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compositionComposition:DILTIAZEM-90MG
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Prescription Medicine
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Dilzem CD-90 Capsule is used to treat mild to moderate hypertension (high blood pressure). It is also indicated in the management of chronic stable angina and angina due to coronary artery spasms. It contains Diltiazem, which works by relaxing the blood vessels in the heart and thereby reducing the raised blood pressure. It eases anginal chest pain by preventing the narrowing of blood vessels and dilating the coronary arteries. In some cases, you may experience certain common side effects, such as swelling in the hands, feet, and ankles, headache, dizziness, palpitations, constipation, and indigestion. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

DILTIAZEM-90MG

Manufacturer/Marketer :

Torrent Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Dilzem CD-90 Capsule

Dilzem CD-90 Capsule is a prescription medication used primarily to treat high blood pressure and to prevent chronic chest pain, also known as angina. By managing these conditions, this medication helps protect your cardiovascular system from long-term damage, such as heart attacks or strokes. It belongs to a class of medications that work directly on the blood vessels and the heart muscle to keep them functioning smoothly.

To achieve the best results, you must take Dilzem CD-90 Capsule consistently every single day, exactly as your doctor has prescribed. Depending on the specific formulation you are given, you can typically take this medication with or without food, though taking it at the same time each day helps maintain steady levels in your body. Making simple diet and lifestyle adjustments, such as reducing your daily salt intake and staying physically active, will also help maximise the benefits of this treatment.

While taking Dilzem CD-90 Capsule , some people may experience mild side effects, such as a mild headache, dizziness, or light swelling in the ankles. These symptoms are common and often resolve on their own, but you must consult your doctor immediately if you experience severe symptoms, such as an exceptionally slow heart rate, extreme dizziness, or signs of liver damage like yellowing of your skin or eyes.

Do not take this if you have certain pre-existing heart conditions, including a very slow heart rate, severe heart failure, or heart block, unless you have a functioning pacemaker. Before starting this medication, talk to your doctor if you have kidney problems, liver disease, or any history of heart rhythm disorders, so they can ensure it is safe for you.

This medication can interact with other substances; for example, combining it with alcohol can cause your blood pressure to drop too low, and smoking can decrease how well the medicine works for chest pain. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, consult your doctor or pharmacist before using this medication, as your dosage may need close monitoring.

Uses of Dilzem CD-90 Capsule

Your doctor may prescribe Dilzem CD-90 Capsule to treat several conditions, including:

  • High Blood Pressure (Hypertension): Dilzem CD-90 Capsule relaxes and widens your blood vessels, which lowers blood pressure and reduces the strain on your heart and arteries.
  • Chest Pain (Angina): By improving blood flow and reducing how hard your heart has to work, this medicine helps prevent chest pain during physical activity or stress.
  • Heart Rhythm Management: In specific cases, your doctor may prescribe this medication to help control rapid or irregular heartbeats, allowing the heart to pump blood more steadily.

Key Benefits

When taken as prescribed, Dilzem CD-90 Capsule offers several important benefits, including:

  • Taking Dilzem CD-90 Capsule brings meaningful, real-world relief by keeping your blood pressure under control. This long-term management drastically lowers your risk of life-threatening events, such as strokes, heart attacks, and kidney failure, giving you peace of mind about your cardiovascular health.
  • For those suffering from chest pain, this medicine provides preventative relief that allows you to return to your daily routine. By reducing how often you experience angina, Dilzem CD-90 Capsule helps you enjoy physical activities, light exercise, and daily chores with far less discomfort and worry.
  • Additionally, it improves your overall heart efficiency. By slowing down a rapid heart rate and relaxing tense blood vessels, it ensures your heart does not have to struggle to distribute oxygen-rich blood throughout your body.
     
Side effects of Dilzem CD-90 Capsule
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Reduce salt intake to minimize fluid buildup.
  • Use compression stockings, sleeves, or gloves.
  • Gently massage the affected area towards the heart.
  • Protect the swollen area from injury and keep it clean.
  • Use lotion or cream to keep the skin moisturized.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Directions for Use

Follow these steps to apply Dilzem CD-90 Capsule safely and effectively:

  • Swallow the tablet or capsule whole with a full glass of water. Do not crush, chew, or break the medication, especially if you are taking an extended-release version.
  • Try to take your dose at the same time every day to keep a steady amount of the medicine in your body.
  • You can take this medicine with or without food, but be consistent with whichever method you choose.
  • Always follow your doctor's exact instructions regarding how to take this medication. Never change your dose or stop taking it suddenly without consulting your healthcare provider first.
     

How Dilzem CD-90 Capsule Works

Dilzem CD-90 Capsule works by blocking calcium from entering the muscle cells of your heart and blood vessels. Because calcium is responsible for causing muscles to contract and tighten, blocking its entry allows the muscle walls of your blood vessels to relax and widen. As your blood vessels relax, blood can flow through them with much less resistance, which naturally lowers your blood pressure. At the same time, this relaxing effect slows down the electrical impulses in your heart, which helps control your heart rate and reduces the amount of oxygen your heart muscle needs to function. This dual action keeps your heart beating at a calm, steady, and efficient pace.
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Alcohol

Unsafe

You are recommended to avoid alcohol consumption while taking Dilzem CD-90 Capsule to avoid unpleasant side-effects.

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Pregnancy

Unsafe

Dilzem CD-90 Capsule is pregnancy risk category C medicine, and its efficacy and safety have not been established. Hence, it is not recommended to take Dilzem CD-90 Capsule while you are pregnant or planning for pregnancy. Please consult your doctor if you have any concerns regarding this.

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Breast Feeding

Unsafe

It is not recommended to take Dilzem CD-90 Capsule while you are breastfeeding as Dilzem CD-90 Capsule may pass into breast milk. Please consult your doctor if you have any concerns regarding this.

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Driving

Unsafe

Dilzem CD-90 Capsule may cause dizziness and tiredness, do not drive or operate heavy machinery if you experience these symptoms.

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Liver

Caution

Dose adjustment may be needed. Dilzem CD-90 Capsule should be used with caution in patients with liver disease.

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Kidney

Caution

Dose adjustment may be needed. Dilzem CD-90 Capsule should be used with caution in patients with kidney disease.

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Children

Unsafe

Dilzem CD-90 Capsule is not recommended for children below 18 years of age, as the efficacy and safety have not been established.

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Heart

Safe if prescribed

Dilzem CD-90 Capsule can be used in heart patients if prescribed by the physician to reduce the risk of coronary heart disease, heart attack and stroke. Please consult your physician if you have any concerns.

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Geriatrics

Caution

Dilzem CD-90 Capsule should be used in elderly patients with proper monitoring and individualised care, as it can cause age-related kidney/liver problems.

What if I have taken an overdose of Dilzem CD-90 Capsule

Do not take more than the prescribed dose of Dilzem CD-90 Capsule as it may cause overdose. The symptoms of overdose include severe dizziness, fainting, slow heart rate, and low blood pressure. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Reduce Salt Intake: Eat a low-sodium diet to help your medication work more effectively at keeping your blood pressure in a safe range.
  • Avoid Grapefruit: Do not eat grapefruit or drink grapefruit juice while taking this medicine, as it can cause dangerous amounts of the drug to build up in your body.
  • Stay Safely Active: Incorporate moderate, low-impact exercise, like walking or swimming, into your weekly routine, but always consult your doctor before starting any new fitness program.
  • Avoid Smoking and Limit Alcohol: Smoking damages your blood vessels and can worsen chest pain, while alcohol can interact with Dilzem CD-90 Capsule to cause sudden, severe drops in blood pressure.
  • Keep a Blood Pressure Log: Check your blood pressure and heart rate regularly at home and write down the numbers to share with your doctor at your next visit.

Have a query?

How Soon It Starts Working

  • The time required for Dilzem CD-90 Capsule to start to work: Dilzem CD-90 Capsule ideally shows its action within 2 to 4 hours after administration.
  • The time for which the effects of Dilzem CD-90 Capsule last: The effect of Dilzem CD-90 Capsule lasts for 9 hours.

What if you forget to take Dilzem CD-90 Capsule

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

Storage

• Store Dilzem CD-90 Capsule at room temperature, strictly between 20°C and 25°C (68°F to 77°F). •Keep the medication inside its original packaging, tightly closed, to protect it from direct sunlight and moisture.

Drug Warnings

  • Check Your Pulse Regularly: If your resting heart rate drops below 50 beats per minute, or if you feel exceptionally weak, skip your next dose and call your doctor immediately.
  • Rise Up Slowly: To prevent sudden dizziness or fainting, take your time when standing up from a sitting or lying position.
  • Inspect Your Medicine: Always look at your tablets or capsules before taking them; do not take any pills that are broken, cracked, or discolored.
  • Inform Your Healthcare Team: Always tell your dentists, surgeons, and other doctors that you take Dilzem CD-90 Capsule before undergoing any medical procedures or tests.
  • Never Stop Suddenly: Stopping this medicine abruptly can cause your blood pressure to surge or your chest pain to return worse than before. Always talk to your doctor to safely and gradually decrease your dose if needed.

Drug-Drug Interactions

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Drug-Drug Interactions

Inform your doctor if you are taking any of the following medicines, as they may interact.

  • Beta-blockers: Taking these alongside Dilzem CD-90 Capsule can cause your heart rate to drop to dangerously slow levels or lead to heart block.
  • Digoxin: This medicine can increase the levels of digoxin in your blood, which raises the risk of digoxin toxicity.
  • Certain Cholesterol Medicines (Statins): Dilzem CD-90 Capsule can increase the concentration of certain statins in your body, which increases the risk of severe muscle pain and damage.
  • Other Blood Pressure Medicines: Combining this medicine with other drugs that lower blood pressure can cause your pressure to fall too low, leading to severe dizziness.

Drug-Food Interactions

  • Grapefruit and Grapefruit Juice: Interferes with how your liver processes Dilzem CD-90 Capsule , leading to dangerously high levels of the medication in your bloodstream.
  • Alcohol: Can increase the blood pressure-lowering effect of the medicine, making you feel lightheaded, drowsy, or prone to fainting.

Drug-Disease Interactions

Inform your doctor if you have a history of the following conditions before taking Dilzem CD-90 Capsule , as it may worsen your condition or cause complications.

  • Heart Block or Sick Sinus Syndrome: This medicine can worsen electrical conduction issues in the heart, and should not be used by patients with these conditions unless they have a working pacemaker.
  • Severe Heart Failure: Because this medication relaxes the heart muscle, it may worsen fluid retention and breathing difficulties in people with severe heart failure.
  • Liver or Kidney Disease: Impaired liver or kidney function can slow down how your body clears this medicine, meaning you may require a lower dose to avoid side effects.
DiltiazemLomitapide
Critical

Drug-Drug Interactions

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How does the drug interact with Dilzem CD-90 Capsule:
When Pimozide and Dilzem CD-90 Capsule are taken together, the body's ability to break down Pimozide may be reduced.

How to manage the interaction:
Taking Dilzem CD-90 Capsule with Pimozide is not recommended, please consult your doctor before taking it.
DiltiazemLomitapide
Critical
How does the drug interact with Dilzem CD-90 Capsule:
When Lomitapide and Dilzem CD-90 Capsule are taken together, the body's ability to process Lomitapide may be reduced.

How to manage the interaction:
Taking Dilzem CD-90 Capsule with Lomitapide is not recommended, please consult your doctor before taking it.
DiltiazemEliglustat
Critical
How does the drug interact with Dilzem CD-90 Capsule:
When Eliglustat and Dilzem CD-90 Capsule are taken together, the body's ability to break down Eliglustat may be reduced.

How to manage the interaction:
Taking Dilzem CD-90 Capsule with Eliglustat is not recommended, please consult your doctor before taking it.
DiltiazemFlibanserin
Critical
How does the drug interact with Dilzem CD-90 Capsule:
When Flibanserin and Dilzem CD-90 Capsule are taken together, the body's ability to break down Flibanserin may be reduced.

How to manage the interaction:
Taking Dilzem CD-90 Capsule with Flibanserin is not recommended, please consult your doctor before taking it.
DiltiazemNaloxegol
Severe
How does the drug interact with Dilzem CD-90 Capsule:
When Naloxegol and Dilzem CD-90 Capsule are taken together, the breakdown of Naloxegol in the body may be reduced.

How to manage the interaction:
Although there is a possible interaction between Naloxegol and Dilzem CD-90 Capsule, you can take these medicines together if prescribed by your doctor. If you're having any of these symptoms like sweating, runny nose, or abdominal pain, it's important to let your doctor know right away. They may be able to recommend other options that won't cause these symptoms. Don't worry, there are ways to help you feel better. Do not discontinue any medications without first consulting your doctor.
How does the drug interact with Dilzem CD-90 Capsule:
When Avanafil and Dilzem CD-90 Capsule are taken together, the breakdown of Avanafil in the body may be slowed down.

How to manage the interaction:
There may be a possibility of interaction between Dilzem CD-90 Capsule and Avanafil, but it can be taken if prescribed by a doctor. If you're having any of these symptoms like low blood pressure, dizziness, or chest pain, it's important to contact your doctor right away. They may be able to recommend other options that won't cause these problems. Other symptoms to watch out for include lightheadedness, fainting, changes in vision or hearing, ringing in the ears, or a prolonged and painful erection. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Dilzem CD-90 Capsule:
Taking Flecainide and Dilzem CD-90 Capsule can increase the risk of developing irregular heart rhythms.

How to manage the interaction:
Although taking Flecainide and Dilzem CD-90 Capsule together can evidently cause an interaction, it can be taken if your doctor has suggested it. If you experience dizziness, chest discomfort, difficulty breathing, or palpitations, make sure to contact your doctor immediately. Do not stop using any medications without a doctor's advice.
DiltiazemAlfentanil
Severe
How does the drug interact with Dilzem CD-90 Capsule:
When Dilzem CD-90 Capsule is taken with Alfentanil, it can slow down the breakdown of Alfentanil in the body.

How to manage the interaction:
Although there is a possible interaction between Dilzem CD-90 Capsule and Alfentanil, you can take these medicines together if prescribed by your doctor. If you have any of these symptoms, it's important to contact your doctor right away. These symptoms include feeling very tired, having trouble breathing, feeling dizzy or lightheaded, having a low blood pressure, having an irregular heartbeat, or having any other problems. Do not stop using any medications without a doctor's advice.
How does the drug interact with Dilzem CD-90 Capsule:
Taking Nebivolol with Dilzem CD-90 Capsule may increase the risk or severity of side effects.

How to manage the interaction:
Taking Nebivolol with Dilzem CD-90 Capsule together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience fatigue, headache, fainting, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, contact a doctor. Do not discontinue any medications without a doctor's advice.
DiltiazemVoclosporin
Severe
How does the drug interact with Dilzem CD-90 Capsule:
Co-administration of Voclosporin and Dilzem CD-90 Capsule may significantly increase the blood levels of Voclosporin.

How to manage the interaction:
Although there is a possible interaction between Dilzem CD-90 Capsule and Voclosporin, you can take these medicines together if prescribed by your doctor. These symptoms include infection, problems with your kidneys, high blood pressure, issues with your nervous system, and heart rhythm problems. Also, if you have high levels of potassium in your blood, it's important to seek medical attention promptly. Do not stop using any medications without first talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[CALCIUM CHANNEL BLOCKERS]

FAQs

Dilzem CD-90 Capsule is used to treat mild to moderate hypertension (high blood pressure). It is also indicated in the management of chronic stable angina and angina due to coronary artery spasms.

Dilzem CD-90 Capsule works by relaxing the blood vessels in the heart, thereby reducing the raised blood pressure. Dilzem CD-90 Capsule ‚ eases anginal chest pain by preventing the narrowing of blood vessels‚ and dilating the coronary arteries.

Dilzem CD-90 Capsule may cause swelling in the fingers, feet, and ankles. To prevent this, avoid sitting or standing for a long time, raise your legs while sitting down, reduce your intake of salt (sodium chloride) and exercise regularly to maintain good circulation.

Dilzem CD-90 Capsule may increase the chance of skin sensitivity (photosensitivity). Avoid prolonged exposure to sunlight. Wear protective clothing and sunscreen whilst going out.

Dilzem CD-90 Capsule may cause light-headedness due to a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better.

You should take your medications regularly at the same time. In addition to that, changing lifestyle may also help to control blood pressure. These changes include eating a healthy diet, low in fat and salt, exercising at least half an hour every day, maintaining a healthy weight, reducing alcohol consumption, and quitting smoking habits.

Uncontrolled high blood pressure may lead to serious complications in several body parts. It causes kidney damage, heart failure, bleeding in the brain and eyes.

No, Dilzem CD-90 Capsule is not a blood thinner. It belongs to the class of medicines called calcium channel blocker. It is used to treat hypertension (high blood pressure), arrhythmias (irregular heartbeat) and angina (chest pain caused by a reduction of oxygen to the heart muscle).

Yes, Dilzem CD-90 Capsule may cause weight gain but not everyone taking Dilzem CD-90 Capsule will experience this. However, consult your doctor or a nutritionist, if you are gaining weight while taking Dilzem CD-90 Capsule .

It is recommended to take Dilzem CD-90 Capsule before meals and at night. Your doctor will decide the dose and should be taken exactly as prescribed by the doctor.

Dilzem CD-90 Capsule may cause sleeplessness but does not affect everyone taking it. If this condition persists or worsens, discuss with your doctor.

You should avoid taking Dilzem CD-90 Capsule if you are allergic to it, have heart failure, an irregular or slow heartbeat, and low blood pressure. Also, it is not recommended for children and women who are pregnant or planning to conceive.

Symptoms of Dilzem CD-90 Capsule overdose include slow/fast/irregular heartbeat, difficulty breathing, fainting, and seizures (fits). It may also cause nausea, vomiting, confusion, dizziness and increased sweating. In case of overdose, contact your doctor immediately or seek emergency medical services in a nearby hospital.

You should take Dilzem CD-90 Capsule for as long as it is advised by your doctor. Do not stop it on your own or reduce your dose. Discontinuing Dilzem CD-90 Capsule suddenly may increase your blood pressure or worsen angina.

You should avoid alcohol consumption while taking Dilzem CD-90 Capsule . Also, avoid driving and operating heavy machinery if you feel dizzy and unwell after taking Dilzem CD-90 Capsule . Additionally, avoid pregnancy and breastfeeding while taking Dilzem CD-90 Capsule .

The serious side effects of Dilzem CD-90 Capsule include yellowing of the skin or eyes, severe allergic reaction, nausea and extreme tiredness. It may also cause unusual bleeding or bruising, loss of appetite and stomach pain. One may also experience an increase in the frequency or severity of chest pain (angina) and flu-like symptoms. If you experience any of these symptoms, contact your doctor immediately.

While caffeine does not directly stop the medicine from working, it can raise your blood pressure and heart rate, which counteracts the benefits of your medication. It is best to limit your caffeine intake while on this treatment. Talk to your doctor.

You should swallow the tablets or capsules whole. Crushing, chewing, or breaking them—especially extended-release versions—can cause the medication to release into your body all at once, which increases the risk of dangerous side effects. Talk to your doctor.

The medicine begins working within a few hours to help lower your blood pressure, but it may take several weeks of consistent daily use to reach its full effect in preventing chest pain. Keep taking it daily even if you do not feel an immediate difference. Talk to your doctor.

In some cases, this class of medication can cause mild swelling or overgrowth of your gums, known as gingival hyperplasia. Brushing, flossing regularly, and keeping up with your dental cleanings can help prevent this. Talk to your doctor.

Some patients do experience mild fatigue, weakness, or dizziness, especially when first starting this medication or after a dose change. Avoid driving or operating machinery until you know how this medicine affects you. Talk to your doctor.

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Country of origin

India

Manufacturer/Marketer address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Other Info - DIL0036
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