slow-channel blocker. It can affect arterial smooth muscle, myocardial contraction and conduction cells. This helps explain why blood pressure, slower heart rate, conduction block and heart-failure risk must be reviewed together, but it cannot predict an individual's response or generate a dose."
    },
    "checks": [
      {
        "zh": "与地尔硫卓同属非二氢吡啶类钙通道阻滞剂，不代表两者可以按 mg 互换、同日轮换或叠加；它们仍是不同成分、产品、标签和处方。",
        "en": "Sharing the nondihydropyridine calcium-channel-blocker class with diltiazem does not permit milligram conversion, same-day alternation or combination. They remain different ingredients, products, labels and prescriptions."
      },
      {
        "zh": "共同降低心率或血压不等于可与 β 受体阻滞剂、地高辛、可乐定或胺碘酮自行叠加。心率、心电传导、心功能、血压、肝功能和完整药单需要一起核对。",
        "en": "A shared effect on heart rate or pressure does not permit self-combining verapamil with a beta blocker, digoxin, clonidine or amiodarone. Heart rate, ECG conduction, cardiac function, pressure, liver function and the complete medicine list need joint review."
      },
      {
        "zh": "作用机制不能决定谁适合维拉帕米，也不能从一次血压或脉搏读数决定加量、减量或停药。网页只帮助识别准确产品、来源和说明书边界。",
        "en": "Mechanism cannot decide who is suited to verapamil or use one blood-pressure or pulse reading to decide an increase, decrease or stop. The site only helps identify the exact product, source and label boundary."
      }
    ],
    "source": {
      "id": "src_171abcbe4566484a",
      "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-02",
      "reviewedAt": "2026-09-02"
    },
    "scope": "mechanism_literacy_only_no_individual_dosing_or_substitution"
  },
  "pharmacovigilance": {
    "status": "official_routes_only_no_live_alert_inference",
    "reviewedAt": "2026-08-22",
    "identity": {
      "brand": "CALAN / verapamil immediate-release",
      "generic": "盐酸维拉帕米普通片",
      "dosageFormClass": "盐酸维拉帕米普通口服片；CALAN SR、VERELAN、VERELAN PM、COVERA-HS、ISOPTIN SR 等缓释或节律释放产品以及注射剂均是不同准确产品。共同通用名或 mg 数字不建立换算、频次、分片、叠加或替换结论。"
    },
    "labelSource": {
      "id": "src_171abcbe4566484a",
      "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-02",
      "reviewedAt": "2026-09-02"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_171abcbe4566484a",
          "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "美国国家医学图书馆 DailyMed",
          "en": "U.S. National Library of Medicine DailyMed"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "公开药品标签",
          "en": "Public medicine label"
        },
        "reviewedAt": "2026-09-02",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_c3b83a27bd081a53",
          "label": "FDA：CALAN（verapamil hydrochloride）NDA 018817 历史口服普通片标签（2009 年版本）",
          "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/018817s021lbl.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_regulatory_document",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "FDA",
          "en": "FDA"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "监管产品记录或标签档案",
          "en": "Regulatory product record or label archive"
        },
        "reviewedAt": "2026-09-02",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_3d17358ce65b1cf8",
          "label": "FDA Orange Book 第 46 版（2026）：CALAN NDA 018817 的 40／80／120／160 mg 口服普通片列入 Discontinued Drug Product List",
          "url": "https://www.fda.gov/media/71474/download",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "FDA",
          "en": "FDA"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "监管产品记录或标签档案",
          "en": "Regulatory product record or label archive"
        },
        "reviewedAt": "2026-09-02",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      }
    ],
    "recordRoute": {
      "status": "product_level_public_record_verified",
      "authority": {
        "zh": "美国国家医学图书馆 DailyMed",
        "en": "U.S. National Library of Medicine DailyMed"
      },
      "market": {
        "zh": "美国",
        "en": "United States"
      },
      "recordType": {
        "zh": "公开药品标签",
        "en": "Public medicine label"
      },
      "reviewedAt": "2026-09-02",
      "scope": {
        "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
        "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
      }
    },
    "channels": [
      {
        "id": "china-nmpa-drug-evaluation-centre",
        "authority": "NMPA 药品评价中心",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "title": {
          "zh": "药物警戒快讯与安全警示",
          "en": "Drug-vigilance bulletins and safety notices"
        },
        "purpose": {
          "zh": "国家药监局药品评价中心发布的药物警戒快讯、安全警示及药品不良反应监测相关原始入口；具体产品仍须按批准文号、剂型、规格、持有人和公告日期逐项核对。",
          "en": "Primary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item."
        },
        "source": {
          "id": "src_05ff2860226564d4",
          "label": "国家药监局药品评价中心：药物警戒与安全警示入口",
          "url": "https://www.cdr-adr.org.cn/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-drug-safety-communications",
        "authority": "FDA",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "药物安全通讯",
          "en": "Drug Safety Communications"
        },
        "purpose": {
          "zh": "监管机构就重要新安全问题、标签变化或风险沟通发布的原始页面。",
          "en": "Primary FDA pages for important new safety issues, labelling changes and risk communications."
        },
        "source": {
          "id": "src_9177df9e1825aa72",
          "label": "FDA：Drug Safety Communications",
          "url": "https://www.fda.gov/drugs/drug-safety-and-availability/drug-safety-communications",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-medwatch",
        "authority": "FDA MedWatch",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "安全信息与严重问题报告",
          "en": "Safety information and serious-problem reporting"
        },
        "purpose": {
          "zh": "美国 MedWatch 的安全信息和报告入口；报告不等同于已证实因果关系。",
          "en": "U.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality."
        },
        "source": {
          "id": "src_e4739cd55d27ab51",
          "label": "FDA：MedWatch 药品安全信息与不良事件报告计划",
          "url": "https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "ema-pharmacovigilance",
        "authority": "EMA",
        "market": {
          "zh": "欧盟/欧洲经济区",
          "en": "European Union / European Economic Area"
        },
        "title": {
          "zh": "药物警戒概览与 EudraVigilance",
          "en": "Pharmacovigilance overview and EudraVigilance"
        },
        "purpose": {
          "zh": "欧盟药物警戒、疑似不良反应报告和 PRAC 安全评估的官方入口。",
          "en": "Official EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment."
        },
        "source": {
          "id": "src_2ad42a3deae747d1",
          "label": "EMA：Pharmacovigilance overview",
          "url": "https://www.ema.europa.eu/en/human-regulatory-overview/pharmacovigilance-overview",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "javascript_or_cookie_controls",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mhra-drug-safety-update",
        "authority": "MHRA",
        "market": {
          "zh": "英国",
          "en": "United Kingdom"
        },
        "title": {
          "zh": "Drug Safety Update",
          "en": "Drug Safety Update"
        },
        "purpose": {
          "zh": "英国 MHRA 面向专业人士和公众的药品安全更新原始发布页。",
          "en": "Primary UK MHRA medicine-safety updates for professionals and the public."
        },
        "source": {
          "id": "src_23fdbe67abeafc63",
          "label": "MHRA：Drug Safety Update",
          "url": "https://www.gov.uk/drug-safety-update",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "UK",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "pmda-drug-safety",
        "authority": "PMDA",
        "market": {
          "zh": "日本",
          "en": "Japan"
        },
        "title": {
          "zh": "药品安全信息",
          "en": "Medicine safety information"
        },
        "purpose": {
          "zh": "日本 PMDA 药品安全信息的英文官方入口；具体产品仍应以日文产品页和现行文件复核。",
          "en": "PMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents."
        },
        "source": {
          "id": "src_06d6be2880f12024",
          "label": "PMDA：Safety Information Regarding Drugs",
          "url": "https://www.pmda.go.jp/english/safety/info-services/drugs/0001.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "JP",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mfds-drug-safety-letters",
        "authority": "MFDS",
        "market": {
          "zh": "韩国",
          "en": "Republic of Korea"
        },
        "title": {
          "zh": "药品安全性书信",
          "en": "Medicine safety letters"
        },
        "purpose": {
          "zh": "韩国 MFDS 发布的药品安全性书信原始索引。原文为韩文，须按涉及产品、剂型、市场和日期逐项阅读；它不自动适用于其他市场，也不构成对个人情况的结论。",
          "en": "MFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case."
        },
        "source": {
          "id": "src_2d7f5018cd05eff4",
          "label": "MFDS：药品安全性书信（韩文原始资料）",
          "url": "https://www.mfds.go.kr/brd/m_545/list.do",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "KR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "hsa-adverse-events",
        "authority": "HSA",
        "market": {
          "zh": "新加坡",
          "en": "Singapore"
        },
        "title": {
          "zh": "不良反应报告与药物安全信息",
          "en": "Adverse-event reporting and medicine-safety information"
        },
        "purpose": {
          "zh": "新加坡 HSA 面向公众的疑似不良反应报告、药物安全信息与本地监管入口；一份报告不等同于个体因果关系，具体产品仍须按新加坡注册状态、剂型、规格、日期和现行产品资料逐项核对。",
          "en": "HSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information."
        },
        "source": {
          "id": "src_9240397d5a8574c1",
          "label": "HSA：Report adverse events",
          "url": "https://www.hsa.gov.sg/adverse-events/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "SG",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "health-canada-medeffect-advisories",
        "authority": "Health Canada",
        "market": {
          "zh": "加拿大",
          "en": "Canada"
        },
        "title": {
          "zh": "MedEffect 加拿大：建议、警告与召回",
          "en": "MedEffect Canada: advisories, warnings and recalls"
        },
        "purpose": {
          "zh": "加拿大政府 Health Canada 的 MedEffect 公开入口，汇集药品及健康产品的建议、警告、召回、报告与安全信息；具体产品仍须按市场、剂型、规格、公告日期和批号逐项核对。",
          "en": "Health Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item."
        },
        "source": {
          "id": "src_212ec921fa6634ad",
          "label": "Health Canada：MedEffect Canada 建议、警告与召回",
          "url": "https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/advisories-warnings-recalls.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "tga-safety-alerts",
        "authority": "TGA",
        "market": {
          "zh": "澳大利亚",
          "en": "Australia"
        },
        "title": {
          "zh": "药品安全警示",
          "en": "Medicine safety alerts"
        },
        "purpose": {
          "zh": "澳大利亚 TGA 的药品安全警示、建议和监测信息原始发布页。",
          "en": "Primary Australian TGA safety alerts, advisories and monitoring information for therapeutic products."
        },
        "source": {
          "id": "src_ffe6142814f88fac",
          "label": "TGA：Safety alerts",
          "url": "https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "AU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "swissmedic-pharmacovigilance",
        "authority": "Swissmedic",
        "market": {
          "zh": "瑞士",
          "en": "Switzerland"
        },
        "title": {
          "zh": "药物警戒与不良反应报告",
          "en": "Pharmacovigilance and suspected adverse-reaction reporting"
        },
        "purpose": {
          "zh": "瑞士 Swissmedic 的药物警戒、信号评估和疑似不良反应官方入口；报告或信号本身不等同于对个体因果关系的确认。",
          "en": "Official Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality."
        },
        "source": {
          "id": "src_c854f813ce2671df",
          "label": "Swissmedic：Pharmacovigilance",
          "url": "https://www.swissmedic.ch/swissmedic/en/home/humanarzneimittel/market-surveillance/pharmacovigilance.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "CH",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "medsafe-safety-communications",
        "authority": "Medsafe",
        "market": {
          "zh": "新西兰",
          "en": "New Zealand"
        },
        "title": {
          "zh": "药品安全通讯",
          "en": "Medicine safety communications"
        },
        "purpose": {
          "zh": "新西兰 Medsafe 面向公众和专业人士的药品安全通讯与归档入口；旧公告可能已被现行产品资料更新。",
          "en": "New Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information."
        },
        "source": {
          "id": "src_3510c1a523ec9769",
          "label": "Medsafe：Safety Communications",
          "url": "https://www.medsafe.govt.nz/safety/SafetyCommunications.asp",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "NZ",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "sahpra-safety-information",
        "authority": "SAHPRA",
        "market": {
          "zh": "南非",
          "en": "South Africa"
        },
        "title": {
          "zh": "药物安全信息、警示与药物警戒",
          "en": "Medicine safety information, alerts and pharmacovigilance"
        },
        "purpose": {
          "zh": "南非 SAHPRA 面向公众和专业人士的药物安全信息、警示与药物警戒入口；官方警示不等同于产品在所有情形下不安全，具体产品仍须按南非注册状态、剂型、规格、公告日期与现行资料逐项核对。",
          "en": "SAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information."
        },
        "source": {
          "id": "src_25b0aaefee742163",
          "label": "SAHPRA：Safety Information Updates / Pharmacovigilance",
          "url": "https://www.sahpra.org.za/safety-information-and-updates/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "ZA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "who-medicine-safety-alerts",
        "authority": "WHO",
        "market": {
          "zh": "全球",
          "en": "Global"
        },
        "title": {
          "zh": "药品与疫苗安全警示档案",
          "en": "Medicine and vaccine safety-alert archive"
        },
        "purpose": {
          "zh": "WHO 的跨市场安全警示档案；每条历史警示必须按公告日期、涉及产品和市场单独阅读。",
          "en": "WHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market."
        },
        "source": {
          "id": "src_9a7dc56ec34c7e1a",
          "label": "WHO：Safety alerts for medicines and vaccines",
          "url": "https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "GLOBAL",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "anvisa-pharmacovigilance",
        "authority": "Anvisa",
        "market": {
          "zh": "巴西",
          "en": "Brazil"
        },
        "title": {
          "zh": "药物警戒、警示与 VigiMed",
          "en": "Pharmacovigilance, alerts and VigiMed"
        },
        "purpose": {
          "zh": "巴西 Anvisa 的药物警戒原始入口，涵盖警示、药物警戒公告、风险沟通和 VigiMed 报告路径；具体产品仍须按巴西批准状态、剂型、规格和公告日期逐项核对。",
          "en": "Anvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item."
        },
        "source": {
          "id": "src_5de362c12580111d",
          "label": "Anvisa：Farmacovigilância（药物警戒、警示与 VigiMed）",
          "url": "https://www.gov.br/anvisa/pt-br/assuntos/fiscalizacao-e-monitoramento/farmacovigilancia",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "BR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      }
    ],
    "notices": [],
    "boundary": {
      "zh": "本卡将逐药产品级来源与 15 个市场级官方警戒入口放在同一处核验；它不表示已完成该药在所有国家或地区的实时警示检索，也不表示该药存在新的安全警示、召回或风险结论。请先以品牌名、通用名、剂型、规格、所在市场和公告日期逐项匹配；不要仅因看到标题自行停药、换药、加量或减量。",
      "en": "This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline."
    },
    "scope": "official_routes_only_no_live_alert_inference"
  },
  "archive": {
    "summary": "CALAN 是盐酸维拉帕米普通片的美国历史原研/RLD；本页可见包装属于当前通用药，不是 CALAN 原品牌。40/80/120 mg 是每片含量，90 Tablets 是整瓶片数。说明书重点涉及低血压、心动过缓、房室传导阻滞、心衰、便秘和跌倒，以及与 β 受体阻滞剂、地高辛、可乐定、辛伐他汀/洛伐他汀、葡萄柚和多种 CYP3A4 相关药物的核对。网页不生成个人片数、频次、分片、错开或换药方案。",
    "history": "CALAN 普通片的 80 mg 与 120 mg 于 1984 年在美国获批，40 mg 与 160 mg 于 1988 年获批。2021 年 FDA 补充批准信涉及现有 80 mg 刻痕的功能与拆分后储存标签更新；这只属于准确 CALAN 产品的专业标签记录，不能推广为任何维拉帕米片都能自行掰开。当前 DailyMed 页面展示的是 ANDA 071881 通用药三个 90 片瓶装，不是历史 CALAN 包装。",
    "sourceDocuments": [
      {
        "id": "src_171abcbe4566484a",
        "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      {
        "id": "src_c3b83a27bd081a53",
        "label": "FDA：CALAN（verapamil hydrochloride）NDA 018817 历史口服普通片标签（2009 年版本）",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/018817s021lbl.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_regulatory_document",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      {
        "id": "src_46eb030128963fbd",
        "label": "FDA：CALAN NDA 018817／S-035 补充批准信（2021；80 mg 刻痕功能与标签更新）",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2021/018817Orig1s035ltr.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_regulatory_document",
        "documentKind": "regulatory_approval_letter",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      },
      {
        "id": "src_3d17358ce65b1cf8",
        "label": "FDA Orange Book 第 46 版（2026）：CALAN NDA 018817 的 40／80／120／160 mg 口服普通片列入 Discontinued Drug Product List",
        "url": "https://www.fda.gov/media/71474/download",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "regulatory_product_record",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-09-02",
        "reviewedAt": "2026-09-02"
      }
    ],
    "applicationNumber": "CALAN NDA 018817（历史原研/RLD）；verapamil hydrochloride ANDA 071881（当前通用药标签）",
    "approvalTimeline": [
      {
        "date": "1984-09-10",
        "title": {
          "zh": "CALAN 80／120 mg 普通片在美国获批",
          "en": "U.S. approval of CALAN 80/120 mg immediate-release tablets"
        },
        "detail": {
          "zh": "FDA Orange Book 记录 NDA 018817 的 80 mg 与 120 mg 于 1984 年获批。",
          "en": "The FDA Orange Book records approval of NDA 018817 80 mg and 120 mg tablets in 1984."
        },
        "source": {
          "id": "src_3d17358ce65b1cf8",
          "label": "FDA Orange Book 第 46 版（2026）：CALAN NDA 018817 的 40／80／120／160 mg 口服普通片列入 Discontinued Drug Product List",
          "url": "https://www.fda.gov/media/71474/download",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      },
      {
        "date": "1988-02-23",
        "title": {
          "zh": "CALAN 40／160 mg 普通片获批",
          "en": "Approval of CALAN 40/160 mg immediate-release tablets"
        },
        "detail": {
          "zh": "FDA Orange Book 记录 NDA 018817 的 40 mg 与 160 mg 于 1988 年获批。",
          "en": "The FDA Orange Book records approval of NDA 018817 40 mg and 160 mg tablets in 1988."
        },
        "source": {
          "id": "src_3d17358ce65b1cf8",
          "label": "FDA Orange Book 第 46 版（2026）：CALAN NDA 018817 的 40／80／120／160 mg 口服普通片列入 Discontinued Drug Product List",
          "url": "https://www.fda.gov/media/71474/download",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "regulatory_product_record",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      },
      {
        "date": "2021-06-22",
        "title": {
          "zh": "FDA 批准 80 mg 刻痕功能标签更新",
          "en": "FDA approved the 80 mg score-function labelling update"
        },
        "detail": {
          "zh": "补充批准信只支持准确 CALAN 80 mg 产品的标签历史，不为其他维拉帕米片建立通用分片许可。",
          "en": "The supplement letter supports the exact CALAN 80 mg product's labelling history and does not create general splitting permission for other verapamil tablets."
        },
        "source": {
          "id": "src_46eb030128963fbd",
          "label": "FDA：CALAN NDA 018817／S-035 补充批准信（2021；80 mg 刻痕功能与标签更新）",
          "url": "https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2021/018817Orig1s035ltr.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_regulatory_document",
          "documentKind": "regulatory_approval_letter",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      },
      {
        "date": "2025-12-10",
        "title": {
          "zh": "当前 Chartwell RX 通用药页面更新",
          "en": "Current Chartwell RX generic page updated"
        },
        "detail": {
          "zh": "ANDA 071881 当前页面列出 40／80／120 mg 三个 90 片瓶装及准确包装面板。",
          "en": "The current ANDA 071881 page lists three 90-tablet bottles for 40, 80 and 120 mg with exact package panels."
        },
        "source": {
          "id": "src_171abcbe4566484a",
          "label": "DailyMed（NLM）：盐酸维拉帕米普通片 40／80／120 mg 当前美国通用药标签、三个 90 片瓶装 NDC 与三个准确包装面板（ANDA 071881；2025-12 更新）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ebc9a09a-7b5f-4df6-ace7-31185d469b28",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-02",
          "reviewedAt": "2026-09-02"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "美国 CALAN 普通片",
          "en": "United States — CALAN immediate-release tablets"
        },
        "status": {
          "zh": "历史原研/RLD，已停市",
          "en": "Historical originator/RLD; discontinued"
        },
        "detail": {
          "zh": "NDA 018817；40、80、120、160 mg 均列入 DISCN，并以脚注注明并非因安全性或有效性撤回。",
          "en": "NDA 018817; 40, 80, 120 and 160 mg are listed as DISCN and footnoted as not withdrawn for safety or effectiveness."
        }
      },
      {
        "market": {
          "zh": "美国当前通用药",
          "en": "United States — current generic"
        },
        "status": {
          "zh": "当前公开通用药标签",
          "en": "Current public generic label"
        },
        "detail": {
          "zh": "ANDA 071881；40／80／120 mg，各一个 90 片瓶装。",
          "en": "ANDA 071881; one 90-tablet bottle each for 40, 80 and 120 mg."
        }
      },
      {
        "market": {
          "zh": "缓释、节律释放与注射剂",
          "en": "Extended-release, chronotherapeutic and injectable products"
        },
        "status": {
          "zh": "不同准确产品",
          "en": "Separate exact products"
        },
        "detail": {
          "zh": "CALAN SR、VERELAN、VERELAN PM、COVERA-HS、ISOPTIN SR 和注射剂不并入本普通片档案，也不建立换算。",
          "en": "CALAN SR, VERELAN, VERELAN PM, COVERA-HS, ISOPTIN SR and injections are not merged into this immediate-release dossier and no conversion is established."
        }
      },
      {
        "market": {
          "zh": "美国以外市场",
          "en": "Markets outside the United States"
        },
        "status": {
          "zh": "本档案未确认当地品牌、规格、包装或供应",
          "en": "Local brand, strength, pack and supply are not established"
        },
        "detail": {
          "zh": "异搏定等当地名称必须按当地药监记录、现行说明书和手中药盒逐项核对。",
          "en": "Local names such as Isoptin must be checked item by item against the local regulator, current label and pack in hand."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "照片里的是 CALAN 原研药瓶吗？",
          "en": "Is the pictured bottle the original CALAN product?"
        },
        "answer": {
          "zh": "不是。图片是 Chartwell RX ANDA 071881 当前通用药包装面板；CALAN 只作为历史原研/RLD 身份展示。",
          "en": "No. The image is a current Chartwell RX generic package panel under ANDA 071881. CALAN is shown only as the historical originator/RLD identity."
        }
      },
      {
        "question": {
          "zh": "90 Tablets 是一次吃 90 片吗？",
          "en": "Does 90 Tablets mean taking 90 tablets at once?"
        },
        "answer": {
          "zh": "不是。90 Tablets 是整瓶片数；40／80／120 mg 才是每片标签含量。网页不会把瓶数或 mg 变成个人片数或频次。",
          "en": "No. 90 Tablets is the bottle count; 40/80/120 mg is the labelled amount per tablet. The site does not turn bottle count or milligrams into an individual's tablet count or frequency."
        }
      },
      {
        "question": {
          "zh": "有刻痕就一定可以掰开吗？",
          "en": "Does a score always mean the tablet can be split?"
        },
        "answer": {
          "zh": "不能这样判断。刻痕属于准确产品的外观和标签信息；是否可分、分后如何保存及是否符合处方，都必须核对具体厂家现行标签、处方和药师意见。缓释产品尤其不能借普通片刻痕自行处理。",
          "en": "No. A score is exact-product appearance and label information. Splitting, storage after splitting and prescription fit require the exact manufacturer's current label, prescription and pharmacist review. An immediate-release score must never be extended to an extended-release product."
        }
      },
      {
        "question": {
          "zh": "维拉帕米和地尔硫卓可以轮换吗？",
          "en": "Can verapamil and diltiazem be alternated?"
        },
        "answer": {
          "zh": "网页不能据同类药身份建立轮换或换算。两者都是不同成分和处方，且都可能影响心率、传导、血压与相互作用；需要完整药单和临床情况共同评估。",
          "en": "The site cannot create alternation or conversion from a shared class. They are different ingredients and prescriptions, and both can affect heart rate, conduction, pressure and interactions; the complete medicine list and clinical context require joint review."
        }
      }
    ],
    "relatedMedicineChecks": [],
    "relatedArticleSlugs": [
      "medicine-label-for-everyday-questions",
      "dosage-forms-are-part-of-medicine-identity",
      "same-class-is-not-same-medicine",
      "interactions-are-not-a-home-scheduling-problem"
    ]
  },
  "canonicalUrls": {
    "zh": "https://origindrug.com/drugs/calan-verapamil-immediate-release/",
    "en": "https://origindrug.com/en/drugs/calan-verapamil-immediate-release/"
  },
  "limitations": [
    "No originator, generic, interchangeability, availability, price, holder, strength or sale-eligibility conclusion is inferred beyond the linked source documents.",
    "Target-market current labels and official records must be checked separately."
  ]
}