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Dilter (Diltiazem)

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Dilter is an antihypertensive and vasodilating agent that works by relaxing the vascular muscle and reducing blood pressure. This is related to the long-term therapeutic effects, as lowering the blood pressure reduces the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions.

Other names for this medication:
Altiazem, Angizem, Cardem, Cardiorex, Cartia, Coriem, Dicard, Dilacor, Dilcardia, Dilcontin, Dilcor, Dilgard, Dilocor, Dilter, Diltia, Diltiaz, Diltiazem, Dilticard, Diltime, Diltp, Dilzem, Heartil, Icidil, Ionozem, Kaizem, Masdil, Onzem, Taztia, Tiamate, Tiazac

Similar Products:
Pyridium, Prometrium, Viagra, Differin, Tofranil, Aldactone, Myofen, Clodict, Lortaan, Traze, Zencort, Tramazol, Dehydratin, Femcort, Keogli,

Also known as: Diltiazem


Diltiazem is used alone or together with other medicines to treat angina (severe chest pain) or hypertension (high blood pressure). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Diltiazem is a calcium channel blocker. It works by affecting the movement of calcium into the cells of the heart and blood vessels. As a result, diltiazem relaxes the blood vessels and increases the supply of blood and oxygen to the heart while reducing its workload.

This medicine is available only with your doctor's prescription.


This section provides information on the proper use of a number of products that contain diltiazem. It may not be specific to Dilter CD. Please read with care.

In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.

Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.

Swallow the extended-release tablet, extended-release capsule, or tablet whole. Do not open, crush, or chew it. It is best to take the extended-release capsule on an empty stomach.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For chest pain: For oral dosage form (extended-release capsules): Adults—At first, 120 milligrams (mg) once a day in the morning. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): Adults—At first, 180 milligrams (mg) once a day, either in the morning or evening. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (tablets): Adults—At first, 30 milligrams (mg) four times a day before meals and at bedtime. Your doctor may increase your dose if needed. Children—Use and dose must be determined by your doctor.

For high blood pressure: For oral dosage form (extended-release capsules): Adults—At first, 180 to 240 milligrams (mg) once a day in the morning. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): Adults—At first, 180 to 240 milligrams (mg) once a day, either in the morning or at bedtime. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor.


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of diltiazem can be fatal.

Overdose symptoms may include slow heartbeat, weakness, chest pain, shortness of breath, or fainting.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Dilter LA dosage information

Side effects

The most common side effects associated with Dilter are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of diltiazem in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving diltiazem.

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Our results indicate that the C-terminal residues are one of the determinants of octamer formation in rice translin, with lysine at 217th position being the most important. There was a delay between the initial symptoms of Li intoxication and the onset of chorea. In cases where there is stenosis, this is mainly due to localized compression or kinking. A method of functional electrostimulation with an implantable 16-channel device and direct nerve stimulation for mobilization of paraplegic patients is presented. A one-step method was developed to fabricate conductive graphene/SnO2 (GS) nanocomposites in acidic solution.

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Thermal treatment of chronic cholecystopathy (excluding lithiasis). Use of a standardized pain flowsheet to assess pain intensity and document pharmacologic intervention may improve pain management in postsurgical cardiovascular patients. The majority of total cell RNase activity is in the latent state, and is localized to the erythroid cell membrane. Effect of acetic acid on optical coherence tomography (OCT) images of cervical epithelium. The findings further indicated that alcohol consumption immediately prior to sexual intercourse did not significantly alter the use of coitus-dependent contraceptives. International Society for Hemodialysis Annual Dialysis Conference. 21st Congress of the European Society of Parenteral and Enteral Nutrition.

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In the lower extremities good quadriceps muscles and hip extensor muscles as well as correct loading techniques are essential. Additionally, this study investigated the effect pasteurization had on IgG concentration in colostrum. While gastro-oesophageal reflux did not change significantly in the group, tolerance may seen to contribute to increased gastro-oesophageal reflux in individual patients. This study is a randomized crossover study on 12 overweight/obese volunteers. Correct diagnosis is, for a large part, reliant on collection of a thorough patient history. Efficacy, safety, and pharmacokinetics of intramuscular hepatitis B immune globulin, Igantibe, for the prophylaxis of viral B hepatitis after liver transplantation. The ability to transduce dividing and non-dividing cells, and sustain long-term transgene expression makes LVs uniquely desirable as gene therapy vectors. HIV infection of Langerhans cells is regulated by surface expression of CD4 and CCR5.

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A clinical utility index for selecting an optimal insulin dosing algorithm for LY2605541 in patients with type 2 diabetes pretreated with basal insulin. Creatinine clearance remained stable during the study in all but one patient affected by Alport syndrome. Further analyses identified specific stalk segments that were not required for MHC-I binding in trans but were essential for inhibitory receptor function. Cesarean-associated complications: the importance of a scarcely justified use. Histologically, hyperplasia was identified in 3 patients, mildly atypical adenoma in 11, severely atypical adenoma in 16, and adenocarcinoma in 11.

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Breast density as a predictor of mammographic detection: comparison of interval- and screen-detected cancers. More than twice as many adults emerged from tires located in the shade (1.74 adults/tire/day) compared to tires in the sun (0.64 adults/tire/day). To assess the influence of this enhanced cellular reducing capacity on iron valence we established a new method to measure the reduction rate of iron based on the fluorescent iron(II) indicator PhenGreen SK. Burkitt lymphoma (BL) is a highly aggressive B-cell non-Hodgkin lymphoma (B-NHL), which originates from germinal center (GC) B cells and harbors translocations deregulating v-myc avian myelocytomatosis viral oncogene homolog (MYC). Lack of Association between SLC6A11 Genetic Polymorphisms and Drug Resistant Epilepsy in Chinese Han Population. New studies should consider the particular metabolic aspects of intracranial arteries and the independent role of lipoprotein (a), apolipoprotein E phenotypes and other molecular and genetic mechanisms involved in atherosclerotic cerebrovascular disease. An immediate-release formulation containing 25 mg diclofenac-K has now also been approved for OTC use. Rethinking the frequency of between-visit monitoring for patients with diabetes. Study of oxytalanic fibers of striae: variations with relation to the skin.

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Clinical work was the most, and adequate pay the least important of five factors that gave respondents satisfaction in their work. Use of these and restrictive PCR amplification conditions has improved a reliable and rapid method for detecting a PCR-amplified 531 bp band from pork. Recurrent pattern of digestive tract carcinoma in the Japanese: comparison of gastric cancer to colon cancer. We developed a categorization of the elements for a lifetime-costing study and based on these elements, we abstracted information from a sample of 33 papers in the following areas: study subject, purpose, scope, methods (including time profile, utilization, and cost), and results. In the search for the underlying mechanism, we have shown that the ionic CM ioxaglate is a potent inhibitor of thrombin generation in platelet-poor and platelet-rich plasma, whereas the influence of the non-ionic contrast medium iodixanol is minimal. PBK has been shown to be phosphorylated in mitosis by cyclin-dependent kinase 1 (CDK1)/cyclin B, however, no studies have been done examining PBK mitotic phosphorylation in oncogenesis. Virus antibodies in the serum of multiple sclerosis patients and matched controls. Two recently encountered cases of villous adenoma in the rectum had a distinctive pattern on CT.

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Transactivation of the epidermal growth factor receptor in colonic epithelial cells by carbachol requires extracellular release of transforming growth factor-alpha. In general, anti-CD2 inhibited both anti-CD3 mAb and alloantigen-driven responses, while anti-CD48 inhibited only anti-CD3 mAb but not alloantigen-driven proliferative and cytokine responses. Total hip arthroplasties using the Ring uncemented polyethylene to metal system were carried out in 84 hips with either protrusio or dysplasia of the acetabulum. We characterized mucosal CD4 T cells using flow cytometry, along with matching mucosal global gene expression and microbial communities data from 35 pinch biopsy samples from patients with IBD. The HIDA scan failed to locate the tumor throughout the atenolol tenormin 50 mg whole study period in only one patient. Current clinical practice permits the use of single chamber ventricular or dual chamber pacemakers. The significance of cooperation of the allied specialists in the choice of the examination and therapy policy for female patients with inflammatory urogenital diseases is indicated. Using ultraviolet detection at 214 nm, levels in the region of 50-100 ng/ml for CBZ and CBZ-EP can be measured with only 250 and 500 microliters of plasma and saliva, respectively.

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We compared absolute risk, hazard ratio (HR), and population attributable risk of nonfatal and fatal CVD for BMI and WC in a large prospective cohort study with an average follow-up of 10 years. Among these, one of the most encountered is the infection of the subcutaneous pocket in which the device is positioned, or the infection of TIVAD itself. The deduced protein sequence of the partial cDNA contained three potentially glycosylated, mucin-like periactin medication dose domains and six cysteine-rich chitin-binding domains (CBDs). The younger the child was at electrode activation, the greater the reduction in latency of the P1 component. Individual outcome data were extracted to support an intention-to-treat analysis. Our results indicated that non-smoker hospitality workers have higher levels of exposure to SHS than general population. We studied the effect of the orally active, A1R antagonist tonapofylline (BG9928) on biochemical measures of renal function in CIS-induced acute kidney injury (AKI) in rats. Elevated systemic hepcidin and iron depletion in obese premenopausal females. Discontinuous bulk disinfection experiments with secondary effluents and model solutions were performed to investigate the influence of operating conditions and wastewater parameters on disinfection efficiency and formation of disinfection by-products (adsorbable organically bound halogens, AOX). The Kell blood group protein is a zinc endopeptidase that yields endothelin-3, a potent bioactive peptide, by cleavage of big endothelin-3, a larger intermediate precursor.

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This study establishes correlations between selected meteorological variables provided by the Weather Research and Forecasting model (WRF) and the questing activity of Ixodes ricinus nymphs and adults on a regional scale across Lower Silesia, Poland. Transmembrane motility assay of transiently transfected cells by fluorescent cell counting ribavirin 400 mg price and luciferase measurement. 3-stage manometric marching test as a method of differential diagnosis and evaluation of treatment effectiveness in diseases of the veins of the lower extremities. We hypothesised that a dose of 40 mg dexamethasone would improve analgesia after outpatient shoulder surgery compared with 8 mg. The examples also serve to demonstrate another important property of this method--that is, it specifies the minimum amount of data that has to be collected before any decision can reliably be made.

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Immunoprecipitation and immunoblot of sperm nuclei preincubated in Xenopus egg extracts by anti-P1 antibody showed that Xenopus P1 protein is a phosphoprotein with two phosphorylated forms: a hyperphosphorylated form extractable with Triton X-100 and a hypophosphorylated form resistant to Triton X-100. This study describe the trends in mortality for prostate cancer in Brazil and geographic regions (North, Northeast, South, Southeast, and Central-West) between 1980 until 2014 and analyze the influence of age, period, and cohort effects on mortality rates. In other words, moulding made the frontal bone slipped in beneath the parietal bone at the coronal suture causing pressure over the brain. Here, we present a model to facilitate communication regarding the complexities of ASD, where clinical and genetic heterogeneity, as well as overlapping neurological conditions are inherent. An alternative similarity measure based on a new calculation of the length of documents is proposed and some experimentation with it is discussed. Occurrence of neurocalcin, a calcium-binding protein with three EF hand motifs, was examined immunohistochemically in the rat olfactory epithelium and vomeronasal organ epithelium. Caspase requirement for neuronal apoptosis and neurodegeneration.

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Mean values of the various parameters in the patient groups were compared with mean values of age-matched normal controls. Transecting the fornix, the major route from hippocampus to subcortical structures, abolished the negative cortical and behavioral effects of seizures. Tools to study histidine kinases, however, are currently quite limited. We report that color and depth, as well as form, are recovered in tandem with seeing motion. Two patients developed gallstones during therapy, perhaps caused by the chronic haemolysis that occurred in all patients. The time in theatre and the operative time were not altered significantly by differing anaesthetic techniques. While all day care programs may not accept responsibility for administration of medication, every program must have a policy about it. pasteurization, dry or vapor heating), filtration, solvent/detergent treatment, precipitation, pH treatment and chromatography.

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These results mean that carbon beams had a stronger cell-killing effect than X-rays, but also carried a high risk of mutation induction. A prospective comparison study of CCE compared with optical colonoscopy was undertaken within the second round of a FIT-based bowel screening pilot. Association of genetic polymorphisms at beta-adrenergic receptor arcoxia 90 mg bula with risk of intracerebral hemorrhagic stroke in North Indian population: a case control study. Miniaturization encourages the development of new manufacturing processes capable of fabricating features, like micro-channels, in order to use them for different applications, such as in fuel cells, heat exchangers, microfluidic devices and micro-electromechanical systems (MEMS). Despite the potential of feline immunodeficiency virus (FIV) as an animal model for human immunodeficiency virus (HIV) studies, the long term effects of naturally-occurring infection have not been determined. The case illustrates the condition of the transectional wedges for end-to-end anastomosis, and the usefulness of RTBD tube for the anastomotic stent and the diagnosis of bile leakage after anastomosis. Thalidomide disrupted integrin-mediated signaling pathways involved in gelatinase induction and release, such as Src and MAP-kinase ERK activation, resulting in decreased cell motility and invasiveness.

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This finding may elucidate mechanisms for producing a new and positive cycle of a healthy experience between fairness and feeling pain-free. This article considers the possibilities of topical products influencing the balance of the microflora. The objective was to assess whether idiopathic normal-pressure hydrocephalus (iNPH) has a worse prognosis than other forms of hydrocephalus, as has been suggested. To assess the role of structures located superficially near the ventrolateral surface of the medulla on the reflex constriction of tracheal smooth muscle that occurs when airway and pulmonary receptors are stimulated mechanically or chemically, experiments were conducted in alpha-chloralose-anesthetized, paralyzed, and artificially ventilated cats. Anticoagulant rodenticides in three owl species from Western Canada, 1988-2003. Stimulation of lipid peroxidation and impairment of glutathione-dependent defence system in the liver of rats repeatedly treated with carbon tetrachloride.

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In this P-ECCO study, we attempted to tabulate, for the first time in paediatrics, 60 quality items that paediatric IBD referral centres may wish to include. Differential gene expression in retinoic acid-induced differentiation of acute promyelocytic leukemia cells, NB4 and HL-60 cells. Chromatographic behavior of the hepatitis B virus surface antigen in donor plasma. Elderly patients with glucophage xr generic equivalent HF are frequently encountered with multiple drug therapy, such as nonsteroidal antiinflammatory drugs (NSAIDs) including aspirin and ACE inhibitors. Cytoskeletal dysfunctions evaluated by cytomagnetometry were an impaired phagosome transport and an increased cytoskeletal stiffness and occurred at concentrations of 100 microg UFP/ml/10(6) cells and above, in both BD-AM and J774A.1. An assessment of the phototoxic hazard of a personal product ingredient using in vitro assays.

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