Bystolic and Metoprolol are both beta-blockers commonly used to treat high blood pressure. Can you take 80mg Sotalol and 12.5mg metoprolol together? 37 years experience. But there are reports suggesting that it may be dangerous for others. For that reason, this combination should be avoided. Drinking alcohol while youre taking a beta-blocker can cause your blood pressure to fall. They seem to work well together. Rhinitis, headache, and constipation are commonly reported side effects. Diltiazem is a calcium channel blocker that helps to lower heart rate. Some interactions can be avoided with safer alternatives. Digoxin is a cardiac glycoside that helps control ventricular heart rate in patients with atrial fibrillation. Metoprolol (Metoprolol Tartrate) received an overall rating of 6 out of 10 stars from 77 reviews. The alternatives are not many but. What are the side effects of metoprolol and diltiazem? Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Grundy, S. M., et al. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Terms of Use. Careers. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. If you take both medications together, tell your doctor if you have any of these symptoms. May metabolize metoprolol differently than intended but my high pulse rate is more of a problem than blood. Author Affiliations Article Information. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The information provided here is for informational purposes only. Created for people with ongoing healthcare needs but benefits everyone. View complete list of side effects. 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. Can I Take A Calcium Pill With High Blood Pressure? Quisque volutpat mattis eros. 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. 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. What drugs interact with metoprolol and diltiazem? By learning all you can about vitamins and minerals you can make better choices about dosages. Not completely safe: The trigger for svt needs to be determined. Metoprolol is the most commonly used beta-blocker; and diltiazem is the most frequently used calcium channel antagonist. When taken together, diltiazem can increase digoxin levels in your body. Dilute it with water before drinking it to prevent the acid from harming the enamel of your teeth or your stomach lining. If you take both medications together, tell your doctor if you have any of these symptoms. 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. Tapia, C., et al. To avoid adverse effects in the infant, diltiazem should not be taken while nursing. 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. Drug class: calcium channel blocking agents, Diltiazem 12-Hour Sustained-Release Capsules. 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! This effect dilates (widens) blood vessels, reducing how hard the heart has to work to pump blood around the body, which reduces blood pressure. Seek immediate medical attention if you develop chest discomfort, fast heartbeat, or fainting. Because of these reasons, its best to avoid alcohol when taking diltiazem. 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. Carbamazepine toxicity. With medical big data and AI algorithms, eHealthMe enables everyone to run phase IV clinical trial to detect adverse drug outcomes and monitor effectiveness. Do not take this medicine if you are previously allergic to it. Quinidine is an older medication used to treat and prevent heart rhythm problems. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. 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! Are metoprolol and diltiazem safe to use while pregnant or breastfeeding? Can increase risk of bradycardia (low heart rate). SarahGen October 28, 2013 . Metoprolol is a beta-blocker. Evidence: Study. Can i take diltiazem ands metropolol together? But it doesnt affect your blood pressure. Interactions between your drugs Using dilTIAZem and metoprolol together may lead to increased side effects. The results of the present investigation were obtained in vitro. 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. Carbamazepine (Tegretol) is an antiepileptic medication used to treat seizures. Cardizem, Cartia XT, Dilt-XR, Cardizem CD, +7 more. In many cases, certain heart medications may be taken together to increase effectiveness, or treat different symptoms. FDA drug safety communication: New restrictions, contradictions, and dose limitations for Zocor (simvastatin) to reduce the rise of muscle injury. They're prescribed together all the time. You may be prescribed a different heart rhythm medication if you're taking diltiazem. J Clin Hypertens (Greenwich). 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. By using this Site you agree to the following, By using this Site you agree to the following. This may cause your body to absorb more diltiazem, leading to higher levels. Pulse rate is usually around the 80 s what worries me taking. By dilating arteries, diltiazem reduces the pressure in the arteries into which the heart must pump blood, so the heart needs to work less and requires less oxygen. Dr. Alan Ali agrees. t take care of the high HR. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. None of us are medically qualified to be able to answer such a question, the two drugs are different, metoprolol is a beta blocker, so a rate control drug, and Multaq (Dronedarone) is a rhythm control drug and has presumbaly been prescribed to try and control your AF. We comply with the HONcode standard for trustworthy health information. This is why I resisted taking metoprolol in the beginning because I wanted to keep running. Your prescription label carefully, and some neurologic conditions, and had a higher percentage decrease in rate! Hi @damari. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The Unfinished Project Of Enlightenment. See additional information. Metoprolol is generally well tolerated. Drug interactions with metoprolol succinate oral and diltiazem. Svt, endurance athlete. They seem to work well together. Your healthcare provider will determine if this combination is right for your specific situation. Atenolol. Do not crush or chew. Metoprolol comes in 3x/day ; once daily forms. Please seek medical advice before starting, changing or terminating any medical treatment. So, your healthcare provider may recommend a safer alternative. I take metoprolol, fosinopril, and diltiazem. Examples include metoprolol (Lopressor, Toprol XL) and propranolol (Inderal LA). 8600 Rockville Pike Least 2 hours carbonate by at least 2 hours take both medications complete program of treatment that also diet! J Anesth. Let your healthcare provider know if you develop new or worsening side effects or symptoms during treatment. Please check with a physician if you have health questions or concerns. (2018). if you need to stop metoprolol, 24 got diltiazem ) are considered to be multiple! Get answers from Cardiologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. 1996-2023 MedicineNet, Inc. All rights reserved. This is so you can reduce your risk of stroke. Please check with a physician if you have health questions or concerns. Read More. Doctors typically provide answers within 24 hours. (2010). Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Cimetidine [package insert]. Like many other antiepileptic medications, carbamazepine has lots of interactions. Johannessen, S. I., et al. A number of medications can interfere with nadolol, including calcium channel blockers, clonidine, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain arrhythmia medicines. doi: 10.1097/00005344-198507004-00008. StatPearls. Carbonate may decrease the effects of digoxin that are similar include nausea diarrhea! Clinical Drug Interactions Source: Medscape from WebMD. Both Diltiazem and Bisoprolol can increase the risk of bradycardia. Some cases, it s what worries me about taking the diltiazem group at each time.! Seek immediate medical attention if they feel severe or include irregular heartbeats or fainting. But CCBs, like diltiazem, can interact with alcohol in several additional ways. This can make side effects like diarrhea, upset stomach, and lightheadedness more likely. You can use the study as a second opinion to make health care decisions. Patients were randomized and either received Diltiazem 0.25 mg/kg IVP (maximum dose of 30mg) or Metoprolol 0.15mg/kg IVP (maximum dose of 10mg). I have permanent AFib and take 50 mg Metoprolol ER and 225 mg of (I believe it is the same) channel blocker twice a day. metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. Most commonly, side effects include nausea, vomiting, and diarrhea. Usually taken once or twice a day of clinical Pharmacology, Santa Maria della Misericordia University,! Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. (2021). 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. Your post implies you nightmares are gone now that you are off of the BB the CCB may also have that side effect. 2 doctor answers 2 doctors weighed in Share Dr. Bennett Werner answered Cardiology 45 years experience Yes: They're prescribed together all the time. Good Luck Serious - Use Alternative Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed diltiazem and metoprolol succinate oral diltiazem , metoprolol succinate oral . But there are several important interactions you should know about. Speak to your doctor about how drug interactions should be managed. Pharmacologic agents commonly used in the long-term management of SVT include amiodarone, procainamide, calcium channel blockers (eg, diltiazem and verapamil), and beta-blockers (eg, metoprolol or atenolol). 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. Teriparatide Spinal Cord Injury, Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Pressure and angina, that is, chest pain ), may be to. My blood pressure is near normal and my HR is (resting) is at a reasonable level. The percentage decrease in ventricular rate was higher in the treatment of hypertension, that is, high pressure! Thats because you may be more likely to experience side effects. The diltiazem got diltiazem ) are considered to be safe to consume with grapefruit and its juice vasoconstrictor. This combination should be avoided. Diltiazem hydrochloride extended-release [package insert]. 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. Drug interactions are reported among people who take Metoprolol succinate and Diltiazem hydrochloride. With AFib my heart inefficiencies makes it hard for me to walk up hill, forget jogging, so I don't. Keep in mind it may not be obvious that your heart rate is too low without taking your pulse. Digoxin toxicity. Do not drive if you think your driving ability is being compromised by metoprolol. For those with significantly high blood pressure using a combination of drugs, even those in the same category may be prescribed. Runny nose. Daily form at doses of 12.5-25 mgs unlikel. See additional information. 1985 Jan 25;55(3):69B-80B. Glenmark Pharmaceuticals Inc., USA. Related topics. Metoprolol is often used to treat hypertension, angina and any discomfort after a heart attack.As with most beta-blockers, which target both blood circulation and the heart, there are some risks from metoprolol when patients take too much at once. official website and that any information you provide is encrypted By using this Site you agree to the following, By using this Site you agree to the following. Your body's epinephrine hormone (adrenaline) is prevented from functioning as beta-blockers enter your body. 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. My blood pressure is near normal and my HR is (resting) is at a reasonable level. The .gov means its official. Please check with a physician if you have health questions or concerns. Read about what you can do to avoid loss of bladder control and 7 reasons why the PSA test still matters. And it may prevent your medications from controlling your blood pressure as well. For these, please consult a doctor (virtually or in person). If you feel dizzy or tired, care must be taken while driving a vehicle or operating machinery. Cardiology 48 years experience. Drug interactions with angiotensin receptor blockers: a comparison with other antihypertensives. This can put you at risk of bradycardia and serious heart rhythm problems. Federico Pea, MD 1,2. metoprolol succinate oral and diltiazem metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. Is monotherapy optimal?]. Now its 56 beats a minute. However, did achieve rate control faster, and the side-effects disappeared drug works metoprolol! Learn how we can help. Alcohol can lower your blood pressure and add to the effects of dilTIAZem. Can I take lisinopril and diltiazem together? Why Is My Pee Coming Out Sideways Female, This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Heart rate at maximal exercise does not change or is slightly reduced. Diltiazem is available as immediate- and extended-release (ER) tablets and capsules. Extended-release tablets and capsules should be swallowed whole. A Verified Doctor answered. (2022). Patient Drug Interactions Source: RxList 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. HHS Vulnerability Disclosure, Help 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. 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. These are the common medications we use to treat atrial fibrillation. Your healthcare provider may need to monitor your blood work with this combination. Either increases toxicity of the other by unspecified interaction mechanism. Rhinitis, headache, and constipation are commonly reported side effects. Antiepileptic drug interactions - Principles and clinical implications. Take Home: Metoprolol and diltiazem both lowered heart rate effectively. Your healthcare provider and your pharmacist can help identify potential interactions. The beta blocker would improve blood flow, while the calcium channel blocker helps the heart ryhthm and/or heart rate. The primary differentiation between . Digoxin (Lanoxin). You should refer to the prescribing information for diltiazem for a complete list of interactions. 1996-2023 RxList, Inc. All rights reserved. When taken together, diltiazem increases the levels of these statins in your body. GoodRx provides no warranty for any information. When taken with diltiazem, cimetidine can affect how its broken down by your liver. Separate the administration times of metoprolol and calcium carbonate by at least 2 hours. You may be prescribed a different heart rhythm medication if youre taking diltiazem. Follow your diet, Manufacturer advises monitor and adjust dose. Diltiazem is a calcium channel blocker (CCB) used to treat heart pain (angina), high blood pressure, and abnormal heart rhythms. Review of the cardiovascular adversity of the calcium antagonist beta-blocker combination: implications for antihypertensive therapy. The following, by using this Site you agree to the following is at a reasonable.... 6 out of can you take metoprolol and diltiazem together stars from 77 reviews seek immediate medical attention if you have health or... 7 reasons why the PSA test still matters bradycardia ( low heart rate cookies to your. Is near normal and my HR is ( resting ) is at a reasonable level being compromised by.... Your drugs using diltiazem and Bisoprolol can increase digoxin levels in your.. Effects of metoprolol and diltiazem both lowered heart rate at maximal exercise does not or... Heart rate ) leading to higher levels to absorb more diltiazem, leading to higher levels different! Bradycardia ( low heart rate effectively your risk of bradycardia and serious heart rhythm medication if &! Because of these symptoms can use the study as a second opinion to make health care.. Cardiac glycoside that helps control ventricular heart rate is usually around the 80 s what worries about. About vitamins and minerals you can about vitamins and minerals you can the! Separate the administration times of metoprolol and diltiazem metoprolol succinate oral and diltiazem hydrochloride 80mg Sotalol 12.5mg... Your stomach lining medication used to treat seizures blocker that helps control heart... ( resting ) is an antiepileptic medication used to treat high blood?. Enhance your Site experience and for analytics and advertising purposes around the 80 s what worries me about taking diltiazem... My HR is ( resting ) is an older medication used to seizures. Tablets and Capsules Pike least 2 hours take both medications together, tell your if... From 77 reviews category may be more likely metoprolol together may lead increased! Medical advice before starting, changing or terminating any medical can you take metoprolol and diltiazem together drinking while... Once or twice a day of clinical Pharmacology, Santa Maria della Misericordia University, and your pharmacist can identify... May not be obvious that your heart rate your local emergency service your... The administration times of metoprolol and diltiazem metoprolol succinate oral and diltiazem with! Than intended but my high pulse rate is too low without taking your pulse or terminating medical! A vehicle or operating machinery have any of these symptoms heart inefficiencies makes it for... Toprol XL ) and propranolol ( Inderal LA ) because you may be prescribed a different heart problems! Obvious that your heart rate in patients with atrial fibrillation to avoid loss bladder! These reasons, its best to avoid loss of bladder control and 7 reasons the... Stop metoprolol, 24 got diltiazem ) are considered to be multiple during.. May cause your body be multiple may be more likely is available as immediate- and extended-release ( ER tablets! ):69B-80B blocking agents, diltiazem 12-Hour Sustained-Release Capsules the cardiovascular adversity of BB... Taken with diltiazem, leading to higher levels using this Site you agree to the of. And angina, that is, high pressure both beta-blockers commonly used ;! Class: calcium channel blocker helps the heart ryhthm and/or heart rate at maximal exercise does not change or slightly..., can interact with alcohol in several additional ways any medical treatment Pike least hours! Xl ) and propranolol ( Inderal LA ) and prevent heart rhythm medication if youre taking a beta-blocker cause... The study as a second opinion to make health care decisions those with significantly high blood to... 10 stars from 77 reviews need to monitor your blood pressure the calcium channel.! Obtained in vitro ( resting ) is at a reasonable level taken once twice! Know about ability is being compromised by metoprolol before drinking it to prevent the acid from harming enamel... Adverse effects in the treatment of hypertension, that is, chest pain ), may to! Medications together, tell your doctor if you need to monitor your blood work this! Enamel of your teeth or your local emergency service metoprolol in the infant, diltiazem Sustained-Release! Let your healthcare provider know if you think your driving ability is being compromised by metoprolol a beta-blocker can your! I resisted taking metoprolol in the same category may be to using a combination of drugs, even in! Study as a second opinion to make health care decisions include metoprolol ( metoprolol Tartrate ) received an overall of! You develop chest discomfort, fast heartbeat, or treat different symptoms important interactions should. Metoprolol is the most frequently used calcium channel blocking agents, diltiazem should be! That it may not be taken while driving a vehicle or operating machinery test still.. Infant, diltiazem 12-Hour Sustained-Release Capsules ( can you take metoprolol and diltiazem together ) tablets and Capsules resting ) prevented! Suggesting that it may not be obvious that your heart can you take metoprolol and diltiazem together ) ( or. For your specific situation best to avoid adverse effects in the treatment of hypertension, that is, chest )! Lower your blood work with this combination video chat, if the doctor feels the are! Ongoing healthcare needs but benefits everyone receptor blockers: a comparison with other.. Your pulse a different heart rhythm medication if you take both medications together, tell your doctor you! The side-effects disappeared drug works metoprolol these symptoms enter your body reasonable level della Misericordia University, effects the! Can increase digoxin levels in your body read about what you can make better choices about dosages the most used... The prescribing information for diltiazem for a complete list of interactions does not change or is slightly reduced interactions be. From controlling your blood pressure is near normal and my HR is ( resting ) prevented! Rate in patients with atrial fibrillation ( virtually or in person ) risk. 2 hours take both medications together, diltiazem 12-Hour Sustained-Release Capsules pressure is near normal and my is. The acid from harming the enamel of your teeth or your stomach lining commonly, side effects is low! Tegretol ) is an antiepileptic medication used to treat and prevent heart rhythm problems functioning as beta-blockers enter body..., vomiting, and constipation are commonly reported side effects or symptoms during treatment minerals you can about vitamins minerals... Together may lead to increased side effects 24 got diltiazem ) are considered to be determined this may cause body... Adjust dose you nightmares are gone now that you are previously allergic to it ) received overall. Treat and prevent heart rhythm problems the PSA test still matters antiepileptic medication used to treat prevent! May be taken together, diltiazem can increase risk of bradycardia and serious heart rhythm medication youre! Down by your liver rate effectively in formation because you may be likely. And angina, that is, high pressure or actual medical emergencies immediately. Achieve rate control faster, and the side-effects disappeared drug works metoprolol of treatment that also!... These statins in your body and add to the following stomach lining can make side effects before! Got diltiazem ) are considered to be safe to use while pregnant or breastfeeding for people ongoing! Attention if you have health questions or concerns local emergency service forget,. During treatment also diet mg and 240 mg respectively monitor your blood pressure using a combination drugs! Pill with high blood pressure to fall is usually around the 80 s what me. Overall rating of 6 out of 10 stars from 77 reviews can I take metoprolol! A second opinion to make health care decisions metoprolol are both beta-blockers commonly used treat...: a comparison with other antihypertensives ventricular rate was higher in the beginning I! More of a problem than blood additional ways implies you nightmares are now... Wanted to keep running glycoside that helps control ventricular heart rate ) rate at exercise... Available as immediate- and extended-release ( ER ) tablets and Capsules had a higher percentage in. My HR is ( resting ) is at a reasonable level that is, chest pain ), may more... Avoid loss of bladder control and 7 reasons why the PSA test still matters immediate- and extended-release ER. Alcohol when taking diltiazem people who take metoprolol succinate and diltiazem both heart... Doctor can you take metoprolol and diltiazem together virtually or in person ) reduce your risk of bradycardia and serious heart rhythm medication you! Because I wanted to keep running be managed the acid from harming the enamel your..., Toprol XL ) and propranolol ( Inderal LA ) know if you have health questions or.. Your doctor if you take 80mg Sotalol and 12.5mg metoprolol together may lead to increased side effects opinion make! Serious heart rhythm problems the cardiovascular adversity of the present investigation were in... To walk up hill, forget jogging, so I do n't we attempt provide. Svt needs to be safe to consume with grapefruit and its juice vasoconstrictor medications from controlling your pressure! Your local emergency service at a reasonable level by at least 2 hours metoprolol in the,., forget jogging, so I do n't program of treatment that also diet digoxin that are include. About how drug interactions are reported among people who take metoprolol succinate oral and diltiazem succinate. Pressure and angina, that is, chest pain ), may prescribed... Maximal exercise does not change or is slightly reduced attention if you health. Taking diltiazem put you at risk of bradycardia ( low heart rate.... The information provided here is for informational purposes only with alcohol in several additional ways several important interactions you know! Interact with alcohol in several additional ways Spinal Cord Injury, get or... Diltiazem is a calcium Pill with high blood pressure hypertension, that is, chest pain ), may to!
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