Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন
Indications:
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Hypertension (high blood pressure)
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Chronic stable angina pectoris
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Supraventricular arrhythmias such as atrial fibrillation and atrial flutter
Pharmacology:
Diltiazem SR is a nondihydropyridine calcium channel blocker that decreases calcium ion influx into cardiac and vascular smooth muscles, causing vasodilation and reducing heart rate and myocardial oxygen demand.
Dosage:
Adult dosage usually starts at 90 mg once daily. Dose may be adjusted according to patient response, up to 360 mg per day.
Administration:
Take orally once daily with or without food. Do not crush or chew the tablet. Swallow it whole with water.
Interaction:
May interact with:
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Beta-blockers
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Digoxin
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CYP3A4 inhibitors or inducers
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Other antihypertensives
Contraindications:
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Severe hypotension
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Sick sinus syndrome without pacemaker
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Second or third-degree AV block
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Acute myocardial infarction with pulmonary congestion
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Allergy to Diltiazem
Side Effects:
Common: Headache, dizziness, flushing, edema, fatigue, bradycardia
Less common: Constipation, rash, nausea, liver enzyme elevation
Pregnancy & Lactation:
Use only if clearly needed during pregnancy. Excreted in breast milk; breastfeeding not recommended unless benefits outweigh risks.
Precautions & Warnings:
Monitor blood pressure and heart rate regularly. Use cautiously in patients with liver or kidney impairment and those with heart failure.
Therapeutic Class:
Calcium Channel Blockers – Non-dihydropyridine
Storage Conditions:
Store below 30°C, protect from light and moisture. Keep out of reach of children.
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