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What is Dilzem XL

Dilzem XL is in a group of drugs called calcium Dilzem XL blockers. It works by relaxing the muscles of your heart and blood vessels.
Dilzem XL is used to treat hypertension, angina (chest pain), and certain heart rhythm disorders.
Dilzem XL may also be used for purposes not listed in Dilzem XL guide.

Dilzem XL side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:

Less serious side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)

Dilzem XL dosing

Usual Adult Dose for Hypertension:

Initial dose: 30 to 60 mg orally 3 to 4 times a day.
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day.
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
XR maintenance dose: 240 to 480 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 420 mg orally once a day.
IV Dosing:
Initial bolus doses: 0.25 mg/kg as a bolus administered over 2 minutes. A second bolus of 0.35 mg/kg may be used if necessary.
Initial infusion dose: 5 mg/hr.
Maintenance infusion dose: The infusion rate may be increased in 5 mg/hr increments up to 15 mg/hr.

Usual Adult Dose for Atrial Fibrillation:

Initial dose : 30 to 60 mg orally 3 to 4 times a day
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 420 mg orally once a day.
Initial dose (IV): 0.25 mg/kg actual body weight bolus over 2 minutes. If necessary, a second bolus of 0.35 mg/kg ABW may be given. In some cases, an infusion of Dilzem XL 5 mg/hour may be started, and advanced in 5 mg/hour increments to 15 mg/hour for up to 24 hours.

Usual Adult Dose for Atrial Flutter:

Initial dose (oral): 30 to 60 mg orally 3 to 4 times a day
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 420 mg orally once a day.
Initial dose (IV): 0.25 mg/kg actual body weight bolus over 2 minutes. If necessary, a second bolus of 0.35 mg/kg ABW may be given. In some cases, an infusion of Dilzem XL 5 mg/hour may be started, and advanced in 5 mg/hour increments to 15 mg/hour for up to 24 hours.

Usual Adult Dose for Supraventricular Tachycardia:

Initial dose : 30 to 60 mg orally 3 to 4 times a day
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 420 mg orally once a day.
Initial dose (IV): 0.25 mg/kg actual body weight bolus over 2 minutes. If necessary, a second bolus of 0.35 mg/kg ABW may be given. In some cases, an infusion of Dilzem XL 5 mg/hour may be started, and advanced in 5 mg/hour increments to 15 mg/hour for up to 24 hours.

Usual Adult Dose for Angina Pectoris Prophylaxis:

Initial dose: 30 to 60 mg orally 3 to 4 times a day
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 360 mg orally once a day.

Usual Adult Dose for Congestive Heart Failure:

Initial dose: 30 to 60 mg orally 3 to 4 times a day
Maintenance dose: 180 to 360 mg orally/day in divided doses.
SR initial dose: 60 to 120 mg orally twice a day
SR maintenance dose: 240 to 360 mg orally/day.
CD or XR initial dose: 120 to 240 mg orally once a day.
CD maintenance dose: 240 to 360 mg orally once a day.
LA initial dose: 120 to 240 mg orally once a day.
LA maintenance dose: 240 to 360 mg orally once a day.

Compare prices at online shops


StrengthQuantityPrice, USDCountry
180 mg84 $135.63Barbados, Canada, NZ, UK
240 mg84 $163.35Barbados, Canada, NZ, UK


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References

  1. "Diltiazem". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
  2. "Diltiazem". http://www.drugbank.ca/drugs/DB0034... (accessed August 28, 2018).
  3. "Ee92bbp03h: the unique ingredient identifier (unii) is an alphanumeric substance identifier from the joint fda/usp substance registration system (srs).". https://www.fda.gov/ForIndustry/Dat... (accessed August 28, 2018).

Dilzem XL - Frequently asked Questions

Can Dilzem XL be stopped immediately or do I have to stop the consumption gradually to ween off?

In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.

It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.

How should I take Dilzem XL?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Take Dilzem XL with a full glass of water.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

If you have trouble swallowing a Dilzem XL capsule whole, ask your doctor or pharmacist if it is safe for you to open the capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Use Dilzem XL regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop taking this medication without first talking to your doctor. If you stop taking Dilzem XL suddenly, your condition may become worse.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Dilzem XL may be only part of a complete program of treatment that also includes diet, exercise, and other medications. Follow your diet, medication, and exercise routines very closely.

To be sure this medicine is helping your condition and is not causing harmful effects, your blood pressure will need to be checked often. Your liver and kidney function may also need to be tested. Visit your doctor regularly.

Store at room temperature away from moisture and heat.

What other drugs will affect Dilzem XL?

Tell your doctor about all other medicines you use, especially:

This list is not complete and other drugs may interact with Dilzem XL. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Who should not take Dilzem XL?

You should not use this medication if you are allergic to Dilzem XL, or if you have:

To make sure you can safely take Dilzem XL, tell your doctor if you have any of these other conditions:

FDA pregnancy category C. It is not known whether Dilzem XL will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Dilzem XL can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Can Dilzem XL be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such case requires special attention.

Can Dilzem XL be taken for nursing mothers or during breastfeeding?

Kindly explain your state and condition to your doctor and seek medical advice from an expert.

Reviews

Following the study conducted by gmedication.com on Dilzem XL, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Dilzem XL. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.

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The information was verified by Dr. Vishal Pawar, MD Pharmacology