Doctor insights on:
Coming Off Diltiazem
Pharmacokinetics: CArdizem CD basically is long acting. Typically this form is to be taken once/day as it is supposed to give you coverage for 24 hours. The other one, by "we" I think you mean short-acting Cardizem (typically comes in 30 mg and 60 mg tablets), is short-acting, and faster acting, but out of systems usually within 6 hrs, so in some cases can be give three or 4 times/day. Active ingredient same. ...Read more
Diltiazem is available in many different forms and has several brand and generic names. The “CD” following diltiazem stands for Controlled Delivery, which has an extended duration of action. For example, Diltiazem CD only needs to be taken once a day, while other formulations may need to be taken twice daily.
Diltiazem can be used to treat high blood pressure and abnormal heart rates and rhythms ...Read more
Stopped taking Diltiazem for 3 weeks to see if could do without. But historic symptoms have returned, can I just start taking them again?
Diltiszem: You should be able to go back to it. You should let your Dr know what happened. ...Read more
How long does it takes for ones body to get used to the effects of diltiazem 120mg extended release? I have to take it once a day in the morning.
Diltiazem: Diltiazem, a nonhydropyridine calcium channel blocker, is used to treat blood pressure and certain supraventricular cardiac arrhythmias. It is well tolerated and very infrequently has to be discontinued due to excessive lowering of blood pressure or severe slowing of the heart rate. Any other side effects are unusual and I'm confident you'll not feel differently taking it. Your dose is low. ...Read more
Unlikely: Petadolex is purified butterbur, and is not likely to cause problems with metabolism of a calcium channel blocker in most patients. Am unaware of any issues secondary to this combination, unless there is a rare cytochrome mutation which would affect metabolism in the liver, well under 5% of all patients. So, do not worry. ...Read more
Generic vs brand: There's no difference in the drug but the delivery may differ. The CD is always a 24 hour preparation. The ER version may be either 12 hour or 24 hour, so you must read your label or check with your pharmacist. The 12 hour versions are generally smaller mg doses (60, 90, or 120 mg) while the 24 hour is usually 120 mg or higher. ...Read more
Dilt: CD is given once a dayGet a more detailed answer ›
Consult MD!: First of all, I would like to know why you were asked to start on Diltiazem er. Before stopping it you need to consult your md, otherwise you could recur the same condition ...Read more
Does Diltiazem often cause Steven johnsons syndrome? What's the occurance rate of SJS from taking this medication?
How many diltiazem 180mg pills are fatal? What are the symptoms of overdose? How long van you survive without medical attention?
Unknown: The toxic dose in man is not known. Due to extensive metabolism, blood levels after a standard dose of Diltiazem can vary over tenfold. There have been 29 reports of Diltiazem overdose in doses ranging from less than 1 g to 18 g. Sixteen of these reports involved multiple drug ingestion. 22 people recovered with doses up to 10 g. If you're considering it, please seek help. This isn't a good idea. ...Read more
- How can I read my 24hr HOLTER test results? - Can the HOLTER results be accurate while I'm taking 60 mg of diltiazem 3 times a day?
Not easy 2 read repo: The Holter tracing is complex, & wd be difficult for a lay person 2 read. The Cardiologist who ordered the test shd either issue a report or get a report from whomever is interpreting the tracings. The Holter only monitors the heart rhythm- it's used 4 diagnosis or chking meds. If it is meant for Dx, then any treatment is a confounder; however, it can show if the treatment (diltiazem) is working. ...Read more
I think I took advair 250/50 earlier tonite and just took another dose about 20 minutes ago. Will this cause a problem, also on diltiazem 120 mg?
Unlikely: Pay attention to your pulse. As long as you do not experience significant tachycardia (heart rate greater than 100) you should not have a problem. ...Read more
Is there any easy safe way to prepare diltiazem cream from the pills? The cream is not available in my country and its not allowed to buy drugs online
Not to my knowledge: As transdermal preparations are very different from oral. ...Read more
Alcohol & meds/drugs: It is strongly recommended that you not drink alcohol with adizem (diltiazem, a calcium-channel blocker). Alcohol affects how fast the medication is released from the capsule, according the prescribing information. Given that you are taking this for cardiovascular disease (high blood pressure or heart health reasons), it would make sense not to put yourself in danger because you consumed alcohol. ...Read more
Bb and ca blockers: You can but it may cause decrease in heart rate. Personally I only combine them in some occasions such as uncontrolled heart rate with atrial fib. For svt and you being quite young likely having a high sympathetic tone with high elevations of heart rate your doctor had to end up giving combo pills. The alternatives are not many but ablation may be an option. Good luck. ...Read more
Yes: These meds are used together routinely.Get a more detailed answer ›
Diltiazem interacts with Ranexa (ranolazine) in the liver and increases its level in the blood stream.
Can prolong qt and cause rythm disturbances.
Other side effects from renexa likely: constipation, dizziness, headache, nausea., palpitations, dizziness and blurred vision. These are more likely with this combination, but many people on this combination of drugs.
Double check with your doctor. ...Read more
Yes, however....: This combination of medicines both affect heart rate as they both target the av node. Many times serial ekgs will be used to make sure you are tolerating this combination. I will say that this combination (especially immediate release diltiazem) is unusual. ...Read more
Equal dose?: You are comparing apples, losartan (L), with oragnes, Diltiazem (D). Both lower blood pressure and so by different means. Instead of focusing on the dose, in mg, one should focus on how well one's blood pressure is controlled and the any adverse side effects. Speak to your physician (P), as your P knows the you best of all. ...Read more