Drug
Diltiazem
Pronounced
"dill-TIE-uh-zem"
Drug Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: digoxin, fingolimod, labetalol.
Other medications can affect the removal of diltiazem from your body, which may affect how this medication works. Examples include azole antifungals (such as ketoconazole), cimetidine, macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin, rifampin), St. John's wort, among others.
This medication can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include aprepitant/fosaprepitant, buspirone, colchicine, elacestrant, flibanserin, ivabradine, lomitapide, certain benzodiazepines (triazolam, midazolam), among others.
Some products have ingredients that could raise your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).
Negative Interactions
1- Reduces Effectiveness
Diltiazem
DHEA
Diltiazem has been shown to raise blood levels of DHEA and DHEA-sulfate in insulin-resistant, obese men with high blood pressure.
DHEADiltiazem- Beer NA, Jakubowicz DJ, Beer RM, Nestler JE. Disparate effects of insulin reduction with diltiazem on serum dehydroepiandrosterone sulfate levels in obese hypertensive men and women. J Clin Endocrinol Metab 1994;79:1077-81.
Explanation Required
1- Needs Explanation
Diltiazem
Pleurisy Root
As pleurisy root and other plants in the Aesclepius genus contain cardiac glycosides, it is best to avoid use of pleurisy root with heart medications such as calcium channel blockers.
Pleurisy RootDiltiazem- Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-Care Professionals. London: Pharmaceutical Press, 1996, 213-4.