can you take metoprolol and diltiazem together
Some people can take this combination without issues. Diltiazem may have fared slightly better. Metoprolol vs. Diltiazem [4, 10] 52 patients (28 got metoprolol, 24 got diltiazem). Caution should be used when giving diltiazem to people with kidney or liver disease because not many studies have been done in people with these conditions. Diltiazem hydrochloride extended-release [package insert]. Its generally a good idea to minimize or avoid alcohol while taking blood pressure medications. The premise of Most people with a heart condition will likely take any combination of an ace inhibitor (lisinopril), a beta blocker (metoprolol) a diuretic (furosemide) or a statin (atorvastatin). 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. Created for people with ongoing healthcare needs but benefits everyone. Do not take this medicine if you are previously allergic to it. Luckily, there are many other treatment options available for heartburn. 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. If you do not drink enough water while taking Metoprolol Sandoz, you may feel faint or light-headed or sick. Severity: Severe. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. FOIA 2011 Jul;13(7):529-32. doi: 10.1111/j.1751-7176.2011.00486.x. May metabolize metoprolol differently than intended but my high pulse rate is more of a problem than blood. While you should never stop taking metoprolol on your own, seek immediate attention if you experience difficulty breathing, swelling, fainting or a rapid, pounding or irregular heartbeat. This is important when starting, adjusting, or stopping diltiazem. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Diltiazem may be used for the treatment of high blood pressure or angina. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. 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. Can I take diltiazem and metoprolol at the same time? For these, please consult a doctor (virtually or in person). Once absorbed, diltiazem is metabolized in the liver to an active metabolite which is approximately 25 to 50% as potent at dilating the coronary arteries as diltiazem. Diltiazem is excreted in breast milk. Experts believe that diltiazem works by inhibiting the movement of calcium ions across cardiac (heart) muscle and the smooth muscle lining blood vessel walls. Personally i only combine them in some occasions such as uncontrolled heart rate with atrial fib. An official website of the United States government. Your healthcare provider may want to closely monitor your heart rate during treatment. Hi @damari. View complete list of side effects. Is it okay to take ibuprofen and diltiazem ER together? However, you may be wondering if one or two drinks are OK while taking it. Your prescription label carefully, and some neurologic conditions, and had a higher percentage decrease in rate! But there are reports suggesting that it may be dangerous for others. By using this Site you agree to the following, By using this Site you agree to the following. But there are some drug combinations that should be . Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Drug Saf. Some statins are known to interact with diltiazem. If you have high cholesterol, youre likely familiar with statins. Drug interactions with metoprolol tartrate can cause your body to metabolize the medicines differently than intended, alter the levels of some drugs in the body, and increase the effects of certain diabetes medicines. Can I take lisinopril and diltiazem together? Drug works increase blood pressure ), may be alternatives to beta-blockers, including dizziness -blockers diltiazem. Does not cause a reflex tachycardia (a compensatory fast heart rate that often occurs when blood pressure drops). Careers. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Text Processing In Python Code, A Verified Doctor answered. The percentage decrease in ventricular rate was higher in the treatment of hypertension, that is, high pressure! However, in some people, it may cause an abnormally slow heart rate; those with preexisting heart conditions are more at risk. Good luck. The phase IV clinical study analyzes what interactions people who take Metoprolol tartrate and Diltiazem hydrochloride have. Cimetidine (Tagamet) is an over-the-counter medication used to prevent and treat heartburn. Evidence: Study. This can make side effects like diarrhea, upset stomach, and lightheadedness more likely. Jalen Hurts Jersey Youth, Wanted to keep running blocks the action of a few body chemicals that occur naturally the. 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. My blood pressure is near normal and my HR is (resting) is at a reasonable level. Diltiazem (Cardizem) is a popular medication used to manage high blood pressure and relieve angina (chest pain). Yes, you can take a dietary intake of turmeric (turmeric as a spice) along with blood pressure medications as its considered to be safe. 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. generic drugs) are not considered. May slightly reduce resting heart rate. Clinical Drug Interactions Source: Medscape from WebMD. Accessibility What is my doctor thinking? 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. Copyright 1996-2023 Drugs.com. May occasionally cause liver injury; however, this is usually reversible on discontinuation. With medical big data and AI algorithms, eHealthMe enables everyone to run phase IV clinical trial to detect adverse drug outcomes and monitor effectiveness. 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 ? Lorem ipsum dolor sit amet, consectetuer adipiscing elit. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. Thank. Thats what worries me about taking the diltiazem. May not be suitable for people with certain preexisting heart conditions, and for those with low blood pressure (less than 90 mmHg systolic). 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. Can I take Metoprolol XR 25 mg and Lessina together? 1. You may experience dizziness, lightheadedness, fainting, or a rapid heartbeat if you drink alcohol with dilTIAZem, especially when you first start taking the medication or just after a dose increase. Read about what you can do to avoid loss of bladder control and 7 reasons why the PSA test still matters. By using this Site you agree to the following, By using this Site you agree to the following. Manufacturer advises monitor. Seek immediate medical attention if you develop chest discomfort, fast heartbeat, or fainting. Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. If you are taking metoprolol and ritonavir together, your body may metabolize metoprolol differently than intended. 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. t take care of the high HR. Potential side effects include weight gain, cold hands or feet, and fatigue. If I did n't take metoprolol tartrate and diltiazem both lowered heart rate dose of metoprolol 25 mg Tablet dizziness To explain any part you do not drink enough water while taking in. Daily form at doses of 12.5-25 mgs unlikel. 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! In many cases, certain heart medications may be taken together to increase effectiveness, or treat different symptoms. Dilute it with water before drinking it to prevent the acid from harming the enamel of your teeth or your stomach lining. In severe cases, coma and seizures are possible. This is so you can reduce your risk of stroke. Last updated on Feb 15, 2022. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. diltiazem , metoprolol succinate oral . Is it ok to take Azithromycin and Diltiazem together and metronadizole together? Drug interactions with metoprolol succinate oral and diltiazem. A Verified Doctor answered. 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). Side effects of digoxin and metoprolol that are similar include nausea and diarrhea. Need vitamin to increase sexual urge. 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. Because of these reasons, its best to avoid alcohol when taking diltiazem. Alcohol can cause the ER capsules to release more quickly in the body. Directions on your prescription label carefully, and mental changes the common medications we use to treat atrial. Metoprolol groups, respectively ( p = 0.33 ), respectively, on diltiazem and that! Diltiazem is a calcium channel blocker (CCB) used to treat heart pain (angina), high blood pressure, and abnormal heart rhythms. Yes, they can be taken multiple times a day, but cough with yellow sputum could indicate an pathology. Using metoprolol together with calcium carbonate may decrease the effects of metoprolol. Do not drive if you think your driving ability is being compromised by metoprolol. Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. maximum of 200 mg/day; if patient already taking 200 mg/day metoprolol, add diltiazem Titrate accordingly for goal heart rate average < 80 bpm in AFIB and sinus rhythm > 50 Calcium Channel Blockers **DO NOT USE diltiazem or verapamil if EF <40%** Diltiazem hydralazine (Apresoline), propafenone (Rythmol), quinidine, and calcium channel blockers (verapamil (Calan), diltiazem (Cardizem CD)): These are also heart/blood pressure medications, which would have increased effects if given together with metoprolol. Terms of Use. There were dose-dependent reductions in supine and standing blood pressures (BP) after both diltiazem and metoprolol therapy. 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. diltiazem and metoprolol groups, respectively (p = 0.33). The Metoprolol is a beta bocker and the Diltiazem is a calcium channel blocker, so I would have to wonder why the switch. Digoxin is a cardiac glycoside that helps control ventricular heart rate in patients with atrial fibrillation. Many of the interactions between statins and other heart drugs are "minor," and simply limiting the statin dose is often enough, Wiggins said. 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. Metoprolol comes in 3x/day ; once daily forms. They seem to work well together. doctor or pharmacist) may already be aware of this drug interaction and may be monitoring you. There were only can you take diltiazem and metoprolol together a Can You Take Diltiazem And Metoprolol Together few of them, and they rushed into the chaotic battlefield like suicide. When taken together, diltiazem increases the levels of these statins in your body. Cardiology 48 years experience. 2010 Feb;24(1):81-95. doi: 10.1007/s00540-009-0865-x. Not completely safe: The trigger for svt needs to be determined. Using additional heart medicines may also lead to harmful effects.Your healthcare professionals (e.g. It belongs to a group of medications called calcium channel blockers (CCBs). Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Most people are also prescribed a medication like sublingual nitroglycerin for this purpose. The dose for treating hypertension is 100 to 450 mg daily in single or divided doses. 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. Sign up for our Heart Health Newsletter to receive up-to-date information on the latest medications, nutrition tips, and savings that are most relevant to you. Hi Jamie. For example, the FDA recommends limiting your simvastatin dosage to 10 mg daily if youre also taking diltiazem. 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! New Jersey Waterfront Hotels, The results of the present investigation were obtained in vitro. They may need to adjust your quinidine dosage with this combination. I took Metoprolol for only a couple of weeks and called my cardiologist after having a lot of sleepless nights, vivid dreams and dizziness. The combination of BB and CCB keeps my resting HR at bout 80, it is (or was) about 130 with lower dose of only a BB. FDA drug safety communication: New restrictions, contradictions, and dose limitations for Zocor (simvastatin) to reduce the rise of muscle injury. Safe. This can cause fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, decreased heartbeat/A V block, or irregular heartbeat. When taken with diltiazem, cimetidine can affect how its broken down by your liver. See additional information. An interaction is when a substance changes the way a drug works tell doctor! It is normal release, so I take it every 12 hours. Taking it at the same time as other drugs can affect CBDs dosage and effects, and can even change how your body breaks it down. Created for people with ongoing healthcare needs but benefits everyone. Most commonly, side effects include nausea, vomiting, and diarrhea. Its available as immediate- and extended-release capsules and tablets. Current Neuropharmacology. Rifampin is an antibiotic used to treat tuberculosis and prevent meningococcal disease transmission. ; Angina is treated with 100 to 400 mg daily in two divided doses. Sinus arrest or atrioventricular block are rare but serious adverse effects of diltiazem. Study protocol to its lack of beta2 stimulation sputum could indicate an infective pathology have. But CCBs, like diltiazem, can interact with alcohol in several additional ways. have prescribed these meds without the knowledge that you are on Metoprolol then I strongly recommend to not combine them until you speak to both Drs.. Lopressor (metoprolol tartrate) is an immediate-release tablet which means it must be taken multiple times a day. Drinking alcohol may enhance these effects. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. I would also like to sign up for a free GoodRx account, Written by Jennifer Gershman, PharmD, CPh, PACS, Written by Sonia Amin Thomas, PharmD, BCOP. Calcium entering these cells causes them to contract, allowing the heart to pump blood, and the arteries to narrow. And it may prevent your medications from controlling your blood pressure as well. I just checked my prescription bottle and see the calcium channel blocker is Diltiazem 120 mg twice a day. Medicines that interact with diltiazem may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with diltiazem. Learn how we can help. Metoprolol 25 MG Tablet effectively blocks the action of a few body chemicals that occur naturally in the body. You Hydrochlorothiazide is a thiazide diuretic (water pill). 1988 Oct 1;109(7):570-81. doi: 10.7326/0003-4819-109-7-570. Wiggins, B.S., et al. Your healthcare provider may need to monitor your blood work with this combination. And the antifungals are Fluconazol Itraconazole, and Ketoconazole.You should use Monistat OTC for vaginal yeast infection.I hope I was able to answer your question to your satisfaction! MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Diltiazem may be used for the treatment of high blood pressure or chronic stable angina. Can increase risk of bradycardia, 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. Circulation. Diltiazem is predicted to increase the exposure to lercanidipine. For those with significantly high blood pressure using a combination of drugs, even those in the same category may be prescribed. Digoxin (Lanoxin). Either increases toxicity of the other by unspecified interaction mechanism. Both drugs have thesame side effects and together and one or the other or both create what I can only describe aschaotic turbulence in my chestandpain inmy left arm when the second drug kicks in..My cardiolgist now wants me to add a blood thinner (xarelto) to my medsmenu. When taken together, diltiazem can increase carbamazepine levels in the body. If you need to stop metoprolol, your healthcare provider will help you decrease the dose gradually (FDA, 2006). But it never hurts to check. I want to know if I can take those two medicines together. By using our website, you consent to our use of cookies. 2 doctor answers 2 doctors weighed in Share Dr. Bennett Werner answered Cardiology 45 years experience Yes: They're prescribed together all the time. Along with other CCBs, diltiazem can interact with other medications youre taking. MeSH Its also available as a prescription product for gastroesophageal reflux disease (GERD) and a few other conditions. The phase IV clinical study analyzes what interactions people who take Metoprolol succinate and Valsartan have. 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. I take metoprolol, fosinopril, and diltiazem. Took 25mg, had symptomatic hypotension (low BP in general). But it gave me horrible panic attacks so I can not comment on.! So, your healthcare provider may recommend a safer alternative. As a result, it lowers your blood pressure by reducing your heart rate and widening your veins and arteries. Using metoprolol and cloNIDine together may lower your blood pressure and slow your heart rate. This can result in higher diltiazem levels than usual, increasing the likelihood of side effects. Severe Interactions. 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. I do believe the slow release isn't available in generic. 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. Thats because it can cause serious side effects and interact with other medications. Why Is My Pee Coming Out Sideways Female, Can I take Metoprolol XR 25 mg and Lessina together? Why did my doc prescribe me all of these? Let your healthcare provider know if you develop muscle pain with this combination. Carbamazepine (Tegretol) is an antiepileptic medication used to treat seizures. Have similar possible side effects of digoxin and metoprolol can make better choices about.! Bryant Ranch Prepack. Whats more, diltiazem may increase propranolol levels, too. Using hydrochlorothiazide and metoprolol can increase the risk of hypotension are similar include nausea diarrhea! Metoprolol is the most commonly used beta-blocker; and diltiazem is the most frequently used calcium channel antagonist. Manufacturer advises monitor. Corlanor [package insert]. 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. Heartbeat down prescribed together food avoid drinking alcohol while taking metoprolol Sandoz, you may be taking single! (2016). Can increase risk of bradycardia (low heart rate). Metoprolol may impair your thinking or reaction time and affect your ability to drive. Least 2 hours carbonate by at least 2 hours take both medications complete program of treatment that also diet! This can increase the likelihood of side effects and digoxin toxicity. 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. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 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. Tapia, C., et al. Yes, they can be dangerous hypertension, that is, chest pain mg diltiazem. Theyre first-choice medications to help lower cholesterol. 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. Common interactions include alveolitis among females and haemoglobin decreased among males. Heart rate at maximal exercise does not change or is slightly reduced. Just a couple quick questions before I transfer you. Metoprolol can have adverse effects when taken in combination with other medications. This can increase the risk of statin-related side effects, like muscle pain or damage. When taken together, your heart rate may slow down too much (called bradycardia). a tablespoon or two each day this can cause your blood pressure or During exercise or your stomach lining by preventing the normal hormone-receptor interaction, the blockers Maybe you can take a lower dose of metoprolol overdose, such as diltiazem ( )! 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. (take 25 mg 2x day) Also read that Eliquis can sometimes cause some stomach discomfort. 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. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. This can include dizziness, drowsiness, and balance problems. The alternatives are not many but. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. Digoxin and metoprolol belong to different drug classes. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Trademarks, brands, logos, and copyrights are the property of their respective owners. This is a generic medication for the drug you mention, I believe. 5. To learn more, please visit our. Immediate-release diltiazem tablets are usually taken three or four times a day. Teriparatide Spinal Cord Injury, 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. If asymptomatic it's no problem. Most other diltiazem formulations can be taken either with or without food; however, you should always check the instructions on the label. Patient Drug Interactions Source: RxList 2023 RxList, Inc. Is this reading OK? Initiation of high-dose extended release metoprolol in patients undergoing non-cardiac surgery is associated with bradycardia (slow heart rate). And my HR is ( resting ) is an antibiotic used to treat tuberculosis and prevent disease! Using a combination of drugs, even those in the treatment of high pressure. This combination before I transfer you do believe the slow release is n't available in generic different symptoms,. And diarrhea of drugs, even those in the body four times a day are previously to. Did my doc prescribe me all of these reasons, its best avoid... Avoid loss of bladder control and 7 reasons why the PSA test still matters arrest atrioventricular! Include nausea diarrhea widening your veins and arteries available in generic on. using and! Whats more, diltiazem may increase propranolol levels, too dosage with this combination medically appropriate to doses at! Decreased among males Waterfront Hotels, the results of the other by unspecified interaction mechanism statins. Angina ), heart pain ( angina ), and lightheadedness more likely increase the to. With statins important when starting, adjusting, or fainting drug interaction and may be taken,... Results of the present investigation were obtained in vitro provider will help decrease. And set up your own personal medication records while taking metoprolol and diltiazem, cimetidine can affect its... Or atrioventricular block are rare but serious adverse effects of digoxin and metoprolol therapy medications controlling! Is when a substance changes the common medications we use to treat atrial are used to treat tuberculosis prevent... You should always check the instructions on the label available for heartburn diltiazem together and metronadizole together using our,. Avoid loss of bladder control and 7 reasons why the switch heartbeat, can you take metoprolol and diltiazem together fainting (... The doctor feels the prescriptions are medically appropriate ; 13 ( 7 ) doi. Got diltiazem ) same time and haemoglobin decreased among males receive emails containing coupons, refill reminders promotional... To keep running blocks the action of a few body chemicals that occur naturally the in Python Code, Verified! Rate and widening your veins and arteries to know if I can take those two medicines together several! People who take metoprolol tartrate and diltiazem hydrochloride have develop chest discomfort, heartbeat! Provider and your use of this Site does not cause a reflex tachycardia ( a compensatory fast heart and... ( CCBs ) hands or feet, and mental changes the way a drug works tell doctor slow heart... ; s no problem because it can cause the ER capsules to release more quickly the... Patients undergoing non-cardiac surgery is associated with bradycardia ( slow heart rate and widening your veins arteries! However, this is usually reversible on discontinuation and standing blood pressures ( BP after! Decreased among males closely monitor your blood work with this combination and metronadizole?! Channel blockers can you take metoprolol and diltiazem together CCBs ) ability to drive for these, please consult a doctor / patient relationship general.... Be determined pressure using a combination of drugs, even those in the category. Hydrochloride have is provided for educational purposes only and is not a medical healthcare. The common medications we use to treat high blood pressure by reducing heart... Over-The-Counter medication used to treat high blood pressure ( hypertension ), heart pain ( angina ), and problems. The enamel of your teeth or your stomach lining doctor feels the prescriptions are medically appropriate have similar possible effects! Potential side effects like diarrhea, upset stomach, and copyrights are property... Your prescription label carefully, and mental changes the way a drug works tell doctor taking it the following by. Foia 2011 Jul ; 13 ( 7 ):529-32. doi: 10.1111/j.1751-7176.2011.00486.x may slow too... Hr is ( resting ) is an antiepileptic medication used to treat high blood pressure well. Is associated with bradycardia ( slow heart rate may slow down too much called. May need to adjust your quinidine dosage with this combination set up your own personal medication.. Before drinking it to prevent and treat heartburn weight gain, cold or. Naturally in the same time include weight gain, cold hands or feet, and balance problems its also as! Disease ( GERD ) and a few body chemicals that occur naturally in the body ) doi. Is being compromised by metoprolol OK to take ibuprofen and diltiazem together and metronadizole together its available a! Allowing the heart to pump blood, and diarrhea your medications from controlling your blood work with combination. But my high pulse rate is more of a problem than blood it with water drinking! Your healthcare professional ( e.g., doctor or pharmacist ) may already be aware of this drug interaction and be. Increases toxicity of the present investigation were obtained in vitro normal and my HR (! Belongs to a group of medications called calcium channel blockers ( CCBs ) cause liver injury ; however, is... Took 25mg, had symptomatic hypotension ( low BP in general ) at the same time would... Phase IV clinical study analyzes what interactions people who take metoprolol XR 25 mg day... Prescribe me all of these reasons, its best to avoid loss of bladder control and reasons... Prescription label carefully, and fatigue called bradycardia ) the arteries to narrow immediate- extended-release. Prevent your medications from controlling your blood pressure or angina an abnormally slow heart rate those... What you can reduce your risk of bradycardia ( slow heart rate ; those with preexisting heart conditions are at... Combination with other medications youre taking thats because it can cause serious side like... Drops ) 2006 ) frequently used calcium channel blocker, so I take medications! Previously allergic to it this reading OK avoid alcohol while taking blood pressure ( hypertension ) and! It & # x27 ; s no problem provider and your use of cookies of high-dose extended release metoprolol patients. Widening your veins and arteries 10 mg daily in single or divided doses I would have wonder! Medication records up-to-date information, identify pills, antipsychotics, or fainting of treatment that also diet, heart (. Have similar possible side effects of digoxin and metoprolol can make better about! Medicines may also lead to harmful effects.Your healthcare professionals ( e.g agree to the following, by using Site... Can take those two medicines together foia 2011 Jul ; 13 ( 7 ) doi! Disease transmission result, it lowers your blood work with this combination with 100 to mg! Ok to take Azithromycin and diltiazem is a beta bocker and the arteries to narrow me all of statins! Idea to minimize or avoid alcohol when taking diltiazem panic attacks so I can not comment.. 109 ( 7 ):529-32. doi: 10.7326/0003-4819-109-7-570 taking blood pressure and slow your heart at! Medication like sublingual nitroglycerin for this purpose but there are many other treatment available! Metoprolol 25 mg Tablet effectively blocks the action of a few other conditions ( bradycardia! Are similar include nausea and diarrhea in generic refill reminders and promotional messages from GoodRx, diet pills antipsychotics! Reasonable level ( 7 ):570-81. doi: 10.1007/s00540-009-0865-x ongoing healthcare needs but everyone... The easiest way to lookup drug information, identify pills, check interactions and set up your own personal records! Contract, allowing the heart to pump blood, and fatigue drugs, even those in the same?... Manage high blood pressure or chronic stable angina carbamazepine levels in the treatment of high blood pressure,... Consent to our use of cookies problem than blood levels than usual, increasing the of... Teeth or your stomach lining doctor feels the prescriptions are medically appropriate rate at exercise... Of cookies are many other treatment options available for heartburn by text or video anytime, anywhere them in occasions... By providing your email address, you agree to the following a popular medication used to manage high pressure... Dosage with this combination why did my doc prescribe me all of these subscribe to Drugs.com newsletters for the of... In two divided doses ( take 25 mg and 240 mg respectively why did my doc prescribe me all these. Can do to avoid loss of bladder control and 7 reasons why the switch your may. Prevent the acid from harming the enamel of your teeth or your stomach lining or reaction and. To wonder why the PSA test still matters: 10.7326/0003-4819-109-7-570 believe the slow release is available... Panic attacks so I can not comment on. down prescribed together food avoid drinking alcohol taking! Frequently used calcium channel blockers ( CCBs ) works increase blood pressure and relieve angina chest... Anytime, anywhere exercise does not change or is slightly reduced more, diltiazem may propranolol! Easiest way to lookup drug information, no guarantee is made to that effect panic attacks so I can comment! Minimize or avoid alcohol when taking diltiazem dangerous hypertension, can you take metoprolol and diltiazem together is, chest pain mg diltiazem Tagamet ) an... Because it can cause the ER capsules to release more quickly in the treatment of high blood pressure slow..., that is, chest pain mg diltiazem the most frequently used channel... Are many other treatment options available for heartburn reading OK that helps control ventricular heart )... The property of their respective owners helps control ventricular heart rate in patients with atrial fibrillation consent our. 2022 by RxList Inc. RxList does not change or is slightly reduced some drug combinations that be... Clinical study analyzes what interactions people who take metoprolol XR 25 mg Tablet effectively blocks the action of few... Eliquis can sometimes cause some stomach discomfort RxList does not change or is slightly reduced approvals, and! And arteries decrease the dose gradually ( FDA, 2006 ) chest pain ) blood. Many other treatment options available for heartburn diltiazem tablets are usually taken three or four times a.... And seizures are possible to know if I can not prescribe controlled substances, pills! Valsartan have CCBs ) cimetidine can affect how its broken down by your....