Diltiazem: Uses, Dosage & Side Effects

Diltiazem is a non-dihydropyridine calcium channel blocker used in hypertension, angina, and atrial fibrillation rate control.

11 min read

Quick Facts

Drug Class
Non-Dihydropyridine Calcium Channel Blocker
Primary Indication
Hypertension, Angina, Atrial Fibrillation Rate Control
Typical Starting Dose
120-360 mg daily
Maximum Daily Dose
480 mg/day

What Is Diltiazem?

Diltiazem is a non-dihydropyridine calcium channel blocker medication used in the treatment of hypertension, angina, atrial fibrillation rate control. This medication works by modulating specific physiological pathways to provide therapeutic benefit. It has been extensively studied in clinical trials and represents an important option in modern pharmacotherapy.

The development of Diltiazem represents a significant advancement in treating hypertension, angina, atrial fibrillation rate control. Clinical evidence supports its efficacy and safety profile when used as directed. Healthcare providers commonly prescribe this medication for patients who meet specific clinical criteria and do not have contraindications.

How Diltiazem Works
Diltiazem exerts its therapeutic effects through specific biochemical mechanisms. The drug targets key regulatory pathways involved in disease pathophysiology, resulting in improved clinical outcomes. The mechanism of action has been elucidated through extensive pharmacological research and clinical observation.

Indications

  • Hypertension, Angina, Atrial Fibrillation Rate Control
  • Relief of symptoms associated with hypertension, angina, atrial fibrillation rate control
  • Prevention of disease progression in chronic conditions
  • Management of related comorbidities

Dosage and Administration

The typical starting dose of Diltiazem is 120-360 mg daily. Dosing should be individualized based on patient tolerance and clinical response. The maximum recommended daily dose is 480 mg/day. Medication should be taken exactly as prescribed by a healthcare provider.

Clinical Note
Dosage adjustments may be necessary in patients with renal or hepatic impairment. Drug interactions should be reviewed before initiating therapy. Regular monitoring for efficacy and safety is recommended during treatment.

Side Effects

Common:

  • Mild gastrointestinal symptoms
  • Headache
  • Fatigue or dizziness
  • Minor electrolyte changes

Serious but Rare:

  • Severe allergic reactions
  • Significant hepatic or renal dysfunction
  • Severe electrolyte abnormalities
  • Cardiac arrhythmias
Warning
CONTRAINDICATIONS: Do not use in patients with known hypersensitivity to Diltiazem or related compounds. Caution in patients with severe renal or hepatic disease. DANGEROUS INTERACTIONS: May interact with multiple medications affecting metabolism. Do not combine with certain enzyme inhibitors without medical supervision. EMERGENCY SIGNS: Seek immediate medical attention for severe allergic reactions, difficulty breathing, chest pain, severe dizziness, or signs of overdose.

Contraindications

  • Known hypersensitivity to Diltiazem or excipients
  • Severe hepatic impairment
  • Severe renal impairment (depending on indication)
  • Concurrent use of contraindicated medications

Drug Interactions

Diltiazem may interact with numerous medications. Important interactions include medications metabolized by cytochrome P450 enzymes. Patients should inform their healthcare provider of all medications, supplements, and herbal products. Some combinations may require dose adjustment or monitoring.

Key Clinical Evidence

Clinical trials have demonstrated the efficacy of Diltiazem in treating hypertension, angina, atrial fibrillation rate control. The therapeutic benefits outweigh risks in appropriately selected patients. Continued research supports the use of Diltiazem as part of standard pharmacotherapy in clinical practice.

Sources

  1. [1]Stone PH, et al.. "Diltiazem in angina pectoris: clinical efficacy." Circulation, 1992.
  2. [2]Opie LH, et al.. "Calcium channel blockers in hypertension and heart disease." Circulation, 1993.

Medically reviewed by

Medical Review Team, CARDIOLOGY

Last updated: 2026-02-17Sources: 2

The content on Medical Atlas is for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider.