Diltiazem beta blocker
Common Questions and Answers about Diltiazem beta blocker
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m a female, but I can share my experience switching from a beta blocker to diltiazem. I have been taking beta blockers for 8 years for SVT and afib. I had an episode of afib and was in the hospital is Sept. They took me off the beta blocker and put me on diltiazem. It didn't control my heart rate like the beta blocker. My resting heart rate went from upper 60s to the low 80s. After a few days without my beta blocker, I ended up in the ER, in sinus tachycardia with a rate of about 120.
Was put on Metoprolol (beta-blocker) and Xarelto (anticoag), and heartrate still was high, so beta-blocker was doubled to 100mg day (50 am, 50 pm). After about a month, had the cardioversion procedure, which stabilized heartrate. Beta-blocker reduced to 50 mg a day. About a month later, had Echo-cardio test and things had "returned to normal." Because of bad side-effects from Metoprolol, doctor weaned me off it and said I could replace baby aspirin for the Xarelto.
I have suffered with taking diltiazem(180 mg ER) AND metoprolol (50 mg ER) for atril fibrillation for the past two and a half years. The side effects have been debilitating.. Both drugs have the same side effects and together and one or the other or both create what I can only describe as chaotic turbulence in my chest and pain in my left arm when the second drug kicks in.. My cardiolgist now wants me to add a blood thinner (xarelto) to my meds menu.
It seems that the chest pains are less frequent, but I still get the tight in the chest and breathing issues I had on the beta blocker. Do calcium channel blockers cause lung thightness? My BP was still around 130/90 2 weeks into the Diltiazem. We are checking again when I finish the bottle. Meanwhile, lots of aches and flue like sypmtoms. I always feel sick and tired. I sleep 9 hours a night, but wake up with anxiety attacks around midnight. I think I want to try Cozar again.
back to back? I have been taking a calcium channel blocker-diltyeizem for my tachycardia and high blood pressure and it is not really lowering either. My tachycardia is sometimes 150/60 and I am suppossed to start taking a beta blocker-nadolol 40 mg. My question is: wouldn't the CCB still be in my system while starting the beta blocker? I have been on it over 2 months and will start the beta blocker tomorrow. What can I expect, is that safe? Thanks to anyone who can advise.
Does anyone know if 14,026 PACs and PATs in 24hrs are dangerous? Sometimes they last for hours. This has been going on for weeks. Toporol beta-blocker didn't work to stop them, the cardiologist wants me to try Cardizem, a calcium-channel blocker. What do you think?
You would then be taking 220mg of a Beta-Blocker every day. The side effects are not easy to take sometimes, at least in my opinion. I gave up taking it because of those. However, I have been put on Metoprolol ER - 50mg - again four weeks ago and they just don't seem to work. I found out through experimentation years ago that none of the generics worked - it used to be Toprol XL - except when I found them actually made by the original manufacturer and sold as Metoprolol.
now my heart rate is between 80 and 92 . the last time i was but on a beta blocker and had a very bad reaction just after one tablet dr put me on proprananol heart all over the place so came off 2 days agow hospital changed my medication and put me on another beta blocker. i am back home havent taken it as am scared stiff its bisoprolol 1.
t get any responses here, but from googling around on the web I came to the conclusion that diltiazem, a calcium channel blocker, would be better for an athlete than atenolol, a beta blocker. So I called the doctor who agreed to change my medication. Yesterday on the treadmill, after having only taken one 25mg dose of atenolol my heart rate only showed a bit over 120 when I was doing a pace for which a 140 should have been called for.
Your concern is valid in that being on both a calcium channel blocker and a beta blocker can have risks of reducing the heart rate too low or affecting other conducting regions of the heart. However, amlodipine is a dihydropyridine calcium-channel blocker whose primary effect is more peripherally acting rather (as compared to the non-dihydropyridine CCB, i.e. diltiazem or verapamil, which are more centrally acting).
The doctor has put me on a very low dose of beta blocker as I have had asthma in the past. He said that my pulse may even go slower, I now feel that I will go to sleep one night and my heart will just stop. I hate this feeling I am having for most of the day when relaxing, I am ok when doing anything physical. My heart beat is so slow that when I miss a beat the delay to the next can be 2-3 seconds and this is scary. It is much worse after eating or drinking.
I will ask my cardiologist for an echo, blood work for electrolytes and for BNP, a chest X-ray, to change to a beta blocker, or add a beta blocker... does anyone have any other suggestions for things to try or ask to be checked or done? I have my follow up appointment on August 30th. I was able to put the monitor back on after 3 days of cortison treatment on my blisters, and I was sent highly sensitive skin electrodes.
I think you hear the majority of people are on Metoprolol, followed by Atenolol, Propanolol, then Sotalol all beta blockers. Then comes Verapamil, which is a calcium channel blocker like Diltiazem. Perhaps is has something to do with the nature of how a Class IV anti-arrhythmic affects the cardiovascular system. It decreases or slows conduction through the AV node, and reduces the contractility of the heart, so it could be inappropriate in cases of heart failure.
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