Hormonal contraceptives such as the pill and the patch may increase the blood level of tacrolimus. Tacrolimus may also reduce the effectiveness of these hormonal contraceptives. For this reason women who could get pregnant should ideally use a non-hormonal method of contraception, eg condoms, to prevent pregnancy while taking this medicine. Seek advice from your doctor or pharmacist.
i wouldnt lower the tacrolimus dose further
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.
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).
The specialist reviewed all of the options with us - cyclosporine, pilocarpine or tacrolimus with sirolimus. She said that very rarely has she seen any dog respond to cyclosporine after not responding to tacrolimus. She also said that because our dog doesn't have a dry, goopy nose, that pilocarpine wouldn't be a first choice. She recommended a mix of tacrolimus with sirolimus. She said sirolimus is new. I have not been able to find anything about this drug on the internet.
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.
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.
His cretanine is almost 1.4 or around. My question is that should he continue his TACROLIMUS tablets or should switch to some other tablets which are safe for kidneys?
Secondly , in my sorrounding there is an opinion that lowering the TACROLIMUS dose also let the liver enzymes to increase? Do you favour such opinions as my father has lowered his tacrolimus dose to keep his kidneys safe?
Sir ,will wait for your kind reply.
Thanks.
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.
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.
If one never had swollen gums after taking Diltiazem Hydrochloride Extended-release Capsules USP for years and then suddenly has swollen gums (no redness or infection) could the Diltiazem suddenly cause this after getting a "deep cleaning" of the teeth, or 'probing for pocket depths' at a dentist?
s hard to perform my job or other daily tasks when my eyelids are so inflamed. I guess steroids are the only option until they develop something better. Is Tacrolimus a promising nonsteroidal option?
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?
The treatments of this condition are application of topical corticosteroids (betamethasone, clobatesol, flucinolone) which will reduce the inflammatory process. Topical immunomodulators like pimecrolimus and tacrolimus can be used in severe conditions.
I hope it helps. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor.
I had a brief bout of A-Fib, and the ER put me on 15mg Diltiazem every 6 hrs. My physician a couple of days later bumped that up to 30mg/6hrs. Around a week into taking the drug, I lost most of the sense of taste; sweet, sour, salt. Initially I just had a tiny sense of "savory" as the only thing I could taste. I began to not be able to eat, because everything made me sick to my stomach. I read in the Diltiazem side-effects that this is called "taste perversion".
Hi Guys...Currently I take 360mg DR of Diltiazem once daily...I worry that since sometimes I forget as to whether I have taken my pill or not due to a fast paced life / career. My question is...If I were to accidentally take a double dose of the stuff would I end up kicking the bucket?
Here are possible side effects....
http://www.nhs.uk/medicine-guides/pages/MedicineSideEffects.aspx?
there are prograf assistance programs that the company offers. If this is not feasible than using other cheaper medications such as verapamil for example for HTN for example will alllow much lower doses of prograf to be used (it delays metabolism of the medication) and thus it comes out cheaper.
It really depends on what you need. If this has been prescribed for you, and you are uncertain about it, then you can always ask your doctor for more clarification. It really just all depends on your individual circumstances.
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.
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