Dilzem Cd 90 Mg Capsule (10 Cap)

DILZEM CD 90 MG CAPSULE (10 CAP) by TORRENT PHARMACEUTICALS LTD

Name

• Brand Name: Dilzem CD 90 mg Capsule
• Common Name: Diltiazem (as a sustained-release or extended-release formulation)

Composition

Each capsule contains Diltiazem 90 mg as the active ingredient. Diltiazem is a calcium channel blocker.

Uses

Dilzem CD 90 mg Capsule is primarily prescribed for the management of various cardiovascular conditions:

• Hypertension (High Blood Pressure): It helps relax blood vessels, reducing blood pressure and lowering the risk of heart disease and stroke.
• Angina Pectoris: This includes chronic stable angina and angina due to coronary artery spasms (Prinzmetal's variant angina). It works by improving blood supply to the heart muscles and preventing the narrowing of blood vessels, thereby relieving chest pain.
• Arrhythmia: Certain types of irregular heartbeats can also be treated with this medication.

Dosage and Administration

Dilzem CD 90 mg Capsule should be taken orally, usually once daily, or as directed by a healthcare professional. It can be taken with or without food. The capsule should be swallowed whole; it should not be crushed, chewed, or broken. It is important to take the medicine regularly at the same time each day for optimal results. Do not stop taking the medicine suddenly without consulting your doctor, as this may worsen your condition.

Side Effects

Common Side Effects:

• Swelling, especially in the hands, feet, and ankles (edema)
• Headache
• Dizziness
• Flushing
• Constipation
• Nausea, indigestion
• Rashes, itching
• Fatigue
• Palpitations

Serious Side Effects (Seek immediate medical attention if experienced):

• Severe allergic reaction
• Yellowing of the skin or eyes (jaundice), dark urine, pale stools, abdominal pain (signs of liver problems)
• Unusual bleeding or bruising
• Severe tiredness, lack of energy, loss of appetite
• Worsening heart problems (sudden weight gain, shortness of breath)
• Flu-like symptoms
• Increase in frequency or severity of chest pain
• Serious skin reactions (fever, sore throat, irritated eyes, red or purple skin rash with blistering and peeling)

Precautions

• Allergies: Do not take Dilzem CD 90 mg Capsule if you are allergic to diltiazem or any other ingredients in the medication.
• Pregnancy and Breastfeeding: Not recommended for pregnant women or women of childbearing age not using effective contraception. Diltiazem passes into breast milk, so breastfeeding should be avoided.
• Heart Conditions: Contraindicated in patients with certain heart-related disorders such as heart block, sick sinus syndrome (unless a pacemaker is present), heart failure, or heart failure with fluid accumulation in the lungs.
• Other Medical Conditions: Inform your doctor if you have liver or kidney problems, diabetes, porphyria (a blood disorder), myasthenia gravis (muscle problems), or low blood pressure.
• Drug Interactions:
  • Avoid concomitant use with dantrolene (a muscle relaxant taken via injection) and ivabradine (used for heart failure).
  • Caution with beta-blockers and digitalis due to potential additive effects on cardiac conduction.
  • Monitor digoxin levels if taken concurrently.
  • Grapefruit products may alter the absorption of the medication.
• Alcohol: Excessive alcohol consumption may raise blood pressure and worsen side effects; caution is advised.
• Driving and Machinery: If you experience dizziness, weakness, or altered consciousness, avoid driving or operating heavy machinery.

Storage

Store Dilzem CD 90 mg Capsule in a cool and dry place, away from direct sunlight. Keep it out of the sight and reach of children. The recommended storage temperature is generally between 10ºC to 25ºC or below 30ºC.

What is Dilzem CD 90 mg Capsule used for?

Dilzem CD 90 mg Capsule is primarily used to treat mild to moderate hypertension (high blood pressure), chronic stable angina (heart-related chest pain), and angina due to coronary artery spasms. It is also indicated for the management of certain types of irregular heartbeats (arrhythmias) and helps in the prevention of heart attacks and strokes by improving cardiovascular health.

How does Dilzem CD 90 mg Capsule work?

This medicine contains Diltiazem, which is a calcium channel blocker. It works by inhibiting the movement of calcium ions across the muscle cells of the heart and blood vessels. This action relaxes and widens narrowed blood vessels, which in turn reduces blood pressure, improves blood flow to the heart, and decreases the heart's workload. It also helps in regulating heart rate and rhythm.

What is the usual dosage for Dilzem CD 90 mg Capsule?

Dilzem CD 90 mg Capsule is typically taken once daily, but the exact dosage and duration will be determined by your doctor based on your specific condition and response to treatment. The capsule should be swallowed whole with a glass of water and not crushed, chewed, or broken. For angina, doses usually range from 120 mg to 360 mg daily, and for hypertension, from 180 mg to 480 mg daily, with gradual increases as prescribed by a healthcare professional.

What are the possible side effects of Dilzem CD 90 mg Capsule?

Common side effects may include swelling in the hands, feet, and ankles (edema), headache, dizziness, palpitations, constipation, indigestion, nausea, flushing (feeling hot), fatigue, and rash. These side effects are usually mild and tend to resolve over time. More serious, but rare, side effects can include severe allergic reactions, yellowing of the skin or eyes (indicating liver problems), unusual bleeding or bruising, severe tiredness, or an increase in the frequency or severity of chest pain. If you experience persistent or severe side effects, consult your doctor.

Is Dilzem CD 90 mg Capsule safe during pregnancy or breastfeeding?

Dilzem CD 90 mg Capsule is generally not recommended for use during pregnancy, and it is categorized as a pregnancy risk category C medicine. Women of childbearing potential should use effective contraception while on this treatment. If you are pregnant or planning to become pregnant, inform your doctor immediately. For breastfeeding mothers, components of Diltiazem pass into breast milk in small amounts, so breastfeeding should be avoided, and an alternative method for infant feeding should be considered.

Can Dilzem CD 90 mg Capsule be taken with other medications?

It is crucial to inform your doctor about all medicines, supplements, and herbal products you are currently taking to avoid potential interactions. Dilzem CD 90 mg Capsule should not be taken with certain medications like dantrolene (a muscle relaxant) or ivabradine (used for heart failure) as this can lead to severe side effects or reduced effectiveness. Concomitant use with cimetidine may significantly increase Diltiazem levels. Digoxin levels should be monitored if taken concurrently. Grapefruit juice can also increase the blood levels of Dilzem CD.

What precautions should be taken while using Dilzem CD 90 mg Capsule?

You should avoid alcohol consumption while taking this medicine as it can worsen side effects such as dizziness or low blood pressure. Do not stop taking Dilzem CD 90 mg Capsule suddenly without consulting your doctor, as this could lead to a sudden increase in blood pressure, chest pain, or even a heart attack. Be cautious when driving or operating machinery if you experience dizziness or lightheadedness. Inform your doctor about any pre-existing medical conditions like low blood pressure, heart failure, slow heart rate, liver or kidney problems, diabetes, or porphyria.

What happens if a dose of Dilzem CD 90 mg Capsule is missed?

If you miss a dose of Dilzem CD 90 mg Capsule, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

How should Dilzem CD 90 mg Capsule be stored?

Dilzem CD 90 mg Capsule should be stored in a cool and dry place, away from direct sunlight and moisture. The ideal storage temperature is typically between 10ºC to 25ºC or below 30ºC. Always keep this medicine out of the sight and reach of children and pets.