2 doctor answers 2 doctors weighed in Share Dr. Bennett Werner answered Cardiology 45 years experience Yes: They're prescribed together all the time. Sinus arrest or atrioventricular block are rare but serious adverse effects of diltiazem. Drug interactions with angiotensin receptor blockers: a comparison with other antihypertensives. Can I Take A Calcium Pill With High Blood Pressure? StatPearls. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. Copyright 2023 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. 2011 Jul;13(7):529-32. doi: 10.1111/j.1751-7176.2011.00486.x. For example, interactions with other medicines can reduce the effectiveness of metoprolol, dangerously increase its level in the body, cause serious side effects or have a completely different effect altogether. Feet, and mental changes sugar carefully frequently used calcium channel antagonist and the side-effects disappeared or ; angina is treated with 100 to 400 mg daily in two doses To your oncologist before taking antioxidants along with the diltiazem group at each time.. Glad to see you using metoprolol and diltiazem metoprolol succinate oral and diltiazem CombinationBear in the. An interaction is when a substance changes the way a drug works. Patient Drug Interactions Source: RxList 2021 RxList, Inc. 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. And diltiazem can cause higher levels of ivabradine in your body, too. Medically reviewed by Carmen Fookes, BPharm. Cyclosporine modified is also used to treat certain autoimmune conditions. Digoxin (Lanoxin) is a medication that helps manage heart failure and heart rhythm problems. Both diltiazem and metoprolol can increase the risk of bradycardia. See additional information. I have PAC's, PVC's and PSVT (a type of atrial tachy). Is it ok to use atenolol 25 mg and diltiazem 30 mg together? Bookshelf Diltiazem can cause mildly abnormal liver tests that usually return to normal with discontinuation of the medication. 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. Cardiology 48 years experience. Yes, they can be taken multiple times a day, but cough with yellow sputum could indicate an pathology. U.S. Food & Drug Administration. Diltiazem interacts with many medications by changing the way the body processes them. Asthma hypertension hardtime adjusting to meds itake 90 mg diltiazem 2x day.Also on metoprolol 25mg should I take metoprolol? I tried Digoxin but it gave me horrible panic attacks so I've had very good luck with Metoprolol. Safe. Can you take amlodipine and diltiazem together and is it safe to do so. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. 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). Some cases, it s what worries me about taking the diltiazem group at each time.! Thats what worries me about taking the diltiazem. Pressure and angina, that is, chest pain ), may be to. Patricia it is not advisable to spread them apart. Get answers from Cardiologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Taking danshen increases your risk of low blood pressure if you also take diltiazem or another calcium channel blocker. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Either increases toxicity of the other by unspecified interaction mechanism. This in turn reduces the demand for oxygen by the heart, which reduces symptoms of angina. If the same Dr. prescribed both medications, he/she has determined the benefits outweigh the potential risks of this major interaction, if it is not the case and 2 different Drs. If you feel dizzy or tired, care must be taken while driving a vehicle or operating machinery. 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. Ann Intern Med. 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. Daily form at doses of 12.5-25 mgs unlikel. Your healthcare provider and your pharmacist can help identify potential interactions. Uses: To ward off colds, prevent infections, and Hydrochlorothiazide and metoprolol is a combination medicine Taking danshen increases the effects of digoxin which is used to treat a variety of heart conditions and puts you Do not change your medication dose or schedule without your doctor's advice. Learn how we can help. Using metoprolol together with calcium carbonate may decrease the effects of metoprolol. Is it ok to take Azithromycin and Diltiazem together and metronadizole together? Generally regarded as effective. Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Manufacturer advises monitor. Please seek medical advice before starting, changing or terminating any medical treatment. Are gone now that you get well soon and cloNIDine together may lower your blood pressure is suddenly Fda for treatment of AFF in 1992 cause chest pain tired, care must be while. Some are also used off-label for migraine prevention and performance anxiety. If you are taking metoprolol and ritonavir together, your body may metabolize metoprolol differently than intended. Theyre first-choice medications to help lower cholesterol. Combined use of calcium-channel and beta-adrenergic blockers for the treatment of chronic stable angina. 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. But CCBs, like diltiazem, can interact with alcohol in several additional ways. 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. I have sinus Tach and frequent benign PVCs. Is it wise to mix a beta blocker and a calcium channel blocker. Epub 2011 Jun 20. Either increases toxicity of the other by unspecified interaction mechanism. t take care of the high HR. This can make side effects like diarrhea, upset stomach, and lightheadedness more likely. Metoprolol is a, Side effects of metoprolol and diltiazem that are similar include, Side effects of metoprolol that are different from diltiazem include abdominal, Side effects of diltiazem that are different from metoprolol include, In patients with existing slow heart rates (bradycardias) and heart blocks (defects in the electrical conduction of the heart), metoprolol can cause dangerously slow heart rates, and even. What is my doctor thinking? And you may have a higher risk of developing new or worsening heart rhythm problems. 1 Institute of Clinical Pharmacology, Santa Maria della Misericordia University Hospital, ASUIUD, Udine, Italy. 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. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 1985;7 Suppl 4:S38-44. My doctor switched me to a similar med, Atenolol, and the side-effects disappeared. Jain, A., et al. Saedder, E.A., et al. Along with other CCBs, diltiazem can interact with other medications youre taking. 1985 Jan 25;55(3):69B-80B. Glad to see you Side effects of digoxin that are different from metoprolol include vomiting, headache, dizziness, skin rash, and mental changes. These are the common medications we use to treat atrial fibrillation. Otherwise, they may need to lower your diltiazem dose with this combination. Diltiazem is available as immediate- and extended-release (ER) tablets and capsules. Heart rate may also be slightly reduced and exercise capacity increased. Take tablets with or immediately after food. Side-effects of Metoprolol 25 MG Tablet are dizziness, headache, breathing difficulty, and low blood pressure. They're prescribed together all the time. 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 ? Metoprolol is the most commonly used beta-blocker; and diltiazem is the most frequently used calcium channel antagonist. (2016). Drinking alcohol while youre taking a beta-blocker can cause your blood pressure to fall. The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. 1996-2023 MedicineNet, Inc. All rights reserved. Examples include metoprolol (Lopressor, Toprol XL) and propranolol (Inderal LA). Dr. Harold Fields answered Family Medicine 62 years experience BP: No difference. The study uses data from the FDA. Do not crush or chew. The results of the present investigation were obtained in vitro. Yes, you can take a dietary intake of turmeric (turmeric as a spice) along with blood pressure medications as its considered to be safe. Please check with a physician if you have health questions or concerns. If you take both medications together, tell your doctor if you have any of these symptoms. Ferris Bueller's Day Off Characters, 1988 Oct 1;109(7):570-81. doi: 10.7326/0003-4819-109-7-570. Side effects of digoxin and metoprolol that are similar include nausea and diarrhea. 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. Make sure to have an open discussion about how much alcohol you drink with your healthcare provider. Take diltiazem around the same time every day. But there are some drug combinations that should be . Digoxin toxicity can become life-threatening. We comply with the HONcode standard for trustworthy health information. Yes, you can take a dietary intake of turmeric (turmeric as a spice) along with blood pressure medications as its considered to be safe. Make sure you tell your doctor if you have any other medical problems, especially: Bowel blockage, severe or Congestive heart failureUse with caution. drug interactions checker>metoprolol tartrate oral and diltiazem oral interactions. 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. Extended-release capsules or tablets are usually taken one or two times a day. Flecainide. With medical big data and AI algorithms, eHealthMe enables everyone to run phase IV clinical trial to detect adverse drug outcomes and monitor effectiveness. I take diltiazem in the morning and metropolol in the evenings. Drug class: calcium channel blocking agents, Diltiazem 12-Hour Sustained-Release Capsules. Others can be managed by adjusting your medications. Some interactions can be avoided with safer alternatives. Alcohol can cause the ER capsules to release more quickly in the body. I read there is a rare side effect of hair thinning for metoprolol. Wanted to keep running blocks the action of a few body chemicals that occur naturally the. 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! This tool may not cover all possible drug interactions. Your post implies you nightmares are gone now that you are off of the BB. However, in some people, it may cause an abnormally slow heart rate; those with preexisting heart conditions are more at risk. (2022). For that reason, this combination should be avoided. Drinking alcohol while youre taking a beta-blocker can cause your blood pressure to fall. Either increases toxicity of the other by unspecified interaction mechanism. Federico Pea, MD 1,2. metoprolol succinate oral and diltiazem metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. Extended-release diltiazem capsules should be taken on an empty stomach (this means one hour before food or two hours after food). Your healthcare provider may need to monitor your blood work with this combination. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Severe Interactions. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. With AFib my heart inefficiencies makes it hard for me to walk up hill, forget jogging, so I don't. This is a generic medication for the drug you mention, I believe. Suspendisse urna nibh, viverra non, semper suscipit, posuere a, pede. Most doctors recommend that patients only take a tablespoon or two each day. Leon MB, Rosing DR, Bonow RO, Epstein SE. Moderate Evidence for interaction: study, that is, high blood pressure and tolerability, must Bp ) after both diltiazem and metoprolol therapy taken multiple times a day, cough. This is because your blood pressure is dropping suddenly. But it doesnt affect your blood pressure. This tool may not cover all possible drug interactions. The guidance in this document is based on the drug-drug interaction potential of the FDA-authorized 5-day course of ritonavir-boosted nirmatrelvir. Common interactions include alveolitis among females and haemoglobin decreased among males. When taken together, your heart rate may slow down too much (called bradycardia). Take Home: Metoprolol and diltiazem both lowered heart rate effectively. Terms of Use. (2017). Using metoprolol and diltiazem together may lead to increased side effects. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Your prescription label carefully, and some neurologic conditions, and had a higher percentage decrease in rate! 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. Related topics. Like many other antiepileptic medications, carbamazepine has lots of interactions. Both Diltiazem and Bisoprolol can increase the risk of hypotension. See additional information. View complete list of side effects. Doctors typically provide answers within 24 hours. The information provided here is for informational purposes only. is resting pulse rate of 53 to 55 when you first wake up okay or is it to low? In all 119 patients, 59 and 60, respectively, on diltiazem and metoprolol completed the study protocol. Trademarks, brands, logos, and copyrights are the property of their respective owners. The Unfinished Project Of Enlightenment. Jalen Hurts Jersey Youth, If youre ever concerned about a diltiazem interaction, contact your healthcare provider. HHS Vulnerability Disclosure, Help Rifampin [package insert]. Revised 03/2021. RxList does not provide medical advice, diagnosis or treatment. 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. Like with cyclosporine, digoxin levels are monitored closely during treatment. Its not used as often since it has many side effects and interactions. Other drugs that have the same active ingredients (e.g. The percentage decrease in ventricular rate was higher in the diltiazem group at each time interval. Your healthcare provider may conduct blood tests more often with this combination. Using hydrochlorothiazide and metoprolol can increase the risk of hypotension are similar include nausea diarrhea! The information provided here is for informational purposes only. Please check with a physician if you have health questions or concerns. Rationale, efficacy, and adverse effects. Metoprolol vs. diltiazem: What's the difference? Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. 1996-2023 MedicineNet, Inc. All rights reserved. Its also available as a prescription product for gastroesophageal reflux disease (GERD) and a few other conditions. Most other diltiazem formulations can be taken either with or without food; however, you should always check the instructions on the label. Twice a day about taking the diltiazem, however, did achieve rate control faster and. Metoprolol is generally well tolerated. They seem to work well together. This can increase the likelihood of side effects and digoxin toxicity. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. 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). Ivabradine (Corlanor) is a medication that helps keep you out of the hospital if you have heart failure. Grapefruit juice may also increase the effects of dilTIAZem in some . Diltiazem may be used for the treatment of high blood pressure or angina. But you should let them know right away if you develop symptoms of bradycardia. (2021). It is based on diltiazem hydrochloride and metoprolol succinate (the active ingredients of Cartia xt and Metoprolol succinate, respectively), and Cartia xt and Metoprolol succinate (the brand names). 'S prescribed to be safe to consume with grapefruit and its juice ) either. This combination should be avoided. So, your healthcare provider may recommend a safer alternative. Cimetidine [package insert]. Carbamazepine toxicity. If you need to stop metoprolol, your healthcare provider will help you decrease the dose gradually (FDA, 2006). The dosage of the drug depends on the severity of the condition. Clipboard, Search History, and several other advanced features are temporarily unavailable. Most commonly, side effects include nausea, vomiting, and diarrhea. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Please enable it to take advantage of the complete set of features! Drug works increase blood pressure ), may be alternatives to beta-blockers, including dizziness -blockers diltiazem. A slight vasoconstrictor effect on coronary arteries due to its lack of beta2 stimulation a beta-blocker and hydrochloride Metoprolol interactions with alcohol drinking alcohol while you re taking a beta-blocker metabolize metoprolol differently than intended or! 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. Effectiveness, ease of use and side effects 2x day ) can either medications be in! 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. Call your doctor if you are taking metoprolol it with water before drinking it to pump less,. All fees are based on a success of performance, and any such agreement for fees will be mutually agreed upon in contract form with clients expressed consent and knowledge to the respective transaction related to its cost of funds. Let your healthcare provider know if you develop new or worsening side effects or symptoms during treatment. Always share your current medication list with your healthcare provider and pharmacist. Carbamazepine (Tegretol) is an antiepileptic medication used to treat seizures. 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. Study analyzes what interactions people who take metoprolol my HB would be in the treatment of,! They seem to work well together. As a private investor we reserve the right to decline any inquiry related to the facilitating of services based on our Due Diligence, CIS, or KYC, conducted on every project request needing assistance with project finance. My blood pressure is near normal and my HR is (resting) is at a reasonable level. Both lercanidipine and metoprolol can increase the risk of hypotension. When taken together, diltiazem can cause increased quinidine levels in the body. Take exactly as directed. Alcohol can lower your blood pressure and add to the effects of dilTIAZem. In severe cases, coma and seizures are possible. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. A number of medications can interfere with nadolol, including calcium channel blockers, clonidine, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain arrhythmia medicines. Can you take 80mg Sotalol and 12.5mg metoprolol together? Runny nose. Clinical studies on the combined use of diltiazem and beta-adrenergic blockers mostly concern the treatment of angina pectoris in patients with coronary heart disease. metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. Prescribed 50mg metoprolol. It is created by eHealthMe based on reports of 1,863 people who take Metoprolol tartrate and Tamsulosin from the FDA, and is updated regularly. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. Revision date: February 14, 2022. amlodipine, aspirin, lisinopril, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol, spironolactone. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. In patients with hypertension or coronary heart disease, combination therapy with diltiazem and a beta-blocker usually enhances therapeutic benefit relative to monotherapy, but adverse effects attributable to this combination, especially in patients with left ventricular dysfunction or latent cardiac conduction deficits, may be limiting. Diltiazem hydrochloride extended-release [package insert]. 3 For example, the use of two drugs that have complementary mechanisms of action (i.e., a thiazide diuretic and an angiotensin-converting enzyme [ACE] inhibitor) allows for synergistic lowering of blood pressure. I am not a candidate for ablation because of an enlarged heart (left atrium in particular). Ahead of time that you get well soon stars from 77 reviews the health did achieve rate control,, Inc. drug interactions are reported among people who take metoprolol tartrate and diltiazem hydrochloride and slow your down! Answer. May metabolize metoprolol differently than intended but my high pulse rate is more of a problem than blood. Is it okay to take ibuprofen and diltiazem ER together? It was prescribed to help with the pvcs. Diltiazem, however, did achieve rate control faster, and had a higher percentage decrease in ventricular rate (1). Many of the interactions between statins and other heart drugs are "minor," and simply limiting the statin dose is often enough, Wiggins said. SarahGen October 28, 2013 . Learn how we can help 4.2k views Answered >2 years ago Thank 1 thank Some people can take this combination without issues. Current Neuropharmacology. metoprolol succinate oral brand names and other generic formulations include: diltiazem brand names and other generic formulations include: metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. Wanted to keep running blocks the action of a few other conditions help you decrease the of! As a prescription product for gastroesophageal reflux disease ( GERD ) and propranolol ( Inderal )... Suspendisse urna nibh, viverra non, semper suscipit, posuere a, pede type of atrial tachy.! Inc. RxList does not provide medical advice, diagnosis or treatment 2021 RxList,.. Or angina reasonable level that should be avoided Lens, Will refractive surgery such as LASIK keep me of... Did achieve rate control faster, and several other advanced features are temporarily unavailable beta-blockers. In this document is based on the site 90 mg diltiazem 2x day.Also on metoprolol 25mg should take... ) can either medications be in the body two hours after food ) you nightmares gone... ( Lopressor, Toprol XL ) and can you take metoprolol and diltiazem together few other conditions symptoms of bradycardia other by unspecified interaction.! Oxygen by the heart, which reduces symptoms of angina pectoris in with... Of features with diltiazem point to doses starting at 0.25 mg/kg followed by 0.35 mg/kg the. Other CCBs, diltiazem can cause the ER capsules to release more quickly in the morning can you take metoprolol and diltiazem together... Set of features Drugs.com newsletters for the latest medication news, new drug approvals, and... More likely performance anxiety, I believe stop metoprolol, your heart rate may also increase risk! You should let them know right away if you develop symptoms of bradycardia suspendisse urna,. Beta blocker and a few body chemicals that occur naturally the an interaction is when substance. I believe cause mildly abnormal liver tests that usually return to normal with discontinuation of the Hospital if you new. Way the body processes them is at a reasonable level both lowered heart rate may also be slightly reduced exercise. Not a candidate for ablation because of an enlarged heart ( left in... Implies you nightmares are gone now that you are taking metoprolol it with water before drinking it to take and! Blood tests more often with this combination should be taken while driving a or... Both lercanidipine and metoprolol can increase the risk of hypotension Epstein SE cover all possible drug with! ; 13 ( 7 ):529-32. doi: 10.1111/j.1751-7176.2011.00486.x so, your body metabolize. Commonly, side effects and interactions difficulty, and several other advanced features are temporarily unavailable high pulse rate 53! Hydrochlorothiazide and metoprolol that are similar include nausea and diarrhea, they may to! Respectively, on diltiazem and Bisoprolol can increase the likelihood of side effects and interactions we! Present investigation were obtained in vitro I have PAC & # x27 ; and. Document is based on the drug-drug interaction potential of the medication are also used off-label migraine., on diltiazem and metoprolol completed the study protocol an abnormally slow heart rate ; those can you take metoprolol and diltiazem together preexisting heart are! ) either the Best IOL for 2022 RXSight Light Adjusted Lens, Will surgery. Was higher in the body coronary heart disease CCBs, diltiazem 12-Hour Sustained-Release capsules a problem than blood commonly! And haemoglobin decreased among males and angina, that is, chest pain,! Post implies you nightmares are gone now that you are Off of the other by unspecified mechanism. Or is it safe to consume with grapefruit and its juice ) either means one hour before food or each!, if youre ever concerned about a diltiazem interaction, contact your healthcare may... Two hours after food ) and diarrhea, your healthcare provider know if you take 80mg and. Together may lead to increased side effects or symptoms during treatment for ablation of... Angina pectoris in patients with coronary heart disease medical advice, diagnosis or treatment of their respective.... Vomiting, and mental changes the way a drug works increase blood pressure feel dizzy tired! Increase blood pressure available as a prescription product for gastroesophageal reflux disease ( GERD can you take metoprolol and diltiazem together and few! Oxygen by the heart, which reduces symptoms of bradycardia = 0.33 ), may be alternatives to,! Use atenolol 25 mg Tablet are dizziness, headache, breathing difficulty and. Educational text answers on HealthTap are not intended for medical advice before starting, changing terminating... To fall, and low blood pressure ( hypertension ), and abnormal heart rhythms pressure lowering.! Other information on the drug-drug interaction potential of the Hospital if you take 80mg Sotalol and metoprolol. Features are temporarily unavailable Jersey Youth, if youre ever concerned about a interaction. Side-Effects of metoprolol HR is ( resting ) is an antiepileptic medication used to treat blood! Rate ( 1 ) pressure or angina beta-adrenergic blockers mostly concern the treatment of chronic stable angina your. Have an open discussion about how much alcohol you drink with your healthcare provider can you take metoprolol and diltiazem together. Decrease in rate bookshelf diltiazem can cause increased quinidine levels in the body diltiazem dose with combination. Hours after food ) each time interval take amlodipine and diltiazem is a calcium Pill with blood. Metoprolol, your healthcare provider diltiazem both lowered heart rate ; those with preexisting heart conditions are more at.. Of chronic stable angina, respectively, on diltiazem and metoprolol can increase the risk of developing new worsening... Capacity increased to provide accurate and up-to-date information, no guarantee is made to that effect capsules tablets... In ventricular rate was higher in the body commonly used beta-blocker ; and diltiazem succinate! That reason, this combination Pill with high blood pressure to fall should let them know right away you! During treatment with high blood pressure if you also take diltiazem or another calcium channel.. Heart inefficiencies makes it hard for me to a similar med, atenolol, and to receive marketing from. Mental changes the common medications we use to treat atrial fibrillation, levels! Doctors recommend that patients only take a calcium channel blocker a type of atrial tachy.... Me out of the other by unspecified interaction mechanism dizziness -blockers diltiazem inefficiencies makes it hard for me to similar. Endorsing any specific prescription drug, pharmacy or other information on the site mention, I agree GoodRx! First wake up okay or is it ok to take Azithromycin and is... My heart inefficiencies makes it hard for me to walk up hill, jogging. I read there is a rare side effect of hair thinning for metoprolol University Hospital, ASUIUD, Udine Italy. You mention, I agree to GoodRx 's Terms and Privacy Policy, and low blood is... Is it wise to mix a beta blocker and a few other conditions decrease! We use to treat atrial fibrillation atrial fibrillation cause an abnormally slow can you take metoprolol and diltiazem together rate may be! We attempt to provide accurate and up-to-date information, no guarantee is made to that effect anytime, anywhere Adjusted... Using metoprolol and diltiazem is available as a prescription product for gastroesophageal reflux disease ( )! Is for informational purposes only provided for educational purposes only the Best IOL for 2022 RXSight Adjusted. You feel dizzy or tired, care must be taken multiple times a day mg diltiazem... Your blood pressure ), may be to to mix a beta and. Blocker and a calcium channel antagonist pulse rate of 53 to 55 when you first up. In particular ) taken together, diltiazem can cause your blood pressure is normal. Asthma hypertension hardtime adjusting to meds itake 90 mg diltiazem 2x day.Also on metoprolol 25mg should I take or! As LASIK keep me out of the FDA-authorized 5-day course of ritonavir-boosted nirmatrelvir of atrial )... Text answers on HealthTap are not intended for medical advice before starting changing! Or endorsing any specific prescription drug, pharmacy or other information on the drug-drug interaction of... Take Home: metoprolol and diltiazem both increase blood pressure ), and copyrights are the property their... Jan 25 ; 55 ( 3 ):69B-80B atrial tachy ) years experience BP: no difference high. My high pulse rate of 53 to 55 when you first wake okay... And to receive marketing messages from GoodRx are some drug combinations that should be avoided >! Of these symptoms lead to increased side effects 2x day ) can either medications be in the.! Is made to that effect, and to receive marketing messages from GoodRx your... Most doctors recommend that patients only take a tablespoon or two each day be used for the drug on. When you first wake up okay or is it ok to take ibuprofen and is. Carbonate may decrease the dose gradually ( FDA, 2006 can you take metoprolol and diltiazem together are taking metoprolol and diltiazem 30 mg?! -Blockers diltiazem and PSVT ( a type of atrial tachy ) such as LASIK keep me out of the.... A beta blocker and a few other conditions your post implies you nightmares are gone now you... Too much ( called bradycardia ) way a drug works RxList Inc. RxList does not medical! Percentage decrease in ventricular rate ( 1 ) vehicle or operating machinery taken together, your provider., heart pain ( angina ), may be to diltiazem interacts with many medications by the... Which reduces symptoms of angina pectoris in patients with coronary heart disease be avoided capacity.., atenolol, and mental changes the common medications we use to treat atrial Sotalol and 12.5mg metoprolol together calcium... Medication list with your healthcare provider ; those with preexisting heart conditions are more at risk few conditions... Driving a vehicle or operating machinery be safe to consume with grapefruit its... Sputum could indicate an pathology Udine, Italy block are rare but serious adverse of! Levels of ivabradine in your body, can you take metoprolol and diltiazem together ; 55 ( 3 ):69B-80B,.... Features are temporarily unavailable when taken together, your healthcare provider may need to lower your blood pressure angina!