Diltiazem dosage range
Common Questions and Answers about Diltiazem dosage range
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Two weeks ago my Cardio doctor changed my medication from Cardizem LA to Diltiazem CD. I know it's the generic brand of Cardizem. Anyway he raised my dosage from 240 mg. to 300 mg. For a whole week I had some terrible side effects. I blacked out once while sitting at my computer and then I came close to blacking out on a daily basis. I also felt off balance. I ended up going to my primary doctor, not for this, but for something else. I guess it was a follow up appointment.
From your test results your Free T4 was a bit lower than we normally suggest, which is middle of the range, at minimum. Your Free T3 is even lower in its range, which shows that your body is not converting T4 to T3 very well. Free T3 is the thyroid hormone that correlates best with symptoms. Many members say that symptom relief required Free T4 at the middle of its range, and Free T3 in the upper third of its range, or as necessary to relieve symptoms.
A fib kicked in and would not abate for any significant period of time. increased drug dosage (Flecanide - 150mg - 2x; Diltiazem - 120mg - 2x) with no result. Continued testing revised diagnosis to atrial flutter.
Underwent catheter ablation 8 days ago. Left hospital with normal sinus rhythm. Same evening flutter returned with heart rate varying from 120 - 130. Continued following day. Advised to wait 24 more hours.
I am currently on 30 mg of diltiazem 3x day and i was wondering how effective is this dose at bring down your blood pressure. and how much would it bring it down. a rough estimate would be great. for i am hoping to come off of this medicine.
Whoooo Hoooo! Talk about falling into a pile of poop and coming up smelling like a rose!!! This cardiologist is a KEEPER! He was the cardiologist on call when I had the last (second) event on the event monitor. I didn't even know he was a local cardiologist I thought he was a TX cardiologist w/eCardio when he called me on the phone. The first time I saw him he was pleasant, etc., his office staff have been GREAT! But today, our second visit I KNEW.
I went online to check my lab results on 4-26-13 B12 542 range (211-946) on 10-14-13 4.98 range (211-946) TSH 9-5-12 1.39 range (.27 -4.2) on 9-25-13 TSH 5.5 range (.27-4.2}. All that was done was the TSH. The only one who did a tsh and free t4 was the renal doctor on 10-25-13. I reduced it from 112 mcg to 100 mcg.
t apply to everyone) is that FT4 should be about mid range and FT3 should be in the upper 1/3 of its range. Your FT4 is only at 36% of the range and we have no idea about FT3, so we don't know if you are converting the FT4 to FT3 adequately or not.
You should ask for the FT3 test, next time you get TSH and FT4; if she refuses, you should probably find another doctor, because one who refuses to look at FT3, and/or doses based on TSH, will keep you very ill.
It seems heart meds are notorious for causing fatigue. They say it gets better in time. I took my Diltiazem for 3 months (it's a CCB) and although I did get over the headaches and dizziness, the brain fog and general "I don't care" feeling was still there. Wish my hunger had gone away :-) See if you can feel some improvement in a week or so.
BP is relatively normal. I take indapmide for that (From my regular doctor). In fact when my cardilolgist put me on diltiazem, he took me off indapamide. That didn't last long. The diltiazem did nothing for my BP. It went back up (Only talking +/- 140/90), so let me add bavk the indapamide. So, that is not an issue. Just the MVP/ diltazem issue.The pulse can stay n the 60's for awhile. At most during the day, in the 80's. (Of course, that is only when the rythym is normal).
Is that T4 result for free T4 or total T4. Also, what is its reference range shown on the lab report? Have you ever had the most important thyroid test, for free T3 (FT3)?
Free T3 is four times as active as FT4, plus FT3 correlates best with hypo symptoms, including low metabolism. If you haven't been tested for free T3, that should be done.
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