First time, adenosine failed twice to bring down 180+ pulse. Diltiazem given, and worked. Sent home with extended-release 120mg diltiazem. 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.
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. I believe that Diltiazem works on the reentrant type of SVT called AVNRT.
At 50-59 systolic is most predictive and after 60 the pulse pressure is most important. As one ages there is a gradual shift in the strength of prediction of risk from diastolic to systolic to PP.
Be aware that certain anti-hypertensive drugs and combinations thereof have a better effect on pulse pressure than others. Examples are diuretics and certain calcium channel blockers. Diltiazem is a calcium channel blocker.
This gives you something to discuss w/your cardiologist.
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.
He recommended a cream called Diltiazem to be applied twice a day (from the onset, this has burned more than anything I have tried so I have discontinued use).
* Week ten I went back to the Colorectal doctor because I can't stand the pain any more. We discussed the partner with Syphilis and because of the pain that I am in, am scheduled for a biopsy this coming week.
m interested in hearing from anybody who has had similar symptoms, or a similar course of action before getting a diagnosis. I have never really heard of tinnitis or vertigo being symptoms of MS, and those are the main reasons I even started pursuing medical help to begin with. The doctors have ruled out some explanations (like the acoustic neuroma), but there are still other possibilities on the table (Meniere's disease, or even high blood pressure for example).
It kind of sounds like a form of Action tremors, but I have to agree with mkh9.
The onset of action ranges from 45 minutes - 1 ½ hours, and the duration of action is six hours. Diazepam carries a bi-phasic half-life of 20-50 hours (for Diazepam), and 30-200 hours (for Desmethyldiazepam). Valium is indicated for the long-term management of generalized anxiety and tension-anxiety. Tolerance will not develop to the anxiolytic property of Diazepam, although tolerance will develop to the sedative/hypnotic property.
A partial µ-opioid receptor agonist, its mixed agonist/antagonist activity affords it a lower risk of dependence and abuse than full µ agonists like morphine. Meptazinol exhibits not only a short onset of action, but also a shorter duration of action relative to other opioids such as morphine, pentazocine, or buprenorphine.
I have been diagnosed with sick sinus syndrome. I was on diltiazem xt 120mg. I stopped taking the medicine 12 days ago could it still be in my system and be causing slow heart rate 40-45 during th day.
Diltiazem is a calcium channel blocker and such medications DO indeed exacerbate gingival hyperplasia (enlarged gums).
Deeper probing depths MAY be caused by medications. Think of it that way: the normal location for the gum tissue is at cervix of the tooth (neck/fattest area). There we have...say 2mm probing depth. Tissue enlarged by the medication and it goes up...way up -> now our probing depth is 4 or 5mm.
I also had a sudden onset of night sweats. I have no shortness of breath. I had a normal echocardiogram. Lasik brought the swelling down some but I am still swelling.
I am type 1 diabetic, hypertensive, and stage 3 kidney disease. Since I have no shortness of breath and a normal echocardiogram is this likely to be some sort of heart disease?
What is the onset of action after taking a dose of the immunoglobulin.
Here are possible side effects....
http://www.nhs.uk/medicine-guides/pages/MedicineSideEffects.aspx?
I take Metoprolol for a thick heart muscel & pvc, which it doesn't help much with the pvc's, Diltiazem was just added 120mg once a day. My doctor seemed somewhat reluctant to add the Diltiazem but said lets try it. My Blood pressure has been around 155/95. His reluctance just seems to scare me. Should I try it or should I not? If I do start taking it should I take it with the metoprolol or at different times?
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