Diltiazem conversion

Common Questions and Answers about Diltiazem conversion

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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 ?
The night nurse decided to take me off Diltiazem when my blood pressure was down to 80/40. Now I'm taking Diltiazem pills and worry about low blood pressure, although I am measuring it regularly and most of the readings aren't too worrisome. I want a catheter ablation to get rid of this problem altogether, but my son says to be cautious about getting into surgery. He doesn't know anything about heart problems. He does liver resections.
old female, I am new to this forum and recently had an episode of A-Fib. I ended up in the ER, and after they unseccesfully tried chemical conversion was electroverted. Since than, I have had several Electrocardiograms, an Echo, 24 hr Holter and a lot of bloodwork. I still have to go for a stress test and am being referred to an Cardiologist. So far, the results show a Left Anterior Hemiblock, Supraventricular Tachicardia and of course the A-Fib which started the investigation.
And see how long the wait times were. I have tried diltiazem, bisprolol, and atenol, none with any success. I have had sleeping pills, and Ativan and nothing gives relief to the monster in my chest. I feel like crap every single morning and have developed Anxiety and a huge fear of being alone. I am from such a small rural area that we don't have cbt offered anywhere near here. I have been to a talk therapist to try and relieve some anxiety over this, but talking is not helping!
Doctors blamed High Blood Pressure, Bad Eating habits. Just not a good lifestyle, and my body was warning me. After conversion back to normal rhythm, I was prescribed a Calcium Channel Beta Blocker called Diltiazem ER (generic for Cardizem) 120mg Extended Release Capsules. I can tell you that this instantly relieved many of my heart symptoms, and lowered my blood pressure from 140s/90s, to 110s/70s. I feel 100% better. I don't have adverse side effects from the beta blocker.
R, i had to be converted a couple of times and thank gawd it was chemical conversion not electrical and that knocked it out. My doc set earmarks of progression for me to follow that set the standard to head to the E.R,.......and he did this immediately after the ablation as a safety net because he said that in most cases post ablation approx. 80% of patients and runs of prior incidents while the heart reaclimated to functioning in the way it was supposed to in the first place...
Now I'm back on Diltiazem to control my chest pains and it helps my arrhythmias to some extent as well. So ask about the treatment plan for the hole in your heart, ask about trying a different medication, ask if an ablation would work for you and do see someone about your anxiety. I don't know which came first, the arrhythmia or the anxiety but you'll have to deal with both to feel better again.
I use Diltiazem for mine. My situation is a bit different because my heart is moderately under control now after my ablations. I only use the medication when I'm having chest pain due to erratic heart beats. My tachy is pretty much down to nothing now. There are options for you but the cardiologist will have to recommend what's best for your case. And an ablation is not technically a heart surgery. It's considered a procedure.
I told him they probably ablated all of them. Pete, are you going for a chemical conversion or electrical? I think you told me electrical and they put you completely out. Yay for that! I wonder how important it is to be on anti-arrhythmia medicine while we are recuperating? Is it so our hearts will get used to being in NSR? I have to say my 24 hr a-fib episodes do seem worse now (stronger) than before the ablation. Keep me posted on how yours goes.
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