How much diltiazem should I take for AFIB?

Objectives: Diltiazem is one of the most commonly used medications to control the rapid ventricular response in atrial fibrillation (AF). The recommended starting dose is an intravenous bolus of 0.25 mg/kg over 2 minutes.

Is 120 mg of diltiazem a lot?

Adult dosage (ages 18 to 64 years) Extended-release capsules: The standard starting dose is 120–180 mg taken by mouth once per day. Your doctor may increase your dose to 480 mg taken once per day.

What are the side effects of diltiazem 120?

Common side effects of Cardizem include:

  • dizziness,
  • lightheadedness,
  • weakness,
  • tired feeling,
  • nausea,
  • upset stomach,
  • flushing (warmth, redness, or tingly feeling),
  • sore throat,

Is diltiazem good for atrial fibrillation?

In the treatment of atrial arrhythmias, diltiazem is considered an effective rate-control drug. The authors’ recommendation for patients with atrial fibrillation or supraventricular tachycardia is 120 mg every 12 h (66.6% of the experts) as the proper dose for reducing the heart rate.

How long does diltiazem take to work for AFib?

The oral immediate release diltiazem tablet has a fast onset of action of 30-60 minutes and is dosed every 6 hours. Intravenous continuous infusion diltiazem has a variable onset of action with a titration frequency of every 15-30 minutes.

Is diltiazem used to treat atrial fibrillation?

The calcium channel blockers diltiazem (Cardizem) and verapamil (Calan, Isoptin) are effective for initial ventricular rate control in patients with atrial fibrillation. These agents are given intravenously in bolus doses until the ventricular rate becomes slower.

How quickly does diltiazem start working?

Diltiazem starts to work on the day you start taking it, but for high blood pressure and angina it may take a couple of weeks to work fully. If you’re taking diltiazem for high blood pressure, you may not have had any symptoms before. In this case, you may not feel any different when you take it.

What is the best exercise for atrial fibrillation?

Once you’ve warmed up, try exercises such as power walking, jogging, or hiking to get a good workout without overloading your heart. Riding an exercise bike or using an elliptical machine or treadmill are also safe workouts for people with AFib. Lifting light weights can also be a good workout.

Can I exercise on diltiazem?

No adverse reactions were reported during the study. Therefore, we conclude that 240 mg/day of diltiazem improves significantly exercise performance in patients with angina pectoris due to fixed coronary artery disease and adverse effects, rarely, if ever, occur at this dosage.

What kind of pill is 120 mg of diltiazem?

Pill with imprint 120 120 is Purple, Capsule-shape and has been identified as Diltiazem Hydrochloride Extended-Release 120 mg. It is supplied by Physicians Total Care, Inc.. Diltiazem is used in the treatment of atrial fibrillation; high blood pressure; heart failure; angina pectoris prophylaxis; atrial flutter (and ),…

How often should you take diltiazem for atrial fibrillation?

Expert Recommendations. In the treatment of atrial arrhythmias, diltiazem is considered an effective rate-control drug. The authors’ recommendation for patients with atrial fibrillation or supraventricular tachycardia is 120 mg every 12 h (66.6% of the experts) as the proper dose for reducing the heart rate.

How to covert from IV to Po diltiazem?

IV to PO diltiazem: Oral dose = (IV drip rate [in mg/hr] x 3 + 3) x10 Steps to covert from diltiazem IV to PO Std rates for diltiazem generally convert as follows: Calculate total daily oral dose Round dose to a 30 mg increment,divide this daily dose by 4 to give Q6Hdosing Give first PO dose 1 hour prior totitrating drip

Is it safe to take diltiazem with hypotension?

Although it is very effective for rate control, up to an 18% prevalence of reported diltiazem-induced hypotension [defined by systolic blood pressure (SBP) < 90 mm Hg], and a mean of 9.7% hypotension have been reported from several studies totaling over 450 patients. This hypotension may complicate therapy.