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.
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.........
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).
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.
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.
He has put me on Diltiazem ER 120mg LM. I have only been on it for a week, my blood pressure is averaging about 100/60 pulse 50bpm. Haven't noticed any change in my fatigue .
Questions: Does this treatment seem reasonable and how soon would you expect noticeable changes if they occurred? Any other meds that might be tried or other advice? Does continued dilation of the blood vessels eventually stretch them or do they relax back when medication stopped?
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 think you have to weigh the significant risks involving ablation and the location of your accessory pathway vs. drug therapy and living with your condition. How often do your events occur? Are you able to convert them yourself by some means; Valsalva, etc.? At 30 years old, time is on your side. Perhaps a new technique in the next decade will make your particular situation less risky.
Verapamil is a serious, Class IV anti arrhythmic that is indicated for SVT.
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?
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?
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?
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.
however 5% is a good point at which you may want a patient to come back for followup to quantify the response to therapy. Those with under a 5% burden can have their therapy guided by symptom control without the need for too many holter repeats.
Hemodynamic compromise begins at 20%, at which point ablation is recommended. However in my opinion considering ablation is prudent beginning at the 15% mark, given the presumption that such burdens will only get worse with age.
79 yr old female with increasing lengths of episodes up to 4 hours per episode, and several episodes of varying rhythms each day. Candidate for ablaton therapy? Pacemaker?? See my cardiologist tomrw 1/21/11. Sigh. Had card Cath 2 weeks ago. Some plaque. Really need relief. Now up to 300mg diltiazem daily.
I could handle the fatigue and muscle aches but the chest pain and SOB did me in. Recently I was on Diltiazem for awhile. Was tired a bit, had headaches the first couple of weeks but overall it wasn't a bad med. I can't take beta blockers because of asthma. The Diltiazem was helpful in easing some of my tachy times and got rid of my chest pains.
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