how does diltiazem work

Ok then. Diltiazem does work pretty well for the Raynauds (I have it also) but not so good for sick sinus. I have Raynauds and arrhythmias. I noticed my PSVT wasn't so bad, the chest pains went away and the Raynauds improved during the 3 months I took it. But my heart rate did slow way down at times while on the med. So with your sick sinus syndrome, the doc may want to hold off the Diltiazem till you get the pacemaker. Keeping your rate up and steady is pretty important.

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.

The half life of Diltiazem is roughly 6.5 hours. So it's safe to say that it has been completely eliminated from your blood by now. The question that I cannot answer is what long term effects doesn't have on the affected senses, and how long do they take to return to normal.....

I am a 59 year old female who has had palpitations since my 20's. When I was in my middle 30's I started having tachycardia's. I was diagnosed at that time with atrial fribillation and was on lanoxin and the tambocor for a while until I figured out how to convert it back to normal rhythm myself. I've been to docs many times with many echos and monitors showing nothing. (familiar story!!!) Recently I had a halter moniter and I caught an episonde.

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.

Ask the doctor about how the medications work and why you need both.

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.

Diltiazem does that - it can make you feel dizzy, tired and give you a whopper of a headache. It took me about 2 weeks to adjust to the medication and another 2 weeks before the headache went away completely. Any idea how long your flutter lasts? If it happens frequently and lasts for a half hour or so, you may need aspirin or some other blood thinner. That's something you should discuss with your doctor. It wouldn't hurt to ask.

Now my cardiologist has me wearing a monitor for 30 days, and continue taking the diltiazem. I work a desk job, and have noticed that when I’m NOT having the PVC’s, the moment I get up to walk around doing my job and sit back down, they start up like crazy, with the clusters every other beat, multiple times a minute and it just feels terrible.

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.

Does anyone know if 14,026 PACs and PATs in 24hrs are dangerous? Sometimes they last for hours. This has been going on for weeks. Toporol beta-blocker didn't work to stop them, the cardiologist wants me to try Cardizem, a calcium-channel blocker. What do you think?

How are you? I took Diltiazem too. Not good for me either.

It depends on what medication you're taking. I take diltiazem, although I take it for esophageal spasm. I don't have high blood pressure. I had to reduce the dose while in a study for a similar medication (PI). PIs can increase the amount of blood pressure medication in you if you take a calcium channel blocker like diltiazem.

I am on another brand/generic calcium channel blocker - Diz..don't recall, but I can check. I take what I think is the maximum does and had some of the symptoms you mention, but none real bad and my body has adjusted. Swelling of ankles was the the side-effect I most noticed, as did my wife. But it was not noticeable when dressed (a man) and I didn't have trouble putting on my shoes. I discussed with my cardiologist and he recommended I give it more time.

Does anyone know typically how many time the doctors will try to fix WPW with catheter ablation? I have only read of as many as 3 and we are now on the 3rd one, and what do they do if they can't fix the situation?

blood pressure has been up and down for the last 20 yrs taking avalide 12.5 and diltiazem 360 mgs ,but now i go on this medication terazasin only 2 mg and blood pressure goes to normal .thank you .doe anyone know why vitamin d will not come up to normal This discussion is related to <a href="/posts/Thyroid-Cancer-Nodules--Hyperthyroidism/Calcium-levels-and-Vitamin-D-supplements/show/1171270">Calcium levels and Vitamin D supplements</a>.

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?

Well after reading about calcium channel blockers it has become clear how they work. For smooth muscle, such as cardiac or artery, to contract, calcium is required and is fed through tiny channels in the artery wall. So, a reduction in calcium prevents smooth muscle from contracting as much, keeping vessels open more. HOWEVER, this also obviously affects the smooth muscle of the heart, making it contract slightly less. The bonus is the heart doesn't work so hard.

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?

I can share my own experience with Diltiazem. Back in February I was put on Diltiazem 120 ER (extended release) and only had to take it once a day. Compared to the Verapamil (also a CCB) that I had to try years ago and I ended up in the ER, the Diltiazem was a dream to take. I had some fatigue, was a bit slow mentally. The hardest part was the nasty headaches I got during the first week or so. They would hit a couple hours after I took the pill then go away.

I just got back from my internist. She is truly a wonderful compasionate doctor that really wants to help keep me as healthy as possible. Of course all my blood tests came back perfect except that I was low in Vitamin D. I was actualy hoping something was off so that I had a reason for the increase in these damn episodic pvc's that have been lasting for hours at a time. She wants me to try a channel blocker called diltiazem on an "as needed" basis.

At my request, my family physician has agreed to change my medication from daily metoprolol extended release 100 mg to daily diltiazem 120 mg. Can I simply switch without fear of withdrawal symptoms from the metoprolol? His instructions were to stop taking the metoprolol when I start the new diltiazem. I was not aware that I might face withdrawal from metoprolol.

How does diltiazem work

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