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DILTIAZEM (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) is a calcium-channel blocker. It affects the amount of calcium found in your heart and muscle cells. This results in relaxation of blood vessels, which can reduce the amount of work the heart has to do. Diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) reduces high blood pressure (hypertension). It is not a cure. Diltiazem may also be used to relieve angina (chest pain). Generic diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) extended-release capsules are available. Extended-release capsules from different companies do not always act the same way in the body. If you are used to one product, it is not a good idea to switch products without approval from your doctor.
What should my health care professional know before I take diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) ?
They need to know if you have any of these conditions:
•heart problems, low blood pressure, irregular heartbeat
•liver disease
•previous heart attack
•an unusual or allergic reaction to diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) , other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
How should I take this medicine Tiazac®?
Take diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) extended-release capsules or tablets by mouth. Follow the directions on the prescription label. Swallow the capsules or tablets whole with a drink of water, do not crush or chew. Most diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others) extended-release products may be taken with or without food. However, Dilacor-XR® and Diltia XT™ extended-release capsules are recommended to taken on an empty stomach. Do not significantly increase grapefruit juice intake while taking this drug, or avoid grapefruit juice if possible. Take your doses at regular intervals. Do not take your medicine more often then directed. Do not stop taking except on your doctor's advice. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What
if I miss a dose Tiazac®?
If you miss a dose, take it as soon as you can. If it is almost time for your
next dose, take only that dose. Do not take double or extra doses.
What
drug(s) may interact with diltiazem (Cardizem® CD,
Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and
others) ?
Do not take Diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®,
Diltia XT™, Tiazac®, Taztia XT™, and others) with any of the following:
•astemizole
•cisapride
•grapefruit juice
•pimozide
•terfenadine
Diltiazem may also interact with the following medications:
•alfuzosin
•alosetron
•antiinflammatory drugs (NSAIDs, such as ibuprofen)
•aspirin
•barbiturates such as phenobarbital
•bosentan
•certain antibiotics (clarithromycin, erythromycin, telithromycin,
troleandomycin)
•certain medicines used to treat cancer
•certain medicines to treat migraine (ergotamine, dihydroergotamine,
methysergide)
•cevimeline
•cilostazol
•cimetidine
•clonidine
•cyclosporine
•doxercalciferol
•fentanyl
•galantamine
•herbal or dietary supplements such as ginger, ginkgo biloba, ginseng, hawthorn,
ma huang (ephedra), melatonin, St. John's wort, went yeast
•lithium
•local anesthetics or general anesthetics
•medicines for anxiety or difficulty sleeping (examples: alprazolam, buspirone,
midazolam, triazolam)
•medicines for depression or mental problems (imipramine, fluoxetine,
fluvoxamine, nefazodone, ziprasidone)
•medicines for fungal infections (fluconazole, itraconazole, ketoconazole,
voriconazole)
•medicines for heart-rhythm problems (amiodarone, digoxin, disopyramide,
dofetilide, encainide, flecainide, moricizine, procainamide, quinidine)
•medicines for high cholesterol (atorvastatin, cerivastatin, colesevelam,
lovastatin, simvastatin)
•medicines for high blood pressure or heart problems
•medicines for HIV infection or AIDS
•medicines for prostate problems
•medicines for seizures (carbamazepine, clonazepam, ethosuximide, phenobarbital,
phenytoin, primidone, zonisamide)
•methadone
•paricalcitol
•rifampin, rifabutin, or rifapentine
•sildenafil
•sirolimus
•tacrolimus
•theophylline or aminophylline
•water pills (diuretics)
•yohimbine
•zafirlukast
•zileuton
Tell your doctor or health care professional about all other medicines you are
taking, including non-prescription medicines, nutritional supplements, or herbal
products. Also tell your doctor or health care professional if you are a
frequent user of drinks with caffeine or alcohol, if you smoke, or if you use
illegal drugs. These may affect the way your medicine works. Check with your
health care professional before stopping or starting any of your medicines.
What
side effects may I notice from taking diltiazem (Cardizem®
CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and
others) ?
Side effects that you should report to your doctor or health care professional
as soon as possible:
•confusion, mental depression
•fainting spells, lightheadedness
•redness, blistering, peeling or loosening of the skin, including inside the
mouth
•skin rash, itching
•slow heartbeat, irregular heartbeat
•swelling of the feet and ankles
•unusual weakness or tiredness
•unusual bleeding or bruising, pinpoint red spots on the skin
Side effects that usually do not require medical attention (report to your
doctor or health care professional if they continue or are bothersome):
•constipation or diarrhea
•difficulty sleeping
•drowsiness or dizziness
•facial flushing
•headache
•nausea, vomiting
•sexual dysfunction
What should
I watch for while taking diltiazem (Cardizem® CD,
Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and
others) ?
Check your blood pressure and pulse rate regularly; this is important while you
are taking diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®,
Diltia XT™, Tiazac®, Taztia XT™, and others) . Ask your doctor or health care
professional what your blood pressure and pulse rate should be and when you
should contact him or her.
You may feel dizzy or lightheaded. Do not drive, use machinery, or do anything
that needs mental alertness until you know how diltiazem (Cardizem® CD, Cardizem®
LA, Cartia XT™, Dilacor XR®, Diltia XT™, Tiazac®, Taztia XT™, and others)
affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand
up quickly, especially if you are an older patient. Avoid alcoholic drinks; they
can make you more dizzy or increase flushing and rapid heartbeats. If you
are going to have surgery, tell your doctor or health care professional that you
are taking diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®,
Diltia XT™, Tiazac®, Taztia XT™, and others) . Do not suddenly stop taking
diltiazem (Cardizem® CD, Cardizem® LA, Cartia XT™, Dilacor XR®, Diltia XT™,
Tiazac®, Taztia XT™, and others) . Ask your doctor or health care professional
how to gradually reduce the dose.
Where
can I keep my medicine Tiazac®?
Keep out of the reach of children in a container that small children cannot
open. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees
F). Protect from humidity. Throw away any unused medicine after the expiration
date.
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