Brand name:

Cardizem

Why is Cardizem prescribed?

Cardizem and Cardizem CD (a controlled release form of diltiazem) are used in the treatment of angina pectoris (chest pain usually caused by lack of oxygen to the heart due to clogged arteries). Cardizem, Cardizem CD, and Cardizem LA (an extended-release, once-a-day tablet form of diltiazem) are used to control chronic stable angina (caused by exertion). Cardizem CD and Cardizem LA are also used to treat high blood pressure. Another controlled release form, Cardizem SR, is used only in the treatment of high blood pressure. Cardizem, a calcium channel blocker, dilates blood vessels and slows the heart to reduce blood pressure and the pain of angina.

Doctors sometimes prescribe Cardizem for loss of circulation in the fingers and toes (Raynaud's phenomenon), for involuntary movements (tardive dyskinesia), and to prevent heart attack.

Tiazac and Dilacor XR are used in the treatment of high blood pressure and chronic stable angina. They may be taken alone or combined with other blood pressure medications.

Most important fact about Cardizem

If you are taking Cardizem for high blood pressure, remember that it does not cure the problem; it merely controls it. You may need to take a blood pressure medication for the rest of your life.

If you are taking Cardizem for angina, do not stop suddenly. This can lead to an increase in your attacks.

How should you take Cardizem?

Cardizem should be taken before meals and at bedtime. Cardizem CD, Cardizem LA, Cardizem SR, and Dilacor XR should be swallowed whole; do not chew, crush, or divide. Tiazac capsules may be swallowed whole or opened and sprinkled on a spoonful of applesauce. Swallow the applesauce immediately, without chewing, and wash it down with a glass of cool water.

Take Cardizem exactly as prescribed by your doctor, even if your symptoms have disappeared.

--If you miss a dose...

If you forget to take a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and go back to your regular schedule. Never take 2 doses at the same time.

--Storage instructions...

Cardizem should be stored at room temperature; protect from moisture.

Cardizem side effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Cardizem.

• Side effects may include:
  Abnormally slow heartbeat (more common with Cardizem SR, Cardizem LA, and Cardizem CD), dizziness, fatigue, fluid retention, flushing (more common with Cardizem SR, Cardizem LA, and Cardizem CD), headache, nausea, rash, weakness

Why should Cardizem not be prescribed?

If you suffer from "sick sinus" syndrome or second- or third-degree heart block (various types of irregular heartbeat), you should not take diltiazem unless you have a ventricular pacemaker. Also avoid diltiazem if you've just suffered a heart attack or have lung congestion.

Do not take diltiazem if you have low blood pressure or an allergy to the drug.

Special warnings about Cardizem

If you have congestive heart failure or suffer from kidney or liver disease, use Cardizem with caution.

This medication may cause your heart rate to become too slow. You should check your pulse regularly.

Possible food and drug interactions when taking Cardizem

If Cardizem is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Cardizem with the following:

Beta-blockers (heart and blood pressure drugs such as Tenormin and Inderal)
Carbamazepine (Tegretol)
Cimetidine (Tagamet)
Cyclosporine (Sandimmune, Neoral)
Digoxin (Lanoxin)
Lovastatin (Mevacor)
Midazolam (Versed)
Rifampin (Rifadin)
Triazolam (Halcion)

Special information if you are pregnant or breastfeeding

The effects of Cardizem during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Cardizem appears in breast milk and could affect a nursing infant. If Cardizem is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Cardizem is finished.

Recommended dosage for Cardizem

ADULTS

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose of Cardizem, seek medical attention immediately.

• The symptoms of Cardizem overdose may include:
  Fainting, dizziness, and irregular pulse, heart failure, low blood pressure, very slow heartbeat