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Additional information about the drug Diltiazem
Diltiazem is the generic form of the brand-name drug Cardizem, which is used to treat high blood pressure and control chest pain (known as angina ).
It’s also sometimes used to treat abnormal heart rhythms (arrhythmia ).
There are several other brand names of this medication, including Cartia, Dilacor XR, Diltzac, Taztia and Tiazac.
Diltiazem works by relaxing blood vessels and increasing the supply of blood and oxygen to the heart.
This type of medication is known as a calcium-channel blocker.
Diltiazem comes in a tablet, extended-release tablet, extended-release capsule and injectable form.
It was approved by the Food and Drug Administration (FDA) in 1982.
Some doctors have also prescribed diltiazem to prevent migraines, though the evidence supporting its use among people with migraines is not universally accepted.
Diltiazem Warnings Diltiazem may prevent chest pain if taken regularly, but it does not stop chest pain once it starts.
Diltiazem controls high blood pressure and chest pain, but it does not cure them.
It may take up to two weeks for you to experience the full benefit of this medicine.
Your doctor will likely start you on a low dose of diltiazem and then gradually increase your dose.
Your blood pressure and pulse will be checked regularly while taking diltiazem to determine your response to the drug.
Before taking diltiazem, you should tell your doctor if you have ever had: A heart attack Any condition that causes food to move more slowly through your digestive system Low blood pressure Heart, liver, or kidney disease You should also tell your doctor if you plan to have any type of surgery, including dental surgery.
Pregnancy and Diltiazem There are not adequate studies to show that this drug is safe in pregnant women.
Diltiazem is excreted in breast milk, so women should not take it while breastfeeding.
BasicDescription Back to Top Diltiazem Side Effects Common Side Effects Diltiazem can cause side effects.
You should tell your doctor if the following symptoms are severe or do not go away: Flushing Headache Dizziness or lightheadedness Slow heartbeat Weakness Vomiting Constipation Diarrhea Nasal congestion Cough Serious Side Effects Diltiazem can cause serious side effects.
You should call your doctor immediately if you experience: Swelling of the face, lips, tongue, eyes, hands, arms, feet, lower legs, or ankles Fainting Breathing or swallowing difficulties Yellowing of the skin or eyes ( jaundice ) Rash Nausea Unusual bleeding or bruising Extreme fatigue Lack of energy Loss of appetite Pain in the upper right part of the stomach Increase in frequency or severity of chest pain Flu-like symptoms Back to Top Diltiazem Interactions Many medications can interact with diltiazem.
Tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you are taking, especially: Atazanavir (Reyataz) Beta blockers such as atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol ( Inderal ) Buspirone (BuSpar) Benzodiazepines such as midazolam (Versed) and triazolam (Halcion) Carbamazepine (Carbatrol, Epitol, Tegretol ) Cimetidine (Tagamet) Digoxin (Lanoxin, Lanoxicaps) Cyclosporine (Gengraf, Neoral, Sandimmune) Rifampin (Rifadin, Rifamate, Rifater, Rimactane) Lovastatin (Altoprev, Mevacor, Advicor) Quinidine (Quinidex) Other Diltiazem Interactions Grapefruit and grapefruit juice may interact with diltiazem.
Your doctor may advise you to follow a low-sodium diet while taking diltiazem.
This medication may impair your thinking and reaction time.
Be especially careful when driving or performing any activity that may require you to be alert.
You should also try to avoid exposure to sunlight or tanning beds.
Diltiazem can increase your skin’s sensitivity to light and you may develop sunburns more easily.
Back to Top Diltiazem Dosage The typical oral dose for adults with chest pain or high blood pressure ranges from 120 milligrams (mg) to 540 mg a day.
The immediate release tablets are typically given up to four times a day.
The extended-release formula is given once a day and should not be crushed or chewed.
Diltiazem Overdose If you suspect an overdose, contact a poison control center or emergency room immediately.
You can get in touch with a poison control center at (800) 222-1222.
Missed Dose of Diltiazem If you miss a dose of diltiazem, take it as soon as you remember.
However, if it is almost time for your next dose, skip the missed dose and continue on your regular schedule.
Do not “double up” to make up for a missed one.
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