1. About diltiazem
Diltiazem is a medication used to deal with hypertension. In case you have hypertension, taking diltiazem helps to stop future coronary heart illness, coronary heart assaults and strokes.
Diltiazem can be used to stop chest ache attributable to angina in addition to Raynaud’s phenomenon. It will also be used to assist heal an anal fissure. It is accessible on prescription solely and comes as tablets, capsules, cream or ointment.
2. Gwybodaeth allweddol
- Diltiazem works by decreasing your blood stress and makes it simpler in your coronary heart to pump blood round your physique.
- You possibly can take diltiazem at any time of day. Attempt to ensure it is across the identical time or instances every single day.
- Frequent unwanted side effects embrace swollen palms, ankles or ft, complications and constipation.
- Diltiazem begins to work on the day you begin taking it, however for hypertension and angina it could take a few weeks to work totally.
- It is vital to maintain taking diltiazem even in the event you really feel effectively, as you may nonetheless be getting the advantages of the medication.
3. Who can and can’t take diltiazem
- Diltiazem will be taken by adults and youngsters aged 12 years and over.
- Diltiazem just isn’t appropriate for some folks.
- To ensure diltiazem is secure for you, inform your physician in the event you:
- have had an allergic response to diltiazem or another medicines prior to now
- are attempting to get pregnant, are already pregnant otherwise you’re breastfeeding
- have liver illness or kidney illness
- have coronary heart failure or issues together with your coronary heart beat
- have a situation that causes meals to maneuver slower than typical by means of your physique
- have porphyria (a blood dysfunction)
4. Sut a phryd i'w gymryd
Take diltiazem precisely as your physician has advised you. When you’re undecided, examine together with your physician or pharmacist.
You possibly can take diltiazem at any time of day however strive to ensure it is across the identical time or instances every single day.
Dos
Your dose of diltiazem will depend on why you want the medication and what form your physician has prescribed. It is very important maintain taking the identical model of diltiazem after you have began.
Diltiazem tablets or capsules come as customary (quick launch) or slow-release (extended launch, SR or XL). Your physician will let you know whether or not you want to take them as soon as a day or in divided doses all through the day.
Gradual-release tablets launch diltiazem slower than the immediate-release tablets.
How you can take or apply it
- You possibly can take diltiazem with or with out meals. Swallow diltiazem tablets or capsules entire, often with a glass of water. Don’t chew or crush them.
- When you discover tablets or capsules tough to swallow, communicate to a pharmacist or physician, as there could also be different choices.
- With a few of the capsules and tablets you may discover what appears like a complete capsule or pill in your poo. Don’t worry, that is regular. It is simply the empty outer shell of the capsule or pill which your physique has not digested.
- For anal fissure, you may want to use a 2cm size of diltiazem cream or ointment to the damaged pores and skin in your anus, twice a day, often for six weeks. Comply with the directions on the packaging.
Angenrheidiol
Preserve taking diltiazem even in the event you really feel effectively, as you may nonetheless be getting the advantages of the medication.
Will my dose go up or down?
If the dose you begin on doesn’t work effectively sufficient (your blood stress doesn’t decrease sufficient, or your angina just isn’t managed), then your physician will steadily enhance your dose. Your physician may additionally decrease your dose if the unwanted side effects hassle you.
What if I overlook to take it?
When you overlook to take a dose and also you often take diltiazem:
- as soon as a day – take it as quickly as you keep in mind, except it is lower than 12 hours till your subsequent dose. On this case, omit the missed dose and take your subsequent dose on the typical time.
- twice a day – take it as quickly as you keep in mind, except it is lower than 4 hours till your subsequent dose. On this case, omit the missed dose and take your subsequent dose on the typical time.
- thrice a day – omit that dose and take your subsequent dose on the typical time.
- Don’t take a double dose to make up for a forgotten one.
- When you overlook doses typically, it could assist to set an alarm to remind you. You may additionally ask a pharmacist for recommendation on different methods that can assist you keep in mind to take your medication.
What if I take an excessive amount of?
Argymhelliad ar frys: Cysylltwch â 111 am argymhelliad os: you’re taking an excessive amount of diltiazem An excessive amount of diltiazem could make you are feeling faint, dizzy or sleepy. It’s because it may trigger your coronary heart to beat irregularly.
If you want to go to hospital, don’t drive your self; get another person to drive you or name for an ambulance. Discover your nearest A&E Take the diltiazem packet or leaflet inside it, plus any remaining medication, with you.
5. Effeithiau anfwriadol
Like all medicines, diltiazem could cause unwanted side effects, though not everybody will get them.
Frequent unwanted side effects
These widespread unwanted side effects occur in additional than 1 in 100 folks. They’re often delicate and won’t final lengthy.
Speak to a pharmacist or physician if the unwanted side effects hassle you or final for various days:
- swollen palms, ankles or ft
- complications
- feeling dizzy and lightheaded
- feeling drained, weak and customarily unwell
- feeling sizzling (flushing) and redness of the pores and skin
- itching or burning on the pores and skin the place you utilize the cream or ointment
- abdomen ache, indigestion and constipation
Sgîl-effeithiau critigol diangen
- Critical unwanted side effects after taking diltiazem are uncommon and occur in lower than 1 in 10,000 folks.
- Cease taking diltiazem and name a health care provider right away in the event you get:
- extreme ache in your abdomen
- yellow pores and skin or the whites of your eyes flip yellow – this generally is a signal of liver issues
Angen cynnig cyflym:
- you’ve chest ache that is new or will get worse
- This must be checked by a health care provider as chest ache is a doable signal of a coronary heart assault.
Ymateb alergaidd critigol
- In uncommon circumstances, it is doable to have a severe allergic response (anaphylaxis) to diltiazem.
Angen cynnig cyflym:
- byddwch yn cael mandyllau a brech ar y croen a fydd yn cofleidio mandyllau a chroen coslyd, rhuddgoch, chwyddedig, pothellu neu blicio
- rydych chi'n gwichian
- rydych chi'n mynd yn dynn yn y frest neu'r gwddf
- rydych chi wedi trafferthu anadlu neu siarad
- eich ceg, wyneb, gwefusau, tafod neu wddf yn dechrau chwyddo
- Efallai eich bod yn cael adwaith alergaidd difrifol ac efallai y cewch feddyginiaeth gyflym yn yr ysbyty.
- These should not all of the unwanted side effects of diltiazem. For a full record, see the leaflet inside your medication packet.
- You possibly can report any suspected unwanted side effects to the UK security scheme.
6. Sut i ddelio â sgil-effeithiau diangen
Beth i'w wneud am:
- swollen palms, ankles or ft – increase your legs whenever you’re sitting down. This may get higher after a couple of days as your physique will get used to the medication. If it doesn’t, or it will get worse, communicate to your physician.
- complications – ensure you relaxation and drink loads of fluids. Don’t drink an excessive amount of alcohol. Ask a pharmacist to suggest a painkiller. Paracetamol is secure to take with diltiazem. Complications ought to often go away after the primary week of taking diltiazem. Speak to your physician in the event that they last more than every week or are extreme.
- feeling dizzy and lightheaded – if diltiazem makes you are feeling dizzy, cease what you are doing and sit or lie down till you are feeling higher. Don’t drive, journey a motorbike or function instruments or equipment till you are feeling OK.
- feeling drained and weak – ensure you relaxation and drink loads of fluids. Don’t drink an excessive amount of alcohol. Attempt to take diltiazem at a time when you may sit down (or lie down) when the signs are at their worst. When you’re nonetheless having issues after every week, communicate to your physician, as they could want to alter you to a distinct kind of medication. Don’t drive or use instruments or equipment till you are feeling OK.
- feeling sizzling (flushing) and redness of the pores and skin – strive reducing down on espresso, tea and alcohol. It’d assist to maintain the room cool and use a fan. You may additionally spray your face with cool water or sip chilly or iced drinks. The flushing ought to go away after a couple of days. If it doesn’t go away or it is inflicting you issues, contact your physician.
- itching or burning on the pores and skin – strive holding one thing cool in your pores and skin like a humid towel. Take cool baths or showers. In case you have itchy pores and skin, use an unperfumed moisturiser recurrently. Nonetheless, don’t use moisturiser on an anal fissure as this may irritate it extra. Preserve your nails clear, quick and easy and attempt to pat or faucet your pores and skin relatively than scratching.
- abdomen ache – strive to relaxation and loosen up. It will possibly assist to eat and drink slowly and have smaller and extra frequent meals. Placing a warmth pad or coated sizzling water bottle in your abdomen may additionally assist. If you’re in loads of ache, communicate to a health care provider or pharmacist.
- indigestion – it would assist to eat smaller and extra frequent meals, and to eat and drink slowly. Speak to your physician if the signs worsen.
- constipation – eat extra high-fibre meals resembling recent fruit, greens and cereals, and drink loads of water. Attempt to train recurrently, for instance, by going for a day by day stroll or run. If this doesn’t assist, speak to a pharmacist or physician about remedies for constipation.
7. Bod yn feichiog a bwydo ar y fron
Diltiazem just isn’t often advisable in being pregnant.
When you’re attempting to get pregnant, otherwise you’re already pregnant, speak to your physician about the advantages and doable harms of taking diltiazem. There could also be different medicines which are safer for you.
Discover out extra about how diltiazem and different calcium channel blockers can have an effect on you and your child throughout being pregnant on the Greatest Use of Medicines in Being pregnant (BUMPS) web site.
Diltiazem and breastfeeding
- In case your physician or well being customer says your child is wholesome, diltiazem can be utilized throughout breastfeeding.
- Diltiazem passes into breast milk in small quantities, with only a few infants getting unwanted side effects.
- It is vital to maintain taking diltiazem to maintain you effectively. Breastfeeding may also profit each you and your child.
- When you discover that your child just isn’t feeding in addition to typical, appears unusually sleepy, or in case you have another considerations about your child, speak to your well being customer or physician right away.
8. Rhybuddion gyda gwahanol feddyginiaethau
Some medicines can intrude with the way in which diltiazem works.
Taking diltiazem with different medicines that decrease blood stress can generally decrease your blood stress an excessive amount of. This will likely make you are feeling dizzy or faint. If this occurs to you, inform your physician, as your dose might should be modified.
Inform your physician in case you are taking any of those medicines earlier than beginning diltiazem:
- antibiotics resembling clarithromycin, erythromycin or rifampicin
- antifungal medicines resembling itraconazole or ketoconazole
- medicines to deal with HIV or HCV (hepatitis C virus)
- medicines to deal with epilepsy, resembling carbamazepine or phenytoin
- medicines to suppress your immune system, resembling ciclosporin or tacrolimus
- greater than 20mg a day of simvastatin (a medication used to decrease ldl cholesterol)
Taking diltiazem with painkillers
- Paracetamol is one of the best painkiller to take whilst you’re taking diltiazem. If paracetamol doesn’t work, strive ibuprofen.
- Speak to your physician if you want to take painkillers various instances every week.
Mixing diltiazem with natural treatments or dietary supplements
St John’s wort is a natural medication taken for despair. It’s thought to intrude with the way in which diltiazem works. Speak to a pharmacist or physician in the event you’re interested by taking St John’s wort.
Angenrheidiol
Inform your physician or pharmacist in the event you’re taking another medicines, together with natural treatments, nutritional vitamins or dietary supplements.
9. Cwestiynau mynych
Sefyllfaoedd cysylltiedig
- Anal fissure
- Angina
- Hypertension (hypertension)
- Coronary coronary heart illness
- Coronary heart assault
- Stroke
- Raynaud’s
