DILTIAZEM SUSTAINED-ACTION - ORAL

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DILTIAZEM SUSTAINED-ACTION - ORAL

PHONETIC PRONUNCIATION: (dill-TIE-uh-zem)

COMMON BRAND NAME(S): Tiazac

GENERIC NAME(S): diltiazem HCl

Uses

USES: Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure.


How to use DILTIAZEM SUSTAINED-ACTION - ORAL

HOW TO USE: Take this medication by mouth with or without food, usually once daily or as directed by your doctor. Swallow the capsules whole. Do not crush or chew the capsules. Doing so can release all of the drug at once and may increase your risk of side effects. If you have trouble swallowing the capsule, you may open the capsule and carefully sprinkle its contents on a spoonful of soft, cool applesauce just before you take it. Swallow all of the drug/food mixture right away. Do not chew the mixture. Then rinse your mouth and swallow the rinse liquid to make sure that you have swallowed all of the medicine. Do not prepare a supply in advance. Your doctor may gradually increase your dose. Follow your doctor's instructions carefully. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. For the treatment of high blood pressure, it may take 2 to 4 weeks before you get the full benefit of this drug. This medication must be taken regularly to prevent angina. It should not be used to treat angina when it occurs. Use other medications (such as nitroglycerin placed under the tongue) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details. Tell your doctor if your condition worsens (for example, your chest pain worsens or your routine blood pressure readings increase).

Side Effects

SIDE EFFECTS: Dizziness, lightheadedness, weakness, nausea, flushing, constipation, and headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To lower the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: fainting, new or worsening symptoms of heart failure (such as shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden weight gain), slow/irregular/pounding/fast heartbeat, mental/mood changes (such as depression, agitation), unusual dreams, severe stomach/abdominal pain, dark urine, persistent nausea/vomiting, yellowing eyes/skin. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: Before taking diltiazem, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain types of heart rhythm problems (such as sick sinus syndrome/atrioventricular block), liver disease, kidney disease, heart failure. This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist that you are taking this medication. Older adults may be more sensitive to the side effects of this drug, especially dizziness, constipation, or swelling ankles/feet. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: digoxin, fingolimod. Other medications can affect the removal of diltiazem from your body, which may affect how this medication works. Examples include cimetidine, St. John's wort, azole antifungals such as ketoconazole, macrolide antibiotics such as erythromycin, rifamycins including rifabutin and rifampin. This medication can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include aprepitant/fosaprepitant, asunaprevir, buspirone, colchicine, ivabradine, certain benzodiazepines (triazolam, midazolam), among others. Some products have ingredients that could raise your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

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Faq for DILTIAZEM SUSTAINED-ACTION - ORAL

Diltiazem sustained-action is a medication that belongs to a class of drugs known as calcium channel blockers. It is commonly prescribed to treat high blood pressure and chest pain (angina).

Diltiazem sustained-action works by relaxing and widening the blood vessels, which helps to improve blood flow and lower blood pressure. It also reduces the workload on the heart, making it easier for the heart to pump blood.

Common side effects of diltiazem sustained-action may include dizziness, headache, flushing, constipation, nausea, and swollen ankles. These side effects are usually mild and temporary.

It is important to consult your doctor before taking diltiazem sustained-action during pregnancy. While there is limited information on the safety of this medication in pregnancy, it is generally not recommended unless the potential benefits outweigh the risks.

Diltiazem sustained-action can interact with several medications, including certain antibiotics, antifungal drugs, HIV medications, and other blood pressure medications. It is important to inform your doctor about all the medications you are currently taking to avoid any potential interactions.

Diltiazem sustained-action is usually taken by mouth, typically once or twice daily, as prescribed by your doctor. It is important to follow the dosage instructions provided by your doctor or pharmacist. Do not crush or chew the capsules, as they are designed to release the medication slowly.

Allergic reactions to diltiazem sustained-action are rare but possible. If you experience symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek immediate medical attention.

It is important not to stop taking diltiazem sustained-action suddenly, as this may worsen your condition. If you wish to discontinue the medication, consult your doctor who will provide instructions on how to safely taper off the medication.

Diltiazem sustained-action is generally not recommended for use in children unless specifically prescribed by a pediatrician. Safety and efficacy in pediatric patients have not been well-established.

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Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.