Difference between diltiazem and cardizem

Common Questions and Answers about Difference between diltiazem and cardizem

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If a prescription written for oral diltiazem extended release 240 mg TWICE daily (BID) is verified as what the physician wants, what difference will there be CLINICALLY if it is filled as cardizem LA or cardizem CD ? (brand or generic or price is not important here. cardizem SR brand or generic not in market-place). Monitoring of blood pressure is daily. Will there be a more concentrated blood level of drug using CD ?
If a prescription is written for oral diltiazem extended release 240 mg TWICE DAILY (BID) is verified as what the physician wants, what difference will there be CLINICALLY if it is filled as Cardizem LA or Cardizem CD ? (Brand or Generic or Price is NOT important here. Cardizem SR brand or generic not in market-place). Monitoring of blood pressure is daily. Will there be a more concentrated blood level of drug using CD dosage form rather than LA df ?
I just took my pulse at the grocery store this afternoon and it was 101, so that's a big difference as it's been between 120 and 140 for the last two years. Since overcoming the depression, I've lost a great deal of weight and it's now normal, and started walking 30 minutes 5X a week plus floor exercizes for my back (I've had two laminectomies at the L-5 S-1 level) and yoga class once a week.
What meds is she on and is there a connection between her arrhythmia and the spasms?I have no blockages but if I do not have nitro or a CCB on board then I will have a variety of arrythmias along with the spasms. I was in great shape and super active when all this started. Also, it helps to have a low dose of Elavil taken at bedtime to make the brain not react so badly to the pain. It is not helpful either to get anxious with this pain as it then further stresses the heart and it becomes cyclic.
There isn't much difference between angina and Esophagus pain. I'm a veteran of both heart and GERD issues, and was 'fooled' earlier this year by going to the ER thinking I had the mother of all angina attacks when actually I had a problem with an esophogeal spasm. A motility test, then an endoscopy test showed problems with GERD and as you know, I had Nissen Fundoplication surgery which has been quite successful.
This was after 8 doctors in different specialties seen on a regular basis, a month in the hospital (and all the doctors and medical staff I saw while in the hospital above the original 8), several home health nurses, several home health PT's and 2 psychologists......ALL between September and April when I finally saw someone at the Mayo Clinic.
Having said that, when I was on it a few years ago I don't recall any side effects so perhaps it is sometimes difficult to distinguish between the medication and the symptoms of the heart arrhythmia - which also causes dizziness and fatigue!
The fluctuation was the difference. Has anyone else had something like this? They checked blood and magnesium was 1.2 which is low. I think the normal range is 1.8 to 3.2. They gave me 2 grams of magnesium in the form of 2 shots in the rear. I have noticed when I lie down, especially if I have eaten within an hour or so, I seem to have SVTs or PVCs. The cardiologist today told me he recommends ablation and the sooner the better since these episodes are ruining my quality of life.
I take Diovan - valsartan which is an angiotensin receptor blocker (ARB) and Cardizem diltiazem which is a calcium channel blocker. My PCP wants my BP < 130/70 ideally but it runs around 118 - 135 / 65 - 82 The reason he wants it that way is because of my diabetes. In the general population I think he's cool with 140/80 but maybe it's 130/80. I monitor frequently. I forget how I know this but my impression is that BP generally runs higher in the early mornings. It does with me anyway.
I'm fine at home but jump up to the 140's at the doctor. But now I'm on Diltiazem for chest pains and arrhythmias. That helps with the BP too. I don't see age factored in there, say menopausal women. Is estrogen not that important to heart disease?
Today I panicked and called the paramedics who came and did a 12 lead and they said normal sinus with one ectopic and so I didn't go back to the ER. I had a normal echo 3 years ago. I already don't eat caffeine or sugar. Please reassure or sympathize with me. I'm going insane and have no idea what's causing this out of the blue. Why would they suddenly increase for no reason whatsoever?
I then had a left sided PVC ablation. I was not informed about the difference in the room and procedures compared to the SVT ablation and would have liked to be more prepared mentally and emotionally. It was deemed successful, but after 3 weeks I tried to take a five minute walk and have crashed for four days with the same symptoms that propelled me to undergo the ablation.
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