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What Should Be The Dosage Of Diltiazem For Treating Hypertension?
Question: Dear Dr,
I have been treated hypertension with Diltiazem 90 bd + HCTZ 12.5mg, however, I developed Sciatica and Low Back Pain. I consulted with you, and you suggested me some options like Torsemide 5mg bd or Prasozin 1mg. None of them has worked because they also cause me Sciatica and Low Back Pain. I have upped the Diltiazem to 120 bd and my blood pressure is OK. My question is: Should I use Diltiazem 120 twice a day, or should I use 120 in the morning and 90 in the evening? Please help me with the dosage Dr Thanks in advance for your reply.
I have been treated hypertension with Diltiazem 90 bd + HCTZ 12.5mg, however, I developed Sciatica and Low Back Pain. I consulted with you, and you suggested me some options like Torsemide 5mg bd or Prasozin 1mg. None of them has worked because they also cause me Sciatica and Low Back Pain. I have upped the Diltiazem to 120 bd and my blood pressure is OK. My question is: Should I use Diltiazem 120 twice a day, or should I use 120 in the morning and 90 in the evening? Please help me with the dosage Dr Thanks in advance for your reply.
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello,
Thanks for providing this feed back that even prazosin also didn't worked for you. So basically you are short of choices for Blood pressure control which makes lifestyle modifications even more important for you. So along with medication you should follow healthy lifestyle habits strictly and routinely.
Regarding Diltiazem, the maximum dose that can be taken daily is 420mg. So if 120 twice a day is suiting you then you can safely continue with this dose.
Also I would like to suggest you to get one renal ultrasound done to rule out renal artery stenosis. Also if possible start yoga/meditation as it will also be helpful.
Hope I have answered your query.
Let me know if I can assist you further.
Please refer to the detailed answer below
Detailed Answer:
Hello,
Thanks for providing this feed back that even prazosin also didn't worked for you. So basically you are short of choices for Blood pressure control which makes lifestyle modifications even more important for you. So along with medication you should follow healthy lifestyle habits strictly and routinely.
Regarding Diltiazem, the maximum dose that can be taken daily is 420mg. So if 120 twice a day is suiting you then you can safely continue with this dose.
Also I would like to suggest you to get one renal ultrasound done to rule out renal artery stenosis. Also if possible start yoga/meditation as it will also be helpful.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Kampana
Diltiazem, the morning dose and the evening dose should be the same or can they be different? For example 120 morning- 90 evening?
Brief Answer:
Hello Again
Detailed Answer:
Hi,
Yes they can be different for morning and evening without an issue.
But what am trying to convey here is if you are already taking 120 mg in morning as well as 120 mg in evening and your blood pressure is well settled with that dose then its advisable to continue 120 mg both morning as well as evening.
Hope I have answered your query.
Let me know if I can assist you further.
Hello Again
Detailed Answer:
Hi,
Yes they can be different for morning and evening without an issue.
But what am trying to convey here is if you are already taking 120 mg in morning as well as 120 mg in evening and your blood pressure is well settled with that dose then its advisable to continue 120 mg both morning as well as evening.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Kampana
Dear Dr,
I have read my blood pressure during daytime with the 120mg dose, and it goes okay. However, at night I'm sleeping and I don't know if 120 is necessary or maybe only 90 or 60. I know that Diltiazem reduces the heart rate per minute, and I would like to know if there could be any problem taking 120 at night.
Thanks in advance for your response,
Kind regards,
I have read my blood pressure during daytime with the 120mg dose, and it goes okay. However, at night I'm sleeping and I don't know if 120 is necessary or maybe only 90 or 60. I know that Diltiazem reduces the heart rate per minute, and I would like to know if there could be any problem taking 120 at night.
Thanks in advance for your response,
Kind regards,
Brief Answer:
Hello Again
Detailed Answer:
Hi,
First of all kindly make it very clear what dose of Diltiazem you are taking presently?
Morning Dose _____?
Evening Dose _____?
What's your average bp readings and your average heart rate at rest and while working?
Hope I have answered your query.
Let me know if I can assist you further.
Hello Again
Detailed Answer:
Hi,
First of all kindly make it very clear what dose of Diltiazem you are taking presently?
Morning Dose _____?
Evening Dose _____?
What's your average bp readings and your average heart rate at rest and while working?
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Prasad
Hello Dr,
Morning Dose 120mg
Evening Dose 90mg
average bp readings = 138/88
average heart rate at rest = 82 per minute; while working= 90 per minute
Kind regards,
Morning Dose 120mg
Evening Dose 90mg
average bp readings = 138/88
average heart rate at rest = 82 per minute; while working= 90 per minute
Kind regards,
Brief Answer:
Hello Again
Detailed Answer:
Hi,
Your Blood pressure and heart rate are fine as of now with the current dose of 120 mg and 90 mg, so keeping that in mind its advisable that you should continue with 120 mg in morning and 90 mg in evening.
Along with that healthy lifestyle habits and regular bp monitoring is always recommended.
Hope I have answered your query.
Let me know if I can assist you further.
Hello Again
Detailed Answer:
Hi,
Your Blood pressure and heart rate are fine as of now with the current dose of 120 mg and 90 mg, so keeping that in mind its advisable that you should continue with 120 mg in morning and 90 mg in evening.
Along with that healthy lifestyle habits and regular bp monitoring is always recommended.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Prasad
Dear Dr,
One final question, I do not drink alcohol, however, I would like to know if cigarettes increase the blood pressure. I do not smoke daily, but once a month I smoke 1 cigarette, and I would like to know if I should avoid it.
Thanks and kind regards,
One final question, I do not drink alcohol, however, I would like to know if cigarettes increase the blood pressure. I do not smoke daily, but once a month I smoke 1 cigarette, and I would like to know if I should avoid it.
Thanks and kind regards,
Brief Answer:
Not good at all
Detailed Answer:
Hi,
Even a single cigarette promotes vascular atherosclerosis which later on create significant issues. Also smoking causes vasoconstriction which ultimately increases blood pressure.
It should be stopped at once and for all.
Hope I have answered your query.
Let me know if I can assist you further.
Take Care,
Dr Bhanu Partap
Not good at all
Detailed Answer:
Hi,
Even a single cigarette promotes vascular atherosclerosis which later on create significant issues. Also smoking causes vasoconstriction which ultimately increases blood pressure.
It should be stopped at once and for all.
Hope I have answered your query.
Let me know if I can assist you further.
Take Care,
Dr Bhanu Partap
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Above answer was peer-reviewed by :
Dr. Prasad
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