Diltizem SR 90 mg (Tablet (Sustained Release))

Unit Price: ৳ 5.63 (4 x 10: ৳ 225.20)
Strip Price: ৳ 56.30

Medicine Details

Title

  • Diltiazem SR Film-Coated Tablet

Categories

  • Medicine
  • Cardiovascular Medication
  • Pharmaceuticals
  • Healthcare

Description

  • Prophylaxis and treatment of chronic stable and vasopastic angina pectoris
  • Management of hypertension
  • Treatment of myocardial infarction, coronary artery spasm, arrhythmias, Raynaud's phenomenon, oesophageal motility disorder, and migraine
  • Calcium channel antagonist with peripheral and coronary vasodilator activity
  • Reduced systemic pressure of cardiac 'after load'
  • Reduced oxygen requirements of myocardial tissues
  • Effective in slowing electrophysiological activity through the S-A and A-V nodes
  • Reduction of peripheral vascular resistance
  • Rapid absorption with high protein binding
  • Metabolism in the liver with excretion through bile

Dosage & Administration

  • Usual dose of 60 mg thrice daily for film-coated formulation
  • Divided dose may be increased to 180-300 mg/day if necessary
  • Starting dose of 60 mg twice daily for elderly and patients with impaired hepatic or renal function
  • Mild to moderate hypertension: initially 90 mg or 120 mg twice daily; up to 360 mg daily may be required
  • Angina: initially 90 mg or 120 mg twice daily in divided doses
  • Maximum dose of 480 mg/day in some patients, especially in unstable angina
  • Recommended caution and careful dosage titration for concomitant use with other drugs affecting cardiac contractility and/or conduction

Interaction

  • Concomitant prophylactic therapy with short- or long-acting nitrates may be administered safely
  • Caution and careful dosage titration recommended when administered concomitantly with other drugs affecting cardiac contractility

Contraindications

  • Known hypersensitivity to the drug
  • Sick sinus syndrome
  • Second or third degree AV block
  • Severe hypertension
  • Acute myocardial infarction
  • Radiographically documented pulmonary congestion

Side Effects

  • Bradycardia
  • Sino-atrial block
  • Atrioventricular block
  • Hypertension
  • Malaise
  • Headache
  • Hot flushes
  • GIT disturbances
  • Oedema
  • Hepatitis
  • Depression

Pregnancy & Lactation

  • No adequate and controlled studies in pregnant women
  • Use during pregnancy only when potential benefits justify possible risk to the fetus
  • Distribution into breast milk
  • Breastfeeding not recommended during diltiazem therapy

Therapeutic Class

  • Calcium-channel blockers

Storage Conditions

  • Keep out of reach of children
  • Store in a cool and dry place

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