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.
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.
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.
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.
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.
HI,I went back to my cardologist today because of my shortness of breath and chest pain and dizziness,,,he showed me the pictures of my stress test and he explained that the small portion that does not get adequate blood when stressed is not a serious thing,,,,but my heart rate problem,he gave me Verapamil sr to try this time 120 mg i have tried Bystolic and Atenol they made me feel very strange im so afraid this new med will drop my heart rate to much,,,,sometimes at night my heart rate is 86
Referred to another doctor for cardioversion. He put me on diltiazem 180mg . I told him about the problems with tiazac. He told me the lower dose and because along with rythmol would be OK. Some symptoms returned but much less. Had cardioversion May 22, 2012. A-fib returned May 25 2012.Next time hope to be off diltizem. Also I think I will try magnesium (2 gm/day) . Any suggestions etc appreciated.
I went to a new cardiologist today who suggested I switch to a calcium channel blocker, diltiazem, 120 mg. He said I will not have to taper the beta blocker first, just switch them out. I know he's the Dr, but he's new to me. I'm worried about just stopping one and starting another like this. Any advice from folks who've maybe made this switch before? Anyone done it without a taper?
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.
Two weeks ago my doctor started me on Diltiazem 120 mg for racing heart. A cardiologist is doing some tests day after tomorrow. I have developed a severe rash that has now reached all of my body and itches like crazy. I am treating it with Benedry capsules and Caladryl lotion. Only tonight discovered it is a side effect of the prescription. Tomorrow I will not take the Diltiazem but meanwhile what should I do?
This is very interesting, because after my cardioversion 3 weeks ago, I went back on my Norpace CR and was told to stay on the 50 mg. of Atenolol I was on previously. For the last week I have been having (some major) dizzy spells and a feeling of a pause. Also felt like I might faint, short of breath. This has happened sitting, standing and lying down and scared me. I have an appt. Thursday for a follow-up on the cardioversion, so maybe I can find out what's going on.
As to the fatigue... are you ONLY on flecaininde? I get very fatigues too, BUT I am also on diltiazem, coreg, and lisinopril. I can't separate them to know what goes with what.
Hi, I'm a 33 year old male, not overweight, not diabetic, I've been dealing with tachycardia for some time now. It comes and goes. I found that 50mg of Metoprolol twice a day would mostly control it, but as a 33 year old man, I began to notice major erection issues since being on it. Talked to my doctor, they want me to start 120mg a day of Diltiazem. I'm a little nervous about it, but they assured me it's no more potent a medication.
I called my electrophysiologist. The dr on call for him told me to take the other 180 mg at that time and go back.to the 360 mg tomorrow like I used to take.
What would cause my bp to jump like that? Did it take my body that long to recognize my dose had been halved?
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.
The first in two years landed me in the Hospital. My meds were changed from Metoprolol to Diltiazem 360 mg per day and Fleconade 50 mg 2x per day plus Warfarin. The Metoprolol 25mcg 1 x daily has been making me wheeze for the past four years, but no one ever thought to change the meds. I have been on this new med protocol for 1.5 weeks. I just started the Fleconide and Warfarin three days ago.
My question is I need to loose 45 pounds asap.
Everything came back normal, but they took me off the diltiazem and put me on metoprolol 25 mg. They also gave me some klonopin. The next 3 days were pure bliss. ALL THE PVCS JUST STOPPED. I was taking the metoprolol and 1 mg klonopin at bedtime and I could SLEEP. And sleep WELL. I was happy again. Then, they came back. Not as badly as before, but they are there. A good chunk of the day. I am not having the pressure feeling though, so that is good.
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.
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.
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