Some side effects of diltiazem may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects .
Because of the increased risk of myocardial ischemia in the morning hours, it has been suggested that the administration of anti-ischemic medication before bedtime may be more effective than the traditional morning dosing.
May not be suitable for people with certain preexisting heart conditions, and in those with low blood pressure (less than 90 mmHg systolic). Caution should be used when giving diltiazem to people with kidney or liver disease, because not many studies have been done in people with these conditions.
If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys , resulting in a stroke, heart failure, or kidney failure.
We studied the therapeutic substitution of a less expensive but equally effective antihypertensive agent and assessed patient outcome. The medication of 39 patients with hypertension was changed from once-daily diltiazem hydrochloride ( Cardizem CD ) or nifedipine ( Procardia XL) to felodipine (Plendil).
Diltiazem ( Cardizem , Tiazac). Avoid taking high doses of vitamin D with this blood pressure drug. High doses of vitamin D can cause hypercalcemia, which might reduce the drug’s effectiveness.
Adult dosage (ages 18 to 64 years) Extended-release capsules and tablets: The standard starting dosage is 180– 240 mg taken by mouth once per day. Your doctor may increase your dosage to 240 –480 mg taken once per day.
About diltiazem Diltiazem is a medicine used to treat high blood pressure . If you have high blood pressure , taking diltiazem helps to prevent future heart disease, heart attacks and strokes. Diltiazem is also used to prevent chest pain caused by angina as well as Raynaud’s phenomenon.
If you need a painkiller it’s fine to take paracetamol with diltiazem . Your doctor may need to prescribe a lower than usual dose of these medicines if you take them with diltiazem : aminophylline. aprepitant. atorvastatin. avanafil. bosutinib. buspirone. carbamazepine. ciclosporin.
Other medications can affect the removal of diltiazem from your body, which may affect how this medication works. Examples include cimetidine, St. John’s wort , azole antifungals such as ketoconazole, macrolide antibiotics such as erythromycin, rifamycins including rifabutin and rifampin.
Tell your doctor immediately if any of these unlikely but serious side effects occur: fainting, slow/ irregular /pounding/fast heartbeat , swelling ankles/feet, shortness of breath, unusual tiredness, unexplained/sudden weight gain, mental/mood changes (such as depression, agitation), unusual dreams.
Diltiazem is used to treat high blood pressure and to control angina (chest pain). Diltiazem is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart .
6 Outdated High Blood Pressure Medications You Should Consider Upgrading Atenolol. Furosemide (Lasix) Nifedipine (Adalat, Procardia) Terazosin (Hytrin) and Prazosin (Minipress) Hydralazine (Apresoline) Clonidine (Catapres)
The calcium channel blockers diltiazem ( Cardizem ) and verapamil (Calan, Isoptin) are effective for initial ventricular rate control in patients with atrial fibrillation . These agents are given intravenously in bolus doses until the ventricular rate becomes slower.
Tell your doctor immediately if any of these unlikely but serious side effects occur: fainting, slow/irregular/pounding/fast heartbeat, swelling ankles/feet, shortness of breath, unusual tiredness, unexplained/sudden weight gain , mental/mood changes (such as depression, agitation), unusual dreams.