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.
t take care of the high HR. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. They seem to work well together. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose.
Your post implies you nightmares are gone now that you are off of the BB... the CCB may also have that side effect.
Hi....
I am a 30 y/o female who was dx with psvt in july 2010. My svt was seen on a 48 hr event monitor and I had rates of 188 from simple activity such as climbing my steps. My EP/Cardio attempted an ablation on 7/15/10. They weren't able to sustain the svt long enough to ablate and discovered that my accesorry pathway is up against my SA node so I run the risk of needing a pacemaker if the svt is ablated.
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.
I can usually control my PACs/PVCs through diet but when I stray and they flare up, calcium channel blockers (diltiazem) work like a charm. It makes them completely go away until it wears off which is about 24 hours (extended release 240), Just curious if anyone knows why doctors do not prescribe these to more patients for PAC/PVC because they seem to work.
Since I live in Iowa (low of -24 degrees the other day), it was a side effects that really bothered me. Now I am on 240 mg of Diltiazem and no side effects but it is not controlling the rapid pulse rate very well. My husband, who has A-fib, saw a mention on one of the discussion boards he reads of Beta Blockers lowering the levels of Melatonin in some patients and causing sleep disturbances.
I have times where this last for months every day and It’s like sitting back waiting for the big on to happen because my doctor told me there were only 3 meds to take for this condition first was verelin pm and xanax I also carry nitro. Now I’m on diltizem cd 240 mg once at night and xanax .5 every 8 hours and it still doesn’t help some days are so bad for me and others I can just deal with. Please someone just let me know that there is something that can be done for this.
Abt 2 months ago cardio doc increased diltiazem to 240mg ER from 120 mg,(for irregular heartbeat) added xarelto 15mg as I had an episode of heart arrythmmia and palpitations. I am also on pravastatin 20 mg. I find diltiazem/xarelto interaction in only one place. Abt 10 days ago, started having diarrhea or several loose bm's per day. If this continues should I call the cardio doc re this problem or go see gastro doc?. I have had pancreatitis in past so have a gastro doc.
Looking to safely taper off of my calcium channel blocker diltiazem extended release capsules. I have been on them a little over one year. My blood pressure is perfect and was perfect prior to my heart surgery. The only reason I am on them is because I had a large tumor in my heart and once I had my open heart surgery I developed post-op SVT, afib, a-flutter and my heart rate has skyrocketed over 200 beats per minute several times.
I have been receiving treatment for arrhythmia from the VA for about 10 years now (1999). I have had the shocks, the medication Amiodarone and now a pace maker. I take 240 MG's of Diltiazem twice a day, 100 MG of Metoprolol
twice a day and one table (.125) of Digoxin a day. My last visit to the Pace Maker clinic showed that in the past 90 days it had recorded 887 instances of my heart rate going over 160 bpm's.
My doctor put me on Diltiazem 24 hr. ER 180 mg. 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 had four episodes already this year even I took medicine Diltiazem (180 mg) everyday. The good thing is I can terminate it by taking extra Diltiazem (250 mg) and lay down for 30 mins.
My doctor told me my problem is left ventricular fascicular tachycardia, which is an uncommon tachycardia. My tachycardia is very sensitive to Diltiazem (calcium channel blocker). The doctor tried Adenosine, but it never works. If they inject Diltiazem, my tachycardia would terminate immediately.
The paramedics gave it to me twice (I believe 6 mg each time) and the Emergency Room doctor gave it to me two more times (I believe 6 mg and then 12 mg) -- a total of four times during one episode. Adenosine stopped my heart briefly, except for a little blip, but the rapid heart beat immediately returned. Others praise adenosine; it did no good at all for me. I am now taking Diltiazem (120 mg), and I don't think it is working.
How many people out there have had rapid atrial fib? By rapid, I mean at least 240 bpm? I will see my EP in a couple of monthes, and I'm compiling some questions! I don't seem to read alot about rapid A-Fib, only cases of tachycardia in the class of SVT, for example. Thanks!
I have times where this last for months every day and It’s like sitting back waiting for the big one to happen because my doctor told me there were only 3 meds to take for this condition first was verelin pm and xanax I also carry nitro. Now I’m on diltizem cd 240 mg once at night and xanax .5 every 8 hours and it still doesn’t help some days are so bad for me and others I can just deal with. Please someone just let me know that there is something that can be done for this.
No significant changes were observed in any of the values in patients taking either diltiazem hydrochloride (180 mg/day) or beta-blockers (15 mg of pindolol or 60 mg of propranolol daily). The decrease in HDL-cholesterol levels and increase in triglyceride levels reported in 1978 to be associated with use of propranolol, and with the concomitant use of hydrochlorothiazide and propranolol, was not found.
Experienced breakthrough arrhythmias and eventual return to tachycardia 170bpm that lasted 8 hours before heading to the ER again. Given fast-acting diltiazem 60mg, which seems to be working so far, although I'm still experiencing arrhythmias. Cardiologist preliminarily diagnosed AVNRT and recommended ablation asap. But now I, in addition to having this happen again, I am incredibly anxious about whether Medicaid covers this procedure. I can't find ANY information anywhere.
He also put me on Diltiazem ER, with instructions to take three 30mg diltiazem fast acting, 30 minutes apart for an episode (which I just had this evening).........I add a 7.5 mg Tranxene, and that seems to help end it.......I'm nort an anxious person, but it's my opinion that my brain just automatically goes into that state when my heart is beating that fast and erratic.........
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