Diltiazem
AdizemTildiem, Zemtard
Revisado por pares por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSLast updated 9 Ene 2023
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When you first start taking diltiazem you may get a headache, feel flushed, or get swollen ankles. These symptoms usually pass after a few days.
Each time you collect a new supply of diltiazem, check to make sure you have been given the same type of tablets or capsules as before.
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About diltiazem
Tipo de medicamento | Calcium-channel blocker |
Usado para | High blood pressure, and angina |
También llamado | Adizem®; Angitil®; Dilcardia®; Retalzem®; Slozem®, Tildiem®; Viazem®; Uard®; Zemtard® |
Disponible como | Comprimidos y cápsulas |
Diltiazem is used to treat presión arterial alta (hipertensión) and prevent chest pain caused by angina. It works by causing some of your blood vessels to relax and widen. This lowers your blood pressure. It also reduces the force and the rate of your heartbeat, and this helps to prevent angina pain.
Before taking diltiazem
Volver al contenidoSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking diltiazem it is important that your doctor knows:
Si estás embarazada, intentando tener un bebé o amamantando.
If you have any problems with your kidneys or liver.
If you have a heart condition (such as heart failure, an abnormal heart rhythm, or if you have had a heart attack recently).
Si tienes niveles altos de azúcar en la sangre (diabetes mellitus).
If you have asthma or other breathing problems.
Si tienes un trastorno sanguíneo hereditario raro llamado porfiria.
Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.
If you have ever had an allergic reaction to this or to any other medicine.
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How to take diltiazem
Volver al contenidoBefore you start taking diltiazem, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about the specific brand of tablet or capsule you have been given, and a full list of side-effects which you may experience from taking it.
There are several different formulations of diltiazem available, so it is important that you take your tablets or capsules exactly as your doctor tells you to. 'Standard' 60 mg tablets are taken three times daily, whereas longer-acting tablets or capsules are taken once a day or twice a day. Your doctor will tell you which is right for you, and this will also be printed on the label of the pack to remind you.
Try to take diltiazem at the same times each day, as this will help you to remember to take your doses.
Swallow the tablets or capsules whole with a drink of water - do not chew, break or crush them. You can take diltiazem before or after food.
Si olvida tomar una dosis, tómela tan pronto como lo recuerde, a menos que esté cerca la hora de su próxima dosis, en cuyo caso omita la dosis olvidada. No tome dos dosis juntas para compensar una dosis olvidada.
Obteniendo el máximo de tu tratamiento
Volver al contenidoIntenta mantener tus citas regulares con tu médico. Esto es para que tu médico pueda verificar tu progreso.
Your doctor will discuss with you the possibility of unwanted side-effects when you first start taking diltiazem. You may experience headaches, feeling flushed, swollen ankles and some dizziness. These effects usually only last for a few days, but if they continue or become troublesome, you should let your doctor know.
Different formulations and brands of diltiazem can act in a slightly different way in your body. Because of this, it is important that you continue to take the same type of tablet or capsule as you have had before. So, each time you collect a prescription, check to make sure your supply looks the same and that the brand name is the same. If you are unsure, or if have any questions about your prescription, please ask your pharmacist to check it for you.
If you have diabetes you may need to check your blood sugar (glucose) level more often. This is because diltiazem may raise your glucose levels. Ask your doctor or pharmacist for advice.
Before you buy any medicines or take any 'over-the-counter' remedies, please check with a pharmacist that they are suitable for you to take. This is because some medicines can interact with diltiazem.
Drinking grapefruit juice may affect the amount of diltiazem in your blood and can make you more likely to experience side-effects. Let your doctor or pharmacist know if you enjoy drinking grapefruit juice and wish to continue.
If you need to have an operation or any medical treatment, always tell the person carrying out the treatment which medicines you are taking. Diltiazem may interfere with the way some anaesthetics work.
If you drink alcohol, ask your doctor for advice. Your doctor may recommend that you do not drink alcohol while you are on this medicine as it may increase the chance that you experience side-effects, such as feeling dizzy or light-headed.
Suddenly stopping treatment may cause problems, so keep taking diltiazem unless your doctor tells you otherwise. If it does become necessary for you to stop treatment, your doctor will want you to reduce your dose over a few days.
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Can diltiazem cause problems?
Volver al contenidoAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with diltiazem. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Común diltiazem side-effects | ¿Qué puedo hacer si experimento esto? |
Feeling dizzy or light-headed, especially when sitting or standing up | Getting up more slowly may help. Do not drive and do not use tools or machines until you feel better |
Dolor de cabeza | Bebe mucha agua y pide a tu farmacéutico que te recomiende un analgésico adecuado. Si los dolores de cabeza continúan, consulta a tu médico |
Indigestion, feeling sick (nausea) | Stick to simple meals - avoid rich and spicy foods |
Estreñimiento | Intenta comer una dieta equilibrada y beber varios vasos de agua cada día |
Red or itchy skin | Ask a pharmacist to recommend a suitable remedy. If it becomes troublesome, let your doctor know |
Swollen ankles, feeling hot and flushed, being aware of your heartbeat, feeling tired | Speak with your doctor about these if any continue beyond a few days or become troublesome |
Importante: if you get chest pain, or if your angina pain gets worse or becomes more frequent, contact your doctor as soon as possible.
Si experimenta otros síntomas que cree que pueden deberse a este medicamento, hable con su médico o farmacéutico.
How to store diltiazem
Volver al contenidoMantenga todos los medicamentos fuera del alcance y la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Volver al contenidoInformación importante sobre todos los medicamentos
Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.
Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.
No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.
Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.
Informar efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede reportarlos en línea a través de Yellow Card website.

¿Inseguro sobre mezclar medicamentos?
Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.
Lecturas adicionales y referencias
- Manufacturer's PIL, Tildiem® 60 mg Modified-Release Tablets; Sanofi Ltd, The electronic Medicines Compendium. Dated August 2021.
- Manufacturer's PIL, Adizem®-SR 90 mg, 120 mg and 180 mg prolonged-release capsules; Napp Pharmaceuticals Limited, The electronic Medicines Compendium. Dated November 2020.
- Medicamentos Completos BNF 89ª Edición; Asociación Médica Británica y Sociedad Real de Farmacia de Gran Bretaña, Londres.
- Manufacturer's PIL, Adizem®-XL 120 mg, 180 mg, 200 mg, 240 mg and 300 mg prolonged release capsules; Napp Pharmaceuticals Limited, The electronic Medicines Compendium. Dated November 2020.
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Historial del artículo
La información en esta página está escrita y revisada por pares por clínicos calificados.
Próxima revisión: 8 Jul 2027
9 Ene 2023 | Última versión

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