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Diltiazem
Generic Name:
diltiazem (dil TYE a zem) Brand names: Cardizem CD, Cardizem LA, Cartia XT, Dilacor XR, Diltia XT, Tiazac
What is diltiazem?
Diltiazem is in a group of drugs called calcium channel blockers. It works by slowing the electrical conduction in the heart, slowing heart rate, and/or normalizing heart rhythm. Diltiazem is used to treat hypertension (high blood pressure), angina (chest pain usually caused by lack of oxygen to the heart), and certain heart rhythm disorders). Diltiazem may also be used for other purposes not listed here.
Before taking diltiazem
You should not use this medication if you are allergic to diltiazem, or if you have: certain heart conditions, especially "sick sinus syndrome" or "AV block" (unless you have a pacemaker); low blood pressure; or if you have recently had a heart attack. Before taking diltiazem, tell your doctor if you are allergic to any drugs, or if you have: kidney disease; liver disease; or congestive heart failure. If you have any of these conditions, you may need a dose adjustment or special tests to safely take diltiazem. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Diltiazem can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take diltiazem?
Take diltiazem exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Take diltiazem with a full glass of water. Do not crush, chew, break, or open a controlled-delivery or extended-release tablet or capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time. If you have trouble swallowing a diltiazem capsule whole, ask your doctor or pharmacist if it is safe for you to open the capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule. It is important to use diltiazem regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Do not stop taking diltiazem without first talking to your doctor. If you stop taking diltiazem suddenly, your condition may become worse. If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms. Diltiazem may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely. To be sure diltiazem is helping your condition, your blood pressure will need to be tested on a regular basis. Your kidney and liver function may also need to be tested. Do not miss any scheduled visits to your doctor. Store diltiazem at room temperature away from moisture and heat.
Diltiazem side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects: fast or slow heartbeats; feeling light-headed, fainting; fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; feeling short of breath, even with mild exertion; swelling, rapid weight gain; or nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes). Less serious side effects may include: stuffy nose; skin rash or itching; dizziness, headache, tired feeling; nausea; or warmth, itching, redness, or tingly feeling under your skin. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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