HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Is Diltiazem Safe With Zrytec And Kenalog Injections?

Posted on Mon, 20 Oct 2014

Question: I have allergies to bees and food dyes my allergist has asked my doctor to change my medication. I used to take atenolol. I am now going to start Diltiazem. the reason he asked my meds be changed is because of the epipen interaction. is 120 mg a high dose ?. I took 12.5mg of atenolol
also Is Diltiazem safe with epipen pens, zrytec and kenalog injections?

Answered by Dr. Sujoy Khan (2 hours later)

Brief Answer:
Beta blocker prevent Epinephrine from working well

Detailed Answer:
Dear XXXXXXX
Welcome to Healthcare Magic and thank you for writing to us.

Beta blocker medications like Atenolol prevent Epinephrine from working effectively due to receptor competitiveness and it is quite rightly changed to Diltiazem that does not have this effect.

Although the dose is probably not too high (120mg), but it is quite unusual to require BP medication at this age of 26 years. I hope you have had a thorough cardiological assessment, and if not, I would recommend this.
Your emergency pack must contain: Prednisolone 30mg, Cetirizine 10mg in addition to the Epipen.

Best Wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sujoy Khan (12 minutes later)

I am also overweight in the process of losing weight. I was prescribed diltiazem by cardiologist. my heart also beats faster than it should. the cardiologist said once I lose the weight the medication will no longer be necessary. is prednisone necessary for the emergency pack? the kenalog was just a side question . I go to a dermatologist who sometimes gives me kenalog injections for boils is that safe wi the my new medication. I have a normal stress test, e'er and echocardiogram.

Answered by Dr. Sujoy Khan (29 minutes later)

Brief Answer:
Prednisolone safer than Kenalog

Detailed Answer:
Hello,
I do not recommend Kenalog injections as they are depot steroid injections and regular intramuscular use leads to loss of muscle bulk (locally).
Yes, lowering weight would be very important as people with increased BMI seem to get more allergic reactions (though several papers exist with conflicting results)
http://www.ncbi.nlm.nih.gov/pubmed/0000

No, kenelog injections are not recommended for boils.

Best Wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sujoy Khan (7 minutes later)

yes but does the kenalog interact with the Diltiazem?

Answered by Dr. Sujoy Khan (5 minutes later)

Brief Answer:
Long term preparation - unsure of answer

Detailed Answer:
Hello,
Kenelog being a long-term preparation, I am unable to answer this question.
You need to ask your doctor when he offers you the next injection.

Best Wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sujoy Khan (2 minutes later)

ok I'm I was looking for a second opinion but ok

Answered by Dr. Sujoy Khan (42 minutes later)

Brief Answer:
Interactions with oral preparations known

Detailed Answer:
Hello,
Rxlist.com says:
diltiazem hcl oral and triamcinolone oral interaction:
diltiazem hcl oral will increase the level or effect of triamcinolone oral by altering drug metabolism.
No interaction details provided with injection triamcinolone (kenelog) and oral diltiazem

Best Wishes.

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar