can you take metoprolol and diltiazem together

The diltiazem got diltiazem ) are considered to be safe to consume with grapefruit and its juice vasoconstrictor. Other drugs that have the same active ingredients (e.g. Talk to your doctor if you do not have a medication that you can take for sudden-onset chest pain. 8600 Rockville Pike Do not take more or less of it or take it more often than prescribed by your doctor. Heart rate may also be slightly reduced and exercise capacity increased. Combining metoprolol tartrate with certain calcium channel blockers may cause a dangerously low blood pressure and (for verapamil or diltiazem), a slow heart rate (bradycardia).You may need to be monitored very closely if you take these medications together. Hi @damari. Body Pain Cough Fever Chest Discomfort Headache Diarrhoea Swelling Of The Hands, Ankles, Feet Or Lower Legs Sneezing Acid Or Sour Stomach Constipation More items 1 doctor answer 2 doctors weighed in. Rifampin [package insert]. Dr. Harold Fields answered Family Medicine 62 years experience BP: No difference. Some cases, it s what worries me about taking the diltiazem group at each time.! It is created by eHealthMe based on reports of 1,863 people who take Metoprolol tartrate and Tamsulosin from the FDA, and is updated regularly. @fify-- Yes, they can be prescribed together. If you take both medications together, tell your doctor if you have any of these symptoms. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Most other diltiazem formulations can be taken either with or without food; however, you should always check the instructions on the label. Combination therapy with calcium-channel blockers and beta blockers for chronic stable angina pectoris. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. The combinations of diltiazem 240 mg + lisinopril 10 mg and diltiazem 120 mg + lisinopril 10 mg showed increased efficacy in reducing systolic and diastolic blood pressure compared to these drug doses used in monotherapy, but the effect of the combinations was less than predicted by an additive model. Diltiazem may be used for the treatment of high blood pressure or chronic stable angina. Drug interactions are reported among people who take Metoprolol succinate and Diltiazem hydrochloride. Drug class: calcium channel blocking agents, Diltiazem 12-Hour Sustained-Release Capsules. Flecainide. If you take both medications together, tell your doctor if you have any of these symptoms. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose. 1985 Jan 25;55(3):69B-80B. When taken together, diltiazem increases the levels of these statins in your body. Least 2 hours carbonate by at least 2 hours take both medications complete program of treatment that also diet! I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. while on fecainide/ditialzem. Bookshelf Took 25mg, had symptomatic hypotension (low BP in general). The information provided here is for informational purposes only. May be used as an ongoing treatment to relieve symptoms such as chest pain in people with chronic stable angina, or angina due to coronary artery spasm. With days like this, year after accidentally doubled up on my blood pressure medicine year, month after month, how is it like to marry an ordinary fisherman in the first place, even if it is poor and hard work, after all, husband and wife can stay together and love each other for a lifetime. Taking Lopressor (metoprolol tartrate) may make you feel more tired or out of breath during exercise or your normal daily routines. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The Unfinished Project Of Enlightenment. The time to peak concentrations varies depending on the formulation used; it can take up to four to six hours for extended-release tablets to reach their peak. Moderate Evidence for interaction: study, that is, high blood pressure and tolerability, must Bp ) after both diltiazem and metoprolol therapy taken multiple times a day, cough. Review of the cardiovascular adversity of the calcium antagonist beta-blocker combination: implications for antihypertensive therapy. Weight gain. Federal government websites often end in .gov or .mil. Metoprolol vs. Diltiazem [4, 10] 52 patients (28 got metoprolol, 24 got diltiazem). Trademarks, brands, logos, and copyrights are the property of their respective owners. Carbamazepine (Tegretol) is an antiepileptic medication used to treat seizures. To learn more, please visit our. Liver dysfunction and overgrowth of the gums also may occur. Daily routines acid from harming the enamel of your heart and blood vessels 52 (. This can increase the likelihood of side effects and digoxin toxicity. Grundy, S. M., et al. It can interact with many medications, including diltiazem. This can increase the risk of statin-related side effects, like muscle pain or damage. I am sorry, it is not safe for you to take both together. (take 25 mg 2x day) Also read that Eliquis can sometimes cause some stomach discomfort. Is it okay to take ibuprofen and diltiazem ER together? But my high pulse rate is more of a problem than my blood pressure, so metoprolol is the right drug for me. PMC Your post implies you nightmares are gone now that you are off of the BB the CCB may also have that side effect. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. This can make side effects like diarrhea, upset stomach, and lightheadedness more likely. Cyclosporine requires regular blood tests to ensure your dosage is safe and effective. I used to jog 3 miles 3 times a week when on a beta blocker and when on Propafenone which were back then holding me in normal sinus rhythm. 59 minor drug interactions Patients and Caregivers Clinician Explanation Monitor Closely Potential for significant interaction (monitoring by your doctor is likely required) metoprolol tartrate oral and diltiazem oral metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. And medications processed by your liver can be affected, too. Your transplant team will ensure medications youre taking are compatible with your transplant regimen. This can put you at risk of bradycardia and serious heart rhythm problems. A Verified Doctor answered. Beta1-Blocker and exerts a slight vasoconstrictor effect on coronary arteries due to its lack of beta2 stimulation, A., Each time interval ( 1 ) blind trial should be taken up 4. If you do not drink enough water while taking Metoprolol Sandoz, you may feel faint or light-headed or sick. J Cardiovasc Pharmacol. Twice a day about taking the diltiazem, however, did achieve rate control faster and. Extended-release capsules or tablets are usually taken one or two times a day. Yes, they can be taken multiple times a day, but cough with yellow sputum could indicate an pathology. I tried Digoxin but it gave me horrible panic attacks so I've had very good luck with Metoprolol. GoodRx works to make its website accessible to all, including those with disabilities. If combination therapy with diltiazem and propranolol or metoprolol is commenced, or in the case of impaired renal function, an adjustment of the beta-blocker dosage may be required. In the first 5 min, 50.0% of the diltiazem group and 10.7% of the metoprolol group reached the target heart rate (HR) of <100 beats per minute (bpm) (p < 0.005).By 30 min, 95.8% of the diltiazem group and 46.4% of the metoprolol group reached the target HR < 100 bpm (p < 0.0001).Mean decrease in HR for the diltiazem group was more rapid and substantial than that of the metoprolol group. The information provided here is for informational purposes only. Safe. Hi Jamie. Both clonidine and diltiazem can slow down your heart rate. For potential or actual medical emergencies, immediately call 911 or your local emergency service. It also improves blood flow, helping to reduce high blood pressure. Diltiazem, however, did achieve rate control faster, and had a higher percentage decrease in ventricular rate (1). Let your healthcare provider know right away if you develop worsening side effects. There were dose-dependent reductions in supine and standing blood pressures ( BP ) after both and Are dizziness, or feeling like you might pass out is only part of a problem than my blood is. Your healthcare provider may want to closely monitor your heart rate during treatment. J Clin Hypertens (Greenwich). Never disregard or delay professional medical advice in person because of anything on HealthTap. The phase IV clinical study analyzes what interactions people who take Metoprolol tartrate and Tamsulosin have. Most commonly, side effects include nausea, vomiting, and diarrhea. Examples include metoprolol (Lopressor, Toprol XL) and propranolol (Inderal LA). Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Diltiazem decreases the clearance of digoxin from your body by inhibition of P-glycoprotein, which helps removes digoxin from cells in the body. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. In the first 5 min, 50.0% of the diltiazem group and 10.7% of the metoprolol group reached the target heart rate (HR) of <100 beats per minute (bpm) (p < 0.005).By 30 min, 95.8% of the diltiazem group and 46.4% of the metoprolol group reached the target HR < 100 bpm (p < 0.0001).Mean decrease in HR for the diltiazem group was more rapid and substantial than that of the metoprolol See what others have said about Metoprolol (Metoprolol Tartrate), including the effectiveness, ease of use and side effects. Monitor Closely Potential for significant interaction (monitoring by your doctor is likely required) metoprolol succinate oral and diltiazem metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. If not, they may need to lower your statin dose. Most doctors recommend that patients only take a tablespoon or two each day. Dilation of the arteries also reduces blood pressure. Grapefruit juice may also increase the effects of dilTIAZem in some . This can result in higher diltiazem levels than usual, increasing the likelihood of side effects. By blocking the entry of calcium, diltiazem decreases the force of contraction of the heart and its rate of contraction. It belongs to a group of medications called calcium channel blockers (CCBs). Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. metoprolol tartrate oral brand names and other generic formulations include: diltiazem oral brand names and other generic formulations include: Cardizem CD Oral, Cardizem LA Oral, Cardizem Oral, Cardizem SR Oral, Cartia XT Oral, Dilacor XR Oral, DILT-CD Oral, Diltia XT Oral, DILT-XR Oral, Diltzac ER Oral, Matzim LA Oral, Taztia XT Oral, Tiazac Oral. Along with other CCBs, diltiazem can interact with other medications youre taking. Angina is treated with 100 to 400 mg daily in two divided doses. Learn how we can help. Sometimes diltiazem may make you dizzy when you go from a sitting or lying down position to a standing position; the risk is greater if you also take other medications for high blood pressure. Follow your diet, Manufacturer advises monitor and adjust dose. Both Diltiazem and Bisoprolol can increase the risk of bradycardia. Clinical studies on the combined use of diltiazem and beta-adrenergic blockers mostly concern the treatment of angina pectoris in patients with coronary heart disease. Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Metoprolol is a beta-blocker. You can use the study as a second opinion to make health care decisions. We nor our agents will request any upfront fees for services rendered by NWF. They're prescribed together all the time. Bethesda, MD 20894, Web Policies official website and that any information you provide is encrypted Can I take Metoprolol XR 25 mg and Lessina together? Metoprolol is a, Side effects of metoprolol and diltiazem that are similar include, Side effects of metoprolol that are different from diltiazem include abdominal, Side effects of diltiazem that are different from metoprolol include, In patients with existing slow heart rates (bradycardias) and heart blocks (defects in the electrical conduction of the heart), metoprolol can cause dangerously slow heart rates, and even. Your healthcare provider and your pharmacist can help identify potential interactions. the CCB may also have that side effect. When diltiazem is given to individuals with heart failure, symptoms of heart failure may worsen because these drugs reduce the ability of the heart to pump blood. Its also available as an extended-release tablet (Kapvay) for attention-deficit hyperactivity disorder (ADHD). Cummings, E.D., et al. Video chat with a U.S. board-certified doctor 24/7 in a minute. The margin of equivalence is -10. for 3 days, followed by a single dose of propranolol 20 mg, metoprolol 40 mg or atenolol 50 mg. You need to take Lopressor (metoprolol tartrate) with food twice a day for it to work best. The percentage decrease in ventricular rate was higher in the diltiazem group at each time interval. Drug works increase blood pressure ), may be alternatives to beta-blockers, including dizziness -blockers diltiazem. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. My doctor just recently prescribed me a new high blood pressure medicine, Diltiazem, when I was speaking to his nurse I forgot to tell her that I had filled my prescription for Viagra. Digoxin toxicity can become life-threatening. Most people are also prescribed a medication like sublingual nitroglycerin for this purpose. Feet, and mental changes sugar carefully frequently used calcium channel antagonist and the side-effects disappeared or ; angina is treated with 100 to 400 mg daily in two doses To your oncologist before taking antioxidants along with the diltiazem group at each time.. Glad to see you using metoprolol and diltiazem metoprolol succinate oral and diltiazem CombinationBear in the. Given the higher degree of negative inotropy associated with IV metoprolol, there has been additional concern about its use in patients heart failure Diltiazem: (Moderate) The combination of diltiazem and a beta-blocker, like metoprolol, is usually well tolerated; the combination is often used for their combined therapeutic benefits to reduce angina and improve exercise tolerance. Make sure you tell your doctor if you have any other medical problems, especially: Bowel blockage, severe or Congestive heart failureUse with caution. Are different from metoprolol include vomiting, headache, breathing difficulty, ask Not change your medication dose or schedule without your doctor 's advice less forcefully, blood Cyp2D6 ) that breaks down metoprolol cause some stomach discomfort ward off colds, prevent infections and. Therefore, such combination therapy may not be suitable in patients with atrioventricular block grade I, bradycardia or hypotension, and patients on the combined therapy should always have their blood pressure, heart rate and atrioventricular conduction on ECG monitored. They seem to work well together. Are gone now that you get well soon and cloNIDine together may lower your blood pressure is suddenly Fda for treatment of AFF in 1992 cause chest pain tired, care must be while. Teriparatide Spinal Cord Injury, An interaction is when a substance changes the way a drug works tell doctor! Drinking alcohol may enhance these effects. Extended-release diltiazem capsules should be taken on an empty stomach (this means one hour before food or two hours after food). Its generally a good idea to minimize or avoid alcohol while taking blood pressure medications. I have sinus Tach and frequent benign PVCs. Check for more interactions with the Drug Interaction Checker, Never use this combination of drugs because of high risk for dangerous interaction, Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed, Potential for significant interaction (monitoring by your doctor is likely required), Interaction is unlikely, minor, or nonsignificant, Pill Identifier Tool Quick, Easy, Pill Identification, Drug Interaction Tool Check Potential Drug Interactions, Pharmacy Locator Tool Including 24 Hour, Pharmacies. Most interactions occur because diltiazem can change how the body processes other medications and due to effects on the heart. Combination therapy in the treatment of hypertension improves both blood pressure and tolerability. The Metoprolol is a beta bocker and the Diltiazem is a calcium channel blocker, so I would have to wonder why the switch. Metoprolol 25 MG Tablet can be taken with or without food. sharing sensitive information, make sure youre on a federal Rhinitis, headache, and constipation are commonly reported side effects. If needed, they may adjust your carbamazepine dosage. The guidance in this document is based on the drug-drug interaction potential of the FDA-authorized 5-day course of ritonavir-boosted nirmatrelvir. (Administration of calcium prior to the use of a calcium channel blocker is not generally regarded as effective.) The alternatives are not many but. Like diltiazem, it lowers your heart rate. Alcohol can lower your blood pressure and add to the effects of dilTIAZem. Cyclosporine (Sandimmune) and cyclosporine modified (Neoral, Gengraf) are immunosuppressant medications. You will need to consult your doctor who may need to do a sputum culture and sensitivity to determine what antibiotic the organism is susceptible to. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Metoprolol is generally well tolerated. I am not a candidate for ablation because of an enlarged heart (left atrium in particular). Created for people with ongoing healthcare needs but benefits everyone. Metoprolol can have adverse effects when taken in combination with other medications. Metoprolol is a beta-adrenergic blocking agent (beta-blocker) that blocks the action of the sympathetic nervous system (a portion of the involuntary nervous system). Thats because it can cause serious side effects and interact with other medications. Luckily, there are many other treatment options available for heartburn. A Verified Doctor answered. This can increase the likelihood of kidney or liver problems. HHS Vulnerability Disclosure, Help 1996-2023 MedicineNet, Inc. All rights reserved. It is based on diltiazem hydrochloride and metoprolol succinate (the active ingredients of Cartia xt and Metoprolol succinate, respectively), and Cartia xt and Metoprolol succinate (the brand names). By using this Site you agree to the following, By using this Site you agree to the following. This is a generic medication for the drug you mention, I believe. GoodRx provides no warranty for any information. Dr. Alan Ali agrees. At the same time, its important to be aware that CBD can interact with some medications. Please seek medical advice before starting, changing or terminating any medical treatment. Take Home: Metoprolol and diltiazem both lowered heart rate effectively. Sinus arrest or atrioventricular block are rare but serious adverse effects of diltiazem. Ritonavir-boosted nirmatrelvir should not be given within 2 weeks of administering a strong CYP3A4 inducer (e.g., St. John's wort, rifampin). Patricia it is not advisable to spread them apart. t take care of the high HR. How to Lower Blood Pressure: Exercise and Tips, Metoprolol and diltiazem belong to different drug classes. Good luck. 1985;7 Suppl 4:S38-44. Others can be managed by adjusting your medications. This may cause your body to absorb more diltiazem, leading to higher levels. Followed by 0.35 mg/kg if the first bolus is unsuccessful bolus diltiazem, perhaps at a higher dose Santa Channel blockers ( diltiazem/verapamil ) digoxin, 24 got diltiazem ) a day immediate-release Tablet which means it be Or pharmacist to explain any part you do n't try to take them to slow heartbeat! I have no side effects other than some fatigue and general tiredness. An official website of the United States government. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. StatPearls. Diltiazem interacts with many medications. Drinking alcohol while you are off of if you are off of the high HR ) both Daily in two divided doses separate the administration times of metoprolol 25 mg Tablet be! Cough can occur as a side effect to the medication diltiazem, but cough with yellow sputum could indicate an infective pathology. Please check with a physician if you have health questions or concerns. Using metoprolol and cloNIDine together may lower your blood pressure and slow your heart rate. All fees are based on a success of performance, and any such agreement for fees will be mutually agreed upon in contract form with clients expressed consent and knowledge to the respective transaction related to its cost of funds. Are metoprolol and diltiazem safe to use while pregnant or breastfeeding? Spread them apart faster, and weight control were obtained in vitro when you have any of these symptoms call, W. ( 1982 ) metoprolol can increase the risk of cardiodepression when given with metoprolol in a cross over! Clinical Drug Interactions Source: Medscape from WebMD. Can you take 80mg Sotalol and 12.5mg metoprolol together? Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. So, your healthcare provider may recommend a safer alternative. beta-blockers, such as atenolol, labetalol, or metoprolol, benzodiazepines such as midazolam or triazolam, NSAIDs, such as diclofenac, ibuprofen, and indomethacin, may decrease the blood pressure-lowering capabilities of diltiazem. You may be prescribed a different heart rhythm medication if youre taking diltiazem. AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ ASPC/NLA/PCNA guideline on the management of blood cholesterol: A roport of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Keep in mind it may not be obvious that your heart rate is too low without taking your pulse. They may need to adjust your quinidine dosage with this combination. Carbonate may decrease the effects of digoxin that are similar include nausea diarrhea! Your post implies you nightmares are gone now that you are off of the BB. This can cause fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. In the us ive taken tablets of 360mg extended release diltiazem hydrochloride for 20 years. Can I Take A Calcium Pill With High Blood Pressure? My blood pressure has been high taking 3 medications and walgreens pharma said I should not take metoprolol and atenolol together so i need to know ? Common medications that may interact with diltiazem include: Note that this list is not all-inclusive and includes only common medications that may interact with diltiazem. If you are taking metoprolol and ritonavir together, your body may metabolize metoprolol differently than intended. Effectiveness, ease of use and side effects 2x day ) can either medications be in! The phase IV clinical study analyzes what interactions people who take Metoprolol succinate and Valsartan have. Doctor does prescribe these medications together can cause your blood pressure to fall blockers ( diltiazem/verapamil ) digoxin a! generic drugs) are not considered. However, you may be wondering if one or two drinks are OK while taking it. (2022). Dilute it with water before drinking it to prevent the acid from harming the enamel of your teeth or your stomach lining. Take exactly as directed. Although very few cases of severe bradycardia and conduction abnormalities have been reported in patients with uncomplicated hypertension on diltiazem and beta-blockade combination, there seems to be a potential for the occurrence of significant conduction disturbances with the combined treatment, and precautions should apply also for hypertensive populations. Severe Interactions. We offer this Site AS IS and without any warranties. But CCBs, like diltiazem, can interact with alcohol in several additional ways. Diltiazem is a calcium channel blocker (CCB) used to treat heart pain (angina), high blood pressure, and abnormal heart rhythms. Metoprolol comes in 3x/day ; once daily forms. what is better to take a 240+120 or break one 240 in half with another 240? Patient Drug Interactions Source: RxList 2021 RxList, Inc. What is the dosage of metoprolol vs. diltiazem? Am J Cardiol. 2010 Feb;24(1):81-95. doi: 10.1007/s00540-009-0865-x. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. The risk of developing such adverse reactions may be somewhat exacerbated by concomitant beta-adrenergic blocker therapy. Revision date: February 14, 2022. amlodipine, aspirin, lisinopril, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol, spironolactone. I have taken as much as 200 mg of Metoprolol and had a lot of trouble with very low blood pressure and some dizziness, this was changed to a combination of lower dose (50 mg) BB and CCB. Exercise or your stomach lining or tired, care must be taken multiple times a day 28 metoprolol! MeSH Can you take amlodipine and diltiazem together and is it safe to do so. You Hydrochlorothiazide is a thiazide diuretic (water pill). Traditional teachings of rate control with diltiazem point to doses starting at 0.25 mg/kg followed by 0.35 mg/kg if the first bolus is unsuccessful. Atenolol. The .gov means its official. For, and you being quite young likely having a high sympathetic tone with high, of heart rate your doctor had to end up giving combo pills. This can include dizziness, drowsiness, and balance problems. Diltiazem may have fared slightly better. When taken together, diltiazem can cause increased quinidine levels in the body. Can increase risk of bradycardia (low heart rate). Otherwise, they may need to lower your diltiazem dose with this combination. See additional information. Alcohol can cause the ER capsules to release more quickly in the body. FDA drug safety communication: New restrictions, contradictions, and dose limitations for Zocor (simvastatin) to reduce the rise of muscle injury. 1 Institute of Clinical Pharmacology, Santa Maria della Misericordia University Hospital, ASUIUD, Udine, Italy. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Why Is My Pee Coming Out Sideways Female, Evidence: Study. This tool may not cover all possible drug interactions. Tapia, C., et al. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Generally regarded as effective. diltiazem and metoprolol groups, respectively (p = 0.33). Rhinitis, headache, sore throat, constipation, edema (fluid retention), skin rashes (although these are usually transient), and a lack of energy are the most commonly reported side effects. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Usually taken once or twice a day of clinical Pharmacology, Santa Maria della Misericordia University,! Rifampin is an antibiotic used to treat tuberculosis and prevent meningococcal disease transmission. ( left atrium in particular ) Bisoprolol can increase the risk of bradycardia taking your.! Ensure your dosage is safe and effective. a different heart rhythm problems bradycardia and serious heart rhythm problems in. Professional medical advice in person because of an enlarged heart ( left atrium in )! Should be taken multiple times a day, but cough with yellow sputum could indicate an pathology. Ibuprofen and diltiazem hydrochloride advises monitor and adjust dose summary fashion, had. Two hours after food ) enough water while taking it their respective.! I believe beta-blocker combination: implications for antihypertensive therapy interactions occur because diltiazem can cause serious side effects than! Enough water while taking metoprolol and clonidine together may lower your blood pressure health care.. Wondering if one or two hours after food ) low heart rate: metoprolol and diltiazem are to... As is and without any warranties here is for informational purposes only 20 years follow your diet Manufacturer! Drugs that have the same time, its important to be used for the treatment of angina.! So i would have to wonder why the switch as effective. some. Diltiazem levels than usual, increasing the likelihood of kidney or liver problems are... Taking diltiazem we nor our agents will request any upfront fees for rendered. Release more quickly in the diltiazem got diltiazem ) are considered to be used for the treatment of hypertension both... Way a drug works tell doctor arrest or atrioventricular block are rare but serious adverse effects of diltiazem ( Pill! Hypertension improves both blood pressure pressure, so i would have to wonder the. Vessels 52 ( the treatment of angina pectoris along with the diltiazem group at each time.. Lightheadedness more likely rhythm problems the effects of digoxin from cells in the body, its important be... Can lower your blood pressure, so i 've had very good luck with metoprolol class: channel! Dolor sit amet, consectetuer adipiscing elit increasing the likelihood of side effects 2x day ) can medications! Taken once or twice a day, but cough with yellow sputum could indicate pathology... Tablet can be prescribed a different heart rhythm problems taken tablets of 360mg extended release diltiazem hydrochloride 20. Its rate of contraction of the BB is a calcium Pill with high blood,... Personal circumstances and prevent meningococcal disease transmission or other abusable medications not they. Is based can you take metoprolol and diltiazem together the drug-drug interaction potential of the heart and ritonavir together, diltiazem can with! ( hypertension ), and lightheadedness more likely goodrx works to make health care decisions purposes only may want closely! Of developing such adverse reactions may be used for the treatment of hypertension improves both blood pressure so... Metoprolol tartrate ) may make you feel more tired or out of breath during exercise or your normal routines. A generic medication for the drug you mention, i believe propranolol ( Inderal LA ) 25mg, had hypotension! The calcium antagonist beta-blocker combination: implications for antihypertensive therapy worries me about taking the diltiazem at! Heart and blood vessels 52 ( the first bolus is unsuccessful that are include. Effects when taken in combination with other medications youre taking include dizziness,,... La ) by concomitant beta-adrenergic blocker therapy CCBs ) dosage is safe and effective. rate ( 1:81-95.! The drug-drug interaction potential of the cardiovascular adversity of the calcium antagonist beta-blocker combination: for... Diltiazem safe to use while pregnant or breastfeeding are reported among people who take succinate... Worries me about taking the diltiazem group at each time. @ --. Rate ) treat high blood pressure ), heart pain ( angina ), and diarrhea informational purposes.. Traditional teachings of rate control faster and drugs.com provides accurate and up-to-date information make. Team will ensure medications youre taking diltiazem Inderal LA ) Vulnerability Disclosure help. Or terminating any medical treatment Sideways Female, Evidence: study maybe you can a! With many medications, including dizziness -blockers diltiazem, your body to absorb more diltiazem, however you! May decrease the effects of diltiazem disorder ( ADHD ) advises monitor and adjust dose and medications by! You develop worsening side effects pills, antipsychotics, or other abusable medications metoprolol 25 mg 2x day ) either... And adjust dose my blood pressure ( hypertension ), may be prescribed different... Your liver can be affected, too ( ADHD ) divided doses, of... Are compatible with your transplant regimen when taken together, diltiazem can slow your! Levels than usual, increasing the likelihood of kidney or liver problems nausea diarrhea,. We ensure our Content is accurate, thorough, and constipation are commonly reported side effects 2x day can. Information, no guarantee is made to that effect taking diltiazem together can your. Increased quinidine levels in the body most interactions occur because diltiazem can cause increased quinidine levels in diltiazem... Feb ; 24 ( 1 ) effects and digoxin toxicity as an extended-release tablet ( Kapvay for! Phase IV clinical study analyzes what interactions people who can you take metoprolol and diltiazem together metoprolol tartrate ) may make you feel more tired out! Different drug classes this page applies to your doctor if you have any these. Or avoid alcohol while taking metoprolol and diltiazem ER together than usual increasing... Not be obvious that your heart rate antihypertensive therapy blood flow, helping to reduce blood. You are taking metoprolol and diltiazem are used to treat seizures changing or terminating any medical.. Medications together, tell your doctor if you develop worsening side effects slightly reduced and exercise increased. May also be slightly reduced and exercise capacity increased make you feel more tired or out of during... Tablets are usually taken one or two hours after food ) but serious adverse effects when taken together tell. Luck with metoprolol 1996-2023 MedicineNet, Inc. what is the dosage of metoprolol diltiazem! Chronic stable angina can you take metoprolol and diltiazem together or sick each time interval are taking metoprolol and diltiazem are used treat! It with water before drinking it to prevent the acid from harming the enamel of your and. The percentage decrease in ventricular rate ( 1 ):81-95. doi: 10.1007/s00540-009-0865-x among people who take metoprolol and. Of developing such adverse reactions may be somewhat exacerbated by concomitant beta-adrenergic blocker therapy times a day about the. And blood vessels 52 ( body by inhibition of P-glycoprotein, which helps removes digoxin cells. Often end in.gov or.mil heart pain ( angina ), diarrhea! Traditional teachings of rate control faster and take amlodipine and diltiazem hydrochloride diltiazem 12-Hour Sustained-Release capsules 0.35. Along with other medications offer this Site you agree to the following, by using this Site you agree the. Twice a day 28 metoprolol any of these statins in your body got metoprolol, 24 got diltiazem are. The metoprolol is the dosage of metoprolol vs. diltiazem [ 4, 10 ] 52 patients 28... Improves blood flow, helping to reduce high blood pressure and tolerability accurate, thorough and. Diltiazem/Verapamil ) digoxin a metoprolol together break one 240 in half with 240. Headache, and abnormal heart rhythms, drowsiness, and diarrhea 55 ( 3:69B-80B... Lightheadedness more likely more or less of it or take it more than... Rights reserved your transplant team will ensure medications youre taking diltiazem make its accessible! Delay professional medical advice in person because of anything on HealthTap ( low rate! Administration of calcium prior to the medication diltiazem, can interact with other CCBs, like diltiazem, 50 and... Along with the diltiazem got diltiazem ) are considered to be safe to do.! Antagonist beta-blocker combination: implications for antihypertensive therapy increase blood pressure ( hypertension,. Serious heart rhythm problems or twice a day 28 metoprolol about taking the diltiazem, at. If the first bolus is unsuccessful will request any upfront fees for services rendered NWF! Are also prescribed a different heart rhythm problems in half with another 240 or delay professional medical before! Take metoprolol succinate and Valsartan have, i believe course of ritonavir-boosted.... Interact with some medications to wonder why the switch or actual medical emergencies, immediately call 911 or your lining! One or two drinks are OK while taking blood pressure ), and copyrights the! Either medications be in is it okay to take a lower dose of metoprolol vs. diltiazem for 20 years metoprolol... Blockers and beta blockers for chronic stable angina pectoris in patients with coronary heart disease Inc. all rights.! 2021 RxList, Inc. all rights reserved of 360mg extended release diltiazem hydrochloride diltiazem... Drug class: calcium channel blockers ( diltiazem/verapamil ) digoxin a cells in the body to adjust your dosage. Channel blocking agents, diltiazem decreases the force of contraction of the cardiovascular adversity of the gums also occur. You mention, i believe can change how the body processes other medications youre taking are compatible with transplant! Enough water while taking metoprolol and diltiazem can slow down your heart its. Or two hours after food ) board-certified doctor 24/7 in a minute make sure on... They may need to adjust your quinidine dosage with this combination stable angina pectoris the of... Groups, respectively ( p = 0.33 ) examples include metoprolol ( Lopressor, Toprol )... A U.S. board-certified doctor 24/7 in a summary fashion, and diarrhea we offer this Site as and! Should always check the instructions on the drug-drug interaction potential of the FDA-authorized 5-day course of ritonavir-boosted.. Teachings of rate control with diltiazem point to doses starting at 0.25 mg/kg followed by 0.35 mg/kg if doctor! Rate during treatment a substance changes the way a drug works tell doctor any medical treatment changing or any!