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Introduction About DILZEM CD 90MG(L)
DILZEM CD 90MG(L) contains Diltiazem which belongs to the group of medicines called Calcium Channel Blockers. It is used to manage angina and hypertension. It also manages you from getting chest pain in future.
Hypertension (also known as high blood pressure) is a medical condition in which the force of the blood exerted against the walls of the artery remains very high and as a result it may lead to severe damage to the blood vessels supplying vital organs, such as heart, kidney or brain. If left unmanageed, it may cause serious complications such as heart attack, heart failure, stroke or even blindness.
Angina pectoris is a type of chest pain caused due to an inadequate supply of oxygen to the heart muscle. Symptoms include severe chest pain, tightness or heaviness with dizziness, fatigue, sweating, shortness of breath and fast heart rate.
During management with DILZEM CD 90MG(L) your doctor will constantly monitor your kidney functions, blood pressure and blood sugar levels to avoid the risk of unwanted side effects. Avoid eating grapefruit or drinking grapefruit juice while taking DILZEM CD 90MG(L) as it may severely decrease your blood pressure.
Before taking DILZEM CD 90MG(L) inform your doctor if you have any liver, kidney or heart problems apart from angina and hypertension. You must also inform your doctor if you have diabetes, asthma, stomach problems or any form of mental illness as a precaution.
DILZEM CD 90MG(L) is not suitable for use in pregnant women as it may cause serious harm to the growing baby. It is also not recommended for use in patients with heart failure, severe low blood pressure, problems in blood circulation or if you are a breastfeeding woman.
The most common side effects of taking DILZEM CD 90MG(L) are nausea, indigestion, constipation, dizziness and swollen ankles. Contact your doctor if any of these side effect worsens.
Uses Of DILZEM CD 90MG(L)
- Manage hypertension (high blood pressure)
- Manage and manages angina (chest pain)
How DILZEM CD 90MG(L) Works
DILZEM CD 90MG(L) is a calcium channel blocker. It relaxes the blood vessels by blocking the entry of certain ions (calcium ions) within them that causes narrowing. This allows blood to flow more smoothly across the blood vessels. It also reduces the strain on the heart and helps the heart to pump blood more efficiently with less pressure.
How to use DILZEM CD 90MG(L)
Take DILZEM CD 90MG(L) as advised by your physician. Swallow the medicine with a glass of water. Do not chew or crush the medicine.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Do not stop taking DILZEM CD 90MG(L) without consulting your doctor.
Side Effects Of DILZEM CD 90MG(L)
Common
- headache, dizziness
- swelling of the fingers, ankles, feet (edema)
- constipation, indigestion, stomach pain, nausea
Uncommon
- feeling dizzy while standing up or changing posture
Rare
- dry mouth
- lumpy, red, itchy skin
Stop taking DILZEM CD 90MG(L) and contact your doctor immediately if you experience any of the following side effects such as:
- signs of allergic reactions (such as skin rash, swelling of the face, lips, mouth or throat which can lead to difficulty in breathing or swallowing)
- difficulty in breathing or worsening of asthma
- severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane, skin lesions with a pink/red ring and a pale center which may be itchy, scaly or filled with fluid)
- fast, slow or uneven heart rate
- signs of heart failure (such as shortness of breath with chest pain and swollen ankles)
- unusual body movements, facial muscle spasms, rolling eyes, feeling shaky
- signs of liver problems (fever, tiredness, loss of appetite, stomach pain, nausea)
- signs of high blood sugar levels (such as excessive thirst, passing more urine than normal and dryness of skin or mouth)
- skin sensitivity towards sunlight
- breast enlargement in men
How To Manage Side Effects
Nausea:
Take DILZEM CD 90MG(L) with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.
Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache:
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Constipation:
Try to eat more fiber rich foods such as fresh fruit, vegetables and cereals. Drink plenty of water and exercise regularly. If this does not help, consult your doctor for advice.
Warning & Precautions
Pregnancy
DILZEM CD 90MG(L) is not recommended for use in pregnant women and in women who think that they might be pregnant. Therefore, consult your doctor before taking it.
Breastfeeding
DILZEM CD 90MG(L) may pass through breast milk. Therefore, it is not recommended for use in breastfeeding women. However, consult your doctor for advice.
Driving and Using Machines
Do not drive or operate any heavy tools or machines if you experience dizziness or tiredness after taking DILZEM CD 90MG(L).
Alcohol
Avoid consumption of alcohol while taking DILZEM CD 90MG(L) as it may make you feel dizzier.
Kidney
DILZEM CD 90MG(L) should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.
Liver
DILZEM CD 90MG(L) should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Allergy
Do not take DILZEM CD 90MG(L) if you are allergic to Diltiazem.
Lungs
DILZEM CD 90MG(L) should be used with caution in patients with a previous history of asthma. Therefore, consult your doctor before taking it.
Heart Disease
DILZEM CD 90MG(L) is not recommended for use in patients with serious heart problems (such as having a very slow or uneven heartbeat or heart failure). It should be used with caution in patients with a previous history of heart failure, shortness of breath, slow heartbeat or low blood pressure. Therefore, consult your doctor before taking it.
Others
DILZEM CD 90MG(L) is not recommended for use if you:
- have problems in blood circulation especially to the lungs
Before taking DILZEM CD 90MG(L), inform your doctor if you:
- have any surgery in the upcoming days
- have depression
- have any mental illness that causes mood changes
- have any stomach problems
- have diabetes
- have porphyria (an inherited blood disorder)
Use in Pediatrics:
DILZEM CD 90MG(L) is generally not recommended for use in children and adolescents (aged below 18 years). However, consult your doctor before taking it.
Use in Geriatrics:
DILZEM CD 90MG(L) should be used with caution in elderly patients (aged 65 years or above). Therefore, consult your doctor before taking it.
Interactions
A. Drug-Drug Interactions:
Before taking DILZEM CD 90MG(L), inform your doctor, if you are taking any of the following medicines such as:
- digoxin, amiodarone, ivabradine (medicines used to manage abnormal heart rhythm)
- dantrolene (a medicine used to manage muscle spasms)
- lomitapide (a medicine used to control blood cholesterol levels)
- asunaprevir (a medicine used to manage Hepatitis C infection)
- medicines used to manage high blood pressure (such as doxazosin, tamsulosin, atenolol, propranolol or acebutolol)
- medicines used to manage angina (such as glyceryl trinitrate or isosorbide trinitrate)
- medicines used to manage high blood cholesterol levels (Ex. simvastatin, fluvastatin and atorvastatin)
- ciclosporin (a medicine used to suppress the body's immune function)
- phenytoin, carbamazepine (medicines used to manage epilepsy)
- medicines used to manage blood clots (Ex. aspirin, clopidogrel)
- iodinated contrast media (used during X-rays)
- theophylline (a medicine used to manage asthma)
- lithium (a medicine used to manage mental problems)
- benzodiazepines (medicines used to manage anxiety) Ex. midazolam, triazolam
- methylprednisolone (a steroid medicine used to manage allergies and inflammation)
- cilostazol (a medicine used to manage leg cramps)
- rifampicin (a medicine used to manage tuberculosis)
- cimetidine, ranitidine (medicines used for stomach ulcers)
B. Drug-Food Interactions:
Avoid drinking grapefruit juice while taking DILZEM CD 90MG(L) as it may increase the risk of side effects.
Overdosage:
If you or anyone else accidentally took more DILZEM CD 90MG(L), consult your doctor immediately or visit the nearby hospital. Symptoms of overdose might include severe hypotension (low blood pressure) leading to dizziness, fainting, slow heartbeat and changes in heart rhythm.
Synopsis
| Drug | : | Diltiazem |
| Pharmacological Category | : | Calcium channel blocker |
| Therapeutic Indication | : | Hypertension, Angina |
| Dosage Forms | : | Tablet, Capsule, Injection, Topical gel |
More Information
- Keep DILZEM CD 90MG(L) out of reach of children
- Store DILZEM CD 90MG(L) at room temperature
FAQs About DILZEM CD 90MG(L)
What DILZEM CD 90MG(L) is used for?
DILZEM CD 90MG(L) is used to manage angina and hypertension. It also manages you from getting chest pain in future.
How DILZEM CD 90MG(L) works on my body?
DILZEM CD 90MG(L) is a calcium channel blocker. It relaxes the blood vessels by blocking the entry of certain ions (calcium ions) within them that causes narrowing. This allows blood to flow more smoothly across the blood vessels. It also reduces the strain on the heart and helps the heart to pump blood more efficiently with less pressure.
What are the side effects of DILZEM CD 90MG(L)?
The most common side effects of taking DILZEM CD 90MG(L) are nausea, indigestion, constipation, dizziness and swollen ankles. Contact your doctor if any of these side effect worsens.
Is DILZEM CD 90MG(L) safe to use in children?
DILZEM CD 90MG(L) is generally not recommended for use in children and adolescents (aged below 18 years). However, consult your doctor before taking it.
Can DILZEM CD 90MG(L) be taken by pregnant women?
DILZEM CD 90MG(L) is not recommended for use in pregnant women or in women who might be expecting to get pregnant as it may cause serious harm to the growing baby. However, consult your doctor for advice.
What to do if I forgot to take a dose of DILZEM CD 90MG(L)?
If you forgot to take a dose of DILZEM CD 90MG(L), take it as soon as you remember. However, if it is time for the next dose of DILZEM CD 90MG(L), skip the missed dose and take the next one regularly. Do not take a double dose of DILZEM CD 90MG(L) to compensate the missed ones.
Will taking a higher dose of DILZEM CD 90MG(L) be more effective?
No, taking a higher dose of DILZEM CD 90MG(L) will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.
Can DILZEM CD 90MG(L) cause constipation?
Yes. Constipation is a common side effect of using DILZEM CD 90MG(L). Eat plenty of fiber rich foods such as fresh fruits, vegetables, cereals as well as drink plenty of water and exercise more regularly when taking this medicine. Contact your doctor if this side effect bothers you.
Can DILZEM CD 90MG(L) cause dry mouth?
DILZEM CD 90MG(L) rarely causes dryness of mouth. Contact your doctor if this side effect bothers you.
What happens when I stop taking DILZEM CD 90MG(L)?
Do not stop taking DILZEM CD 90MG(L) without consulting your doctor as your blood pressure may raise once again. Make sure to take DILZEM CD 90MG(L) for the stipulated duration recommended by your doctor to achieve maximum results.
What is the best time to take DILZEM CD 90MG(L)?
DILZEM CD 90MG(L) can be taken with or without meals. Your doctor will decide the best time for you to take DILZEM CD 90MG(L) based on your age, body weight and disease condition.
Can I take DILZEM CD 90MG(L) daily?
Take DILZEM CD 90MG(L) as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take DILZEM CD 90MG(L) every day or not.
Is DILZEM CD 90MG(L) safe to use in diabetic patients?
DILZEM CD 90MG(L) may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking DILZEM CD 90MG(L) as a precaution. Your doctor will closely monitor you blood sugar levels to avoid the risk of side effects.
Can I stop taking DILZEM CD 90MG(L) once my symptoms subside?
No. Do not stop taking DILZEM CD 90MG(L) without consulting your doctor. As hypertension is a chronic condition, long term management may be necessary to control its symptoms. Therefore, take DILZEM CD 90MG(L) as advised by your doctor for the stipulated duration. Stopping the therapy abruptly may increase your blood pressure once again.
What precautions should be followed while taking DILZEM CD 90MG(L)?
Before taking DILZEM CD 90MG(L) inform your doctor if you have any liver, kidney or heart problems apart from angina and hypertension. You must also inform your doctor if you have diabetes, asthma, stomach problems or any form of mental illness as a precaution. Inform your doctor before taking DILZEM CD 90MG(L) if you are pregnant or breastfeeding. Avoid drinking alcohol or grapefruit juice while taking DILZEM CD 90MG(L). Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.
References
1. KD. Tripathi. Antihypertensive, Anti-arrhythmic, Antianginal. Essentials of medical pharmacology. Seventh edition. 2013. Page – 546, 548.
2. Luis Rodríguez Padial, Gonzalo Barón-Esquivias, Antonio Hernández Madrid, Domingo Marzal Martín, Vicente Pallarés-Carratalá and Alejandro de la Sierra. Clinical Experience with Diltiazem in the Treatment of Cardiovascular Diseases. NCBI; PMC US National Library of Medicine, National Institute of Health. March 2016. [Accessed on 2nd November 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4906086/
3. Sanofi Winthrop Industries. Electronic Medicines Compendium (EMC). [Revised in August 2021] [Accessed on 2nd November 2022] https://www.medicines.org.uk/emc/files/pil.4969.pdf
4. Bard Pharmaceuticals Limited. Electronic Medicines Compendium (EMC). [Revised in November 2020] [Accessed on 2nd November 2022] https://www.medicines.org.uk/emc/files/pil.1012.pdf
5. Sanofi Winthrop Industries. Electronic Medicines Compendium (EMC). [Revised in August 2021] [Accessed on 2nd November 2022] https://www.medicines.org.uk/emc/files/pil.1465.pdf
6. Accord. Electronic Medicines Compendium (EMC). [Revised in April 2022] [Accessed on 2nd November 2022] https://www.medicines.org.uk/emc/files/pil.5774.pdf
7. Bausch Health US LLC. Cardizem – Diltiazem Hydrochloride Tablet, coated. Dailymed.com. NIH. U.S. National Library of Medicine. [Revised in June 2020]. [Accessed on 2nd November 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f3e7ecef-f360-4987-a4f5-933214130ab2
8. DILTIAZEM HYDROCHLORIDE TABLETS IP 80MG (CARDISEC) TAJ PHARMA. [Accessed on 2nd November 2022] https://tajpharma.in/portfolio-item/diltiazem-hydrochloride-tablets-ip-80mg-cardisec-taj-pharma/
Useful Diagnostic Tests
- Kidney function test
- Liver function test
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