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.
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.
The cardiologist at a private medical centre was not able to help much to control the rate, and he was prescribed Herbesser 200mg (diltiazem), Propranolol 20mg (10mg x 2), Lasix, Slow K (potassium supplement), warfarin 2mg and rosuvastatin 10mg (for cholesterol). But his condition persists. He gets breathless easily.
We have heard of ways to cure Afib, one of which is ablation, and have contacted the National Heart Institute.
A 77-year-old woman who developed a 2-fold increase in INR while receiving APAP with concomitant acenocoumarol (8), and a 74-year-old man experienced a 3-fold increase in INR when APAP was added to his stable warfarin regimen (6). Fluindione has also been implicated in this interaction (9). In a prospective, randomized, double-blind, placebo-controlled trial 36 patients received either APAP 2 g daily, 4 g daily, or placebo for 4 weeks.
I have been prescribed and current taking Diltiazem. I have seen a cardiologist had EKG and all he did was tell me to continue the med. When I asked him if I will have future attacks he said because of my age it is likely.
Is there a treatment that will prevent these attacks from happening again because everything I read indicates strokes follow these attacks? I am not on any blood thinners unless the Diltiazem is one.
You should contact your caregiver for advice regarding your medication as they would have your medical history, general health, etc. There is a noted drug interaction with Viagra and warfarin in certain patients. In patients who have pulmonary hypertension, there is an increased risk of bleeding when taking these medications together, etc..
Thanks for your question, take care.
Pradaxa is taken twice a day, shorter life in the body and is cleared from the body quicker than coumadin (warfarin). With warfarin, Vitamin K is used to reverse overanticoagulation in patients, there is no antidote for Pradaxa. Warfarin a lot cheaper than Pradaxa.
Good luck with your ablation. Hope you do well on Pradaxa! Best wishes!!
Great site! I've bookmarked it for future reference. Thanks for the information.
To date there have been no reports of an important interaction in humans between warfarin and clopidogrel. Nonetheless, because warfarin increases the risk of bleeding, blood tests to measure the degree to which the blood is anti-coagulated or thinned (prothrombin time; INR) may be ordered to assess the degree of blood-thinning when warfarin and clopidogrel are used together.
Atenolol can and often does have an additive affect when taken along with other beta blocking meds.
In my case, even though the Atenolol was only 25 mg, it was enough to cause several heart pauses (flatlines) of 3 to 4 second durations detected via an event recorder.
Regarding the interaction between Diltiazem and Tambocor, this is from drugs.com:
"Using diltiazem together with flecainide can increase the effects of either medication.
At any rate, my cardiologist prescribed one daily Diltiazem CD 120mg Caps. What seems strange to me is that Diltiazem is for angina and high blood pressure, but is only an OFF LABEL use for arrhythmias. Hence, I have noticed no change in my PVCs (perhaps even a little worse for these first 25 days on Diltiazem, and especially heavy PVCs when I first try to go to sleep at night), nor has my blood pressure been lowered.
I'm writing today to ask a doctor this question: When electrical remodeling of the atria can take place so quickly, it would stand to reason that doctors would inform a fib patients that have intermittent atrial fibrillation that they should go straight the ER for cardioversion if it lasts 24 hours. If this information was readily provided by M.D.'s many patients could avoid the risk of falling into permanent A Fib. Why is this line of thinking not used with patients?
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).
Now I am in the UK and I tell a two different pharmacies my problem. I think metropolol and diltiazem should not be combined they are contraindicated and make me feel awful. I had no afib symptoms before these pills. They make me feel worse than I ever felt in my life. Both pharmacists looked up their book on British National Formulary and said one word "asystole" that is what their books told them was the danger of combining these drugs.
No American ever dared to tell me this.
Recommended
