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Diltiazem

Generic Diltiazem 180 mg

Generic Diltiazem 180 mg online

Diltiazem 180 mg belongs to the group of preparations known as calcium-channel blockers. It is administered for the treatment of mild and moderate hypertension (aka high blood pressure) and long-term treatment as well as prevention of angina pectoris. Diltiazem works by relaxing as well as widening of some blood vessels, which leads to the decrease in high blood pressure. In addition, it reduces heartbeat force and rate, and that helps prevent angina attacks.


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What is Diltiazem?

Diltiazem belongs to the class of drugs that go by the name “calcium channel blockers.” These drugs are used to treat a number of arrhythmias, angina pectoris, and hypertension. Diltiazem is also a good preventive medicine for migraine.

What are the indications for using Diltiazem?

Diltiazem is used for treating:

  • Stable angina- Diltiazem increases the coronary blood flow and decreases the myocardial oxygen consumption;
  • Variant angina – due to Diltiazem’s direct effect on coronary arteries.
  • Unstable angina – Diltiazem is effective in preventing vasospasm, which can prevent myocardial infarction.
  • Supraventricular tachycardia – Diltiazem appears to be as effective as verapamil for treating this condition.
  • Atrial flutter or fibrillation – intravenous injection of 0.25 mg/kg of Diltiazem can treat this condition.
  • Hypertension – the vasodilatory effect of Diltiazem can reduce the blood pressure, especially if the renin levels are relatively low.

What is the dosage for Diltiazem?

For treatment of hypertension, atrial fibrillation, atrial flutter, supraventricular tachycardia, angina pectoris prophylaxis, and congestive heart failure the starting dose of Diltiazem is 30-60 mg/day separated into 3-4 doses. Each week the dosage is increased until the maintenance dose of 180-360 mg/day is reached.

Intravenous dose for hypertension, atrial fibrillation, atrial flutter, and supraventricular tachycardia is 0.25 mg per kg over 2 minutes. A second bolus can be administered if necessary. The starting infusion rate should be 5 mg per hour. When necessary, it can be increased up to 15 mg per hour.

What are the contraindications for using Diltiazem?

Before taking Diltiazem, make sure that you are not allergic to calcium blockers. Taking Diltiazem is also contraindicated if you have:

  • AV block or sick sinus syndrome (unless you were implanted with a pacemaker)
  • Low blood pressure
  • Recently had a myocardial infarction

Also, tell your doctor if you have kidney or liver disease, congestive heart failure, or if you’re also taking Catapres (clonidine).

What are the adverse effects of Diltiazem?

The most common side effects from taking Diltiazem are body aches and pain, fever, sore throat, cough, congestion, voice changes, trouble swallowing, and runny nose.

Less common side effects include feeling of warmth, feeling lightheaded, dizzy, or faint, having difficulty breathing, diarrhea, chills, nausea, shivering, sweating, and swelling of hands, ankles and feet.

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