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diltiazem (generic name)

(dil TYE a zem): A calcium channel blocker - It affects the amount of calcium found in your heart and muscle cells

diltiazem

What is this medicine?
DILTIAZEM (dil TYE a zem) is a calcium-channel blocker. It affects the amount of calcium found in your heart and muscle cells. This relaxes your blood vessels, which can reduce the amount of work the heart has to do. This medicine is used to treat chest pain caused by angina.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Cardizem 30MG Tablets BTA PHARMACEUTICALS90/$93.45 or 270/$277.16
Cardizem 60MG Tablets BTA PHARMACEUTICALS90/$76 or 270/$224.96
Cardizem 90MG Tablets BTA PHARMACEUTICALS90/$105.99 or 270/$311.99
Cardizem CD 120MG 24-hr Capsules BTA PHARMACEUTICALS30/$97.2 or 90/$263.82
Cardizem CD 180MG 24-hr Capsules BTA PHARMACEUTICALS30/$113.86 or 90/$312.4
Cardizem CD 240MG 24-hr Capsules BTA PHARMACEUTICALS30/$156.89 or 90/$437.39
Cardizem CD 300MG 24-hr Capsules BTA PHARMACEUTICALS30/$145.99 or 90/$409.97
Cardizem CD 360MG 24-hr Capsules BTA PHARMACEUTICALS30/$215.23 or 90/$617.9
Cardizem LA 120MG 24-hr Tablets KOS PHARMACEUTICALS30/$65.93 or 90/$183.9
Cardizem LA 180MG 24-hr Tablets ABBOTT30/$82.99 or 90/$229.98
Cardizem LA 240MG 24-hr Tablets ABBOTT30/$99.65 or 90/$283.19
Cardizem LA 300MG 24-hr Tablets ABBOTT30/$133.2 or 90/$383.88
Cardizem LA 360MG 24-hr Tablets ABBOTT30/$133.78 or 90/$372.83
Cardizem LA 420MG 24-hr Tablets ABBOTT30/$148.94 or 90/$414.32
Cartia XT 180MG 24-hr Capsules WATSON LABS30/$27.99 or 90/$65.97
Cartia XT 240MG 24-hr Capsules WATSON LABS30/$43.99 or 90/$103.97
Cartia XT 300MG 24-hr Capsules WATSON LABS30/$58.99 or 90/$161.99
Dilacor XR 120MG 24-hr Capsules WATSON LABS30/$79.49 or 90/$211.97
Dilacor XR 180MG 24-hr Capsules WATSON LABS30/$91.58 or 90/$247.26
Dilacor XR 240MG 24-hr Capsules WATSON LABS30/$86.39 or 90/$239.98
Dilt-CD 180MG 24-hr Capsules APOTEX90/$109.99 or 270/$299.94
Dilt-CD 240MG 24-hr Capsules APOTEX30/$59.99 or 90/$149.97
Diltiazem HCl 120MG Tablets MYLAN90/$29.99 or 270/$65.96
Diltiazem HCl 30MG Tablets TEVA PHARMACEUTICALS USA90/$12.99 or 270/$27.97
Diltiazem HCl 60MG Tablets TEVA PHARMACEUTICALS USA90/$22.5 or 180/$35.98
Diltiazem HCl 90MG Tablets TEVA PHARMACEUTICALS USA90/$22 or 270/$49.98
Diltiazem HCl Coated Beads 120MG 24-hr Capsules ACTAVIS ELIZABETH30/$29.99 or 90/$69.97
Diltiazem HCl Coated Beads 180MG 24-hr Capsules ACTAVIS ELIZABETH30/$34.99 or 90/$85.98
Diltiazem HCl Coated Beads 240MG 24-hr Capsules AMERICAN HEALTH PACKAGING30/$43.99 or 90/$120.98
Diltiazem HCl Coated Beads 300MG 24-hr Capsules ACTAVIS ELIZABETH30/$58.99 or 90/$161.99
Diltiazem HCl CR 120MG 12-hr Capsules MYLAN60/$71.51 or 180/$199.13
Diltiazem HCl CR 120MG 24-hr Capsules MYLAN90/$50.79 or 180/$99.94
Diltiazem HCl CR 180MG 24-hr Capsules MYLAN100/$66.43 or 300/$196.08
Diltiazem HCl CR 240MG 24-hr Capsules MYLAN90/$65.99 or 180/$129.98
Diltiazem HCl CR 60MG 12-hr Capsules MYLAN60/$35.99 or 180/$85.97
Diltiazem HCl CR 90MG 12-hr Capsules MYLAN60/$45.99 or 180/$125.98
Diltiazem HCl ER Beads 180MG 24-hr Capsules INWOOD LABS30/$29.99 or 90/$79.97
Diltiazem HCl ER Beads 240MG 24-hr Capsules INWOOD LABS30/$38.99 or 90/$106.97
Diltiazem HCl ER Beads 300MG 24-hr Capsules ETHEX30/$46.99 or 90/$126.97
Diltiazem HCl ER Beads 360MG 24-hr Capsules ETHEX30/$47.99 or 90/$128.97
Diltiazem HCl ER Beads 420MG 24-hr Capsules ETHEX90/$136.98 or 180/$262.96
Taztia XT 240MG 24-hr Capsules WATSON LABS30/$49.99 or 90/$139.97
Tiazac 120MG 24-hr Capsules FOREST30/$47.83 or 90/$129.96
Tiazac 180MG 24-hr Capsules FOREST30/$53.5 or 90/$149.58
Tiazac 240MG 24-hr Capsules FOREST30/$74.2 or 90/$212.89
Tiazac 300MG 24-hr Capsules FOREST30/$93.68 or 90/$276.17
Tiazac 360MG 24-hr Capsules FOREST30/$94.89 or 90/$281.03
Tiazac 420MG 24-hr Capsules FOREST30/$100 or 90/$294.97
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • confusion, mental depression
  • feeling faint or lightheaded, falls
  • pinpoint red spots on the skin
  • redness, blistering, peeling or loosening of the skin, including inside the mouth
  • slow, irregular heartbeat
  • swelling of the ankles, feet
  • unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • change in sex drive or performance
  • constipation or diarrhea
  • flushing of the face
  • headache
  • nausea, vomiting
  • tired or weak
  • trouble sleeping

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. This medicine is usually taken before meals and at bedtime. Take your doses at regular intervals. Do not take your medicine more often then directed. Do not stop taking except on the advice of your doctor or health care professional.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
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 may interact with this medicine?
Do not take this medicine with any of the following:
  • cisapride
  • hawthorn
  • pimozide
  • ranolazine
  • red yeast rice

This medicine may also interact with the following medications:

  • buspirone
  • carbamazepine
  • cimetidine
  • cyclosporine
  • digoxin
  • local anesthetics or general anesthetics
  • lovastatin
  • medicines for anxiety or difficulty sleeping like midazolam and triazolam
  • medicines for high blood pressure or heart problems
  • quinidine
  • rifampin, rifabutin, or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Who should NOT use this medication?

  • Contraindicated in patients with known hypersensitivity to the drug.
  • Sick sinus syndrome (unless a functioning ventricular pacemaker is in place).
  • Second- or third-degree AV block (unless a functioning ventricular pacemaker is in place).
  • Severe hypotension (SBP <90 mm Hg).
  • Oral preparations contraindicated in patients with AMI with radiographically documented pulmonary congestion.
  • IV diltiazem contraindicated in patients with cardiogenic shock.
  • IV diltiazem contraindicated in patients with VT.
  • IV diltiazem contraindicated in patients with atrial flutter or fibrillation with an accessory pathway (e.g., those with Wolff-Parkinson-White or Lown-Ganong-Levine syndrome).
  • IV diltiazem contraindicated if concurrent or recent (e.g., within a few hours) administration of IV β-adrenergic blockers.

What should I watch for while using this medicine?
Check your blood pressure and pulse rate regularly. 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 this medicine 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. Alcohol can make you more dizzy or increase flushing and rapid heartbeats. Avoid alcoholic drinks.
What should I tell my health care provider before I take this medicine?
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, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding
Can I stop taking the medication if I feel better?
Even though you may feel better you should not stop taking your high blood pressure medication without first checking with your healthcare provider.
I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
Where can I get more information?
More Information

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