RT Journal A1 Zema M T1 EQuivalence of generic and brand-name drugs for cardiovascular disease JF JAMA JO JAMA YR 2009 FD April 22 VO 301 IS 16 SP 1654 OP 1656 DO 10.1001/jama.2009.521 UL http://dx.doi.org/10.1001/jama.2009.521 AB Phenylalkylamines, such as the verapamil derivatives, are marketed as a racemic mixture of enantiomers. The 2 enantiomers have been shown to have different pharmacodynamic activities. S-verapamil has demonstrated 20 times the potency on a weight basis compared with R-verapamil with regard to negative dromotropic effects on the cardiac conduction system.2 Most of the vasodilatory effects of this agent have been attributable to the R-enantiomer.2