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Diltiazem is a drug commonly used to treat high blood pressure and chest pain, including angina. It is a calcium channel blocker and works by relaxing the muscles of the blood vessels, improving blood flow throughout the body. Specifically, it relaxes the coronary arteries, which is the main artery that supplies blood to the heart.
Diltiazem can also help to reduce the number and duration of angina attacks. It achieves this by making the blood vessels wider, allowing more blood to flow through it. This, in turn, helps to decrease the workload of the heart, leading to fewer episodes of angina. In addition to treating angina, diltiazem is also prescribed to treat atrial fibrillation, a type of irregular heartbeat.
For people with high blood pressure, diltiazem is usually prescribed in combination with other medications. Combining it with other drugs helps to control blood pressure more effectively.
When using diltiazem, it is important to take it exactly as prescribed. If taking it orally, the capsule should be swallowed whole, with a glass of water. Do not crush or chew the tablets, as this could increase your risk of side effects.
Generally, diltiazem side effects are mild and easily managed, but can sometimes include headache, dizziness, stomach upset, nausea, and constipation. More severe side effects include swelling of the lips, tongue, or face; difficulty breathing; and hives. If any of these occur, you should contact your doctor immediately.
If you are pregnant, planning to become pregnant, or breastfeeding, you should speak to your doctor before taking diltiazem. It is generally considered safe to use during pregnancy; however, it is important to discuss this with your doctor first. Your doctor can advise the safest treatment option for you.
Even though diltiazem is a relatively safe medication, it may interact with other medications, including digoxin, verapamil, and lithium. It is important to list all medications you are taking (including vitamins and herbal supplements) when discussing any new treatment options with your doctor.
In addition, diltiazem can also be used as a topical treatment for anal fissures, which are small tears in the anal canal. It is thought to increase blood flow to the area, helping to heal the fissure more quickly.
Overall, diltiazem is a generally safe and effective medication for high blood pressure and chest pain, including angina. It works by relaxing the muscles of the blood vessels and improving the flow of blood to the heart and other organs. Before using diltiazem, it is important to speak to your doctor about any other medications you are taking.