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Angizem (Diltiazem)
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Angizem

Angizem is an antihypertensive and vasodilating agent that works by relaxing the vascular muscle and reducing blood pressure. This is related to the long-term therapeutic effects, as lowering the blood pressure reduces the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions.

Other names for this medication:
Altiazem, Angizem, Cardem, Cardiorex, Cartia, Coriem, Dicard, Dilacor, Dilcardia, Dilcontin, Dilcor, Dilgard, Dilocor, Dilter, Diltia, Diltiaz, Diltiazem, Dilticard, Diltime, Diltp, Dilzem, Heartil, Icidil, Ionozem, Kaizem, Masdil, Onzem, Taztia, Tiamate, Tiazac

Similar Products:
Microzide, Xeloda, Precose, Uroxatral, Wellbutrin, Plaquenil, Revilife, Topisal, Prowad, Taurworm, Cleron, Ropitor, Telmisartan, Nifedicor, Azalid, Norflok,

Also known as: Diltiazem

Description

Diltiazem is used to control rapid heartbeats or abnormal heart rhythms. It belongs to a group of drugs called calcium channel blocking agents. Diltiazem affects the movement of calcium into the cells of the heart and blood vessels. As a result, the heart beats slower and the blood vessels relax, thus, increasing the supply of blood and oxygen to the heart while reducing its workload.

This medicine is available only with your doctor's prescription.

Dosage

This section provides information on the proper use of a number of products that contain diltiazem. It may not be specific to Angizem CD. Please read with care.

In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.

Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.

Swallow the extended-release tablet, extended-release capsule, or tablet whole. Do not open, crush, or chew it. It is best to take the extended-release capsule on an empty stomach.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For chest pain: For oral dosage form (extended-release capsules): Adults—At first, 120 milligrams (mg) once a day in the morning. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): Adults—At first, 180 milligrams (mg) once a day, either in the morning or evening. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (tablets): Adults—At first, 30 milligrams (mg) four times a day before meals and at bedtime. Your doctor may increase your dose if needed. Children—Use and dose must be determined by your doctor.

For high blood pressure: For oral dosage form (extended-release capsules): Adults—At first, 180 to 240 milligrams (mg) once a day in the morning. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): Adults—At first, 180 to 240 milligrams (mg) once a day, either in the morning or at bedtime. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor.

Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of diltiazem can be fatal.

Overdose symptoms may include slow heartbeat, weakness, chest pain, shortness of breath, or fainting.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Angizem CD dosage information

Side effects

The most common side effects associated with Angizem are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of diltiazem in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving diltiazem.

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Electrophysiological analysis of responses of adult females of Brugia pahangi to some chemicals. Much of the chain configurational disorder of the membrane-bound lipids in crystals arises from C-C bonds in energetically disallowed skew conformations. A total of 137 patients who were diagnosed with RCC and underwent DWI were included in this study. Determinants of the assembly and function of antibody variable domains. This may explain the low sensitivity of the 2005 McDonald criteria for dissemination in space. An unequivocal relationship was shown, linking atrazine exposure to Lymnaea stagnalis haemocytes lysosomal permeability. Changes in microRNA (miR) expression are seen in urothelial carcinogenesis in a phenotype-specific manner.

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Effects of non-fatiguing respiratory muscle loading induced by expiratory flow limitation during strenuous incremental cycle exercise on metabolic stress and circulating natural killer cells. We studied 2 different urine specimen evaluation formats--one presenting isolated specimens, and the other presenting specimens grouped for comparison--to determine whether the visual clues afforded by grouped comparison aided the accuracy of the evaluation. Warfarin is highly effective in preventing thromboembolism and more recent clinical trials have established that adjusted dosing is highly effective in reducing the risk of ischemic stroke in patients with nonvalvular atrial fibrillation. From January 2001 to June 2005, 6 men and 19 women aged 60 to 94 (median, 83) years underwent DHS fixation through a conventional muscle-reflection approach with a skin incision of 10 cm or more. For insulin and LH/FSH ratios, FAI, and SHBG seemed the best predictors and markers for insulin resistance, inappropriate gonadotrophin secretion, and hyperandrogenemia, respectively, with high sensitivity and specificity for identifying Bahraini women with and without PCOS. Ultrastructural immunocytochemistry of histone H1 zero showed that immunogold particles specifically decorated chromatin fibers, with the highest accumulation of particles being on the condensed inactive chromatin. Selected drug target residues derived from use of cocaine, opiates, cannabis, and amphetamines were measured by mass spectrometry in wastewater collected at major sewage treatment plants in Milan (Italy), Lugano (Switzerland), and London (United Kingdom).

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Next, slices of the aorta were stained with hematoxylin and eosin (HE) and Weigert-Van Gieson. Functional dependence and social isolation contributed most to worse HRQoL. Alkaloid biosynthesis has been shown to begin on.the first day of fungus cultivation and to proceed throughout the cultivation period. Serious deficiencies in the basic knowledge of glaucoma in the community was demonstrated. In this case report, four unusual cases of supernumerary teeth that resulted in varying degrees of disturbances in permanent dentition are presented. Leucine Promotes Proliferation and Differentiation of Primary Preterm Rat Satellite Cells in Part through mTORC1 Signaling Pathway. This review is an attempt to focus, in detail, about obesity related complications. To study the awareness, perceptions and practice of university students in Karachi, Pakistan, with regard to shisha (waterpipe) smoking.

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Rat renal tubular epithelial cells (NRK-52E) were cultured under normal glucose, high glucose (HG) and HG with fluvastatin or SB202190 (a specific inhibitor of p38MAPK) or mevalonate. The values of different CC parameters observed were almost similar to the values reported in the other two Indian studies. ex roemer and schultes through callus culture under abiotic stress conditions. Telomerase activity is regulated primarily via the transcriptional initiation of TERT expression which encodes its catalytic subunit. Chemotherapy might not be beneficial in lymph node- negative, hormone-positive, and HER2-negative breast cancer patients: a long-term retrospective analysis. In this study, we investigated the potential of mesenchymal stem cells (MSCs) in the induction of stable and high level chimerism and subsequent donor-specific tolerance to composite tissue allograft without the incidence of graft versus host disease (GVHD). Other important properties of these compounds are discussed including their anti-angiogenic, MDR-revertant and antioxidant properties. SigWin-detector: a Grid-enabled workflow for discovering enriched windows of genomic features related to DNA sequences. ABO blood group O had an important role in patients with upper gastrointestinal bleeding.

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This pilot study documented the occurrence and levels of brominated flame retardants in the tissues of farmed and wild salmon in southern Chile. We suggest immediate coronary angiography of patients in sudden arrhythmic cardiac arrest with acute right ventricular failure for a prompt, accurate diagnosis and appropriate management of the coronary vasospasm. From the WHO database, therefore, all case reports from the year of introduction for each of the SSRIs, fluoxetine, paroxetine and sertraline, were retrieved. In this study, the growth inhibitory effects of withanolide D (WND), a steroidal lactone isolated from Withania somnifera, on drug-sensitive tumoral plasma cells and drug-resistant MM cells have been investigated. This innovative device greatly facilitates mesh placement during transabdominal or extraperitoneal laparoscopic repair, reducing technical difficulty and operative time.

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Dexmedetomidine protects against lipid peroxidation and erythrocyte deformability alterations in experimental hepatic ischemia reperfusion injury. Herein, we report that an importin beta-like protein, SENSITIVE TO ABA AND DROUGHT2 (SAD2), is required for trichome initiation. Orotracheal intubation under general anaesthesia, with manual in-line traction, is still considered the best method. Dietary changes and their effect on blood pressure: what lesson should we learn?. The goal of this study was to examine probability of liver damage and regeneration of mink infected with Aleutian disease virus. Endocrine disruption, the guiding theme of the 27th International Neurotoxicology Conference, merged into the neurotoxicology agenda largely because hormones help steer the process of brain development.

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After the transition year of 2006, the impact of Part D seemed larger and more consistent across the Medicare population. Varying degrees of mandibular rotation in the sagittal plane were also observed, which led to abnormal torquing of the condyles in the coronal plane, depending on whether the axis of rotation occurred primarily around the condyle or around the distraction regenerate zone.In conclusion, transverse mandibular distraction is an effective means of producing a varus or valgus shift in the gonion relative to the midsagittal plane. However, no significant difference was found in pulse or blood pressure increments during EGD between the two groups. Much controversy surrounds the possibility of detecting relapse after completed treatment with the use of PET in surveillance in the absence of symptoms suggestive of recurrence and the results of published studies are rather discouraging because of low positive predictive value. Withania somnifera has been used in traditional medicine for a variety of neural disorders. Eight studies, encompassing 845 patients, met the inclusion criteria. Indication-based pricing (IBP) sets separate, indication-specific prices paid to the manufacturer according to the expected efficacy of a drug in each of its indications. glutamicum proteome, methods were established to fractionate the C. A descriptive analysis of hospital admissions, with data for Ontario extracted from the Canadian Institute for Health Information database and data for the US extracted from the National Hospital Discharge Survey. The present investigation revealed a significant decrease in the activity of methemoglobin reductase, with a concomitant rise in methemoglobin content during P.

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Two patients in end-stage hepatic failure presented for orthotopic liver transplantation with longstanding severe hyponatremia (121 and 122 mmol/L). Time trends in the incidence of cervical adenocarcinoma and adenosquamous cell carcinomas during the period 1973-1991 were examined using data provided by 60 population-based cancer registries from 32 defined populations in 25 countries. The aim of the present randomized study was to investigate whether ovarian stimulation treatment with recombinant FSH or hMG resulted in different steroidal composition of follicular fluid. Adenosine inhibits growth of human aortic smooth muscle cells via A2B receptors. Females were less susceptible to ascites than males, and feed texture had no effect in this respect. In this study, we aimed to assess the efficacy and safety of lenalidomide as maintenance therapy in patients with previously treated chronic lymphocytic leukaemia. A mycological examination at the final visit was performed on all patients. The parent-nurse relationship from the perspective of parents of children with cancer. These results revealed that UV-induced erythematous reactions of hairless dogs were closely related to the action of PGE2. Minodronic acid (ONO-5920/YM529) prevents decrease in bone mineral density and bone strength, and improves bone microarchitecture in ovariectomized cynomolgus monkeys.

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Our simulation results of long flexible polymer brushes are, in general, consistent with predictions of the self-consistent field theory. Automated detection of single nucleotide polymorphism in beta-2 adrenergic receptor gene using LCx(R). Case study: sleep and aggressive behavior in a blind, retarded adolescent. To know the prevalence of hyperglycemia in patients with Spanish toxic oil syndrome (TOS). In this method, the observational layer is made so thin that fluctuations are mostly due to the axial motion of molecules. contortus, Ostertagia ostertagi, and Trichostrongylus colubriformis in the jird (spectrum, potency, and efficacy by various routes). To examine how people from ethnic minorities in Western countries describe their experiences of managing type-2 diabetes mellitus.

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Although there was a high prevalence of current bisphosphonate use among patients with atypical fractures, the absolute risk was small. We also examined a possible involvement of the adenosine A1 receptor in BDNF production because riluzole can influence ecto-nucleotide levels. Community-associated methicillin-resistant Staphylococcus aureus. To establish the value of clinical and laboratory parameters gathered from a national survey on the management of the young febrile child (0-36 months) in emergency departments and to determine the etiology of potentially serious bacterial infections in Spain in this group of patients. To test the proposed proviral activity of ATM in vivo, we generated mice with ATM deficiency limited to myeloid cells.

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We synthesize existing information in a framework for future multilevel research for integrating genomic medicine into the cancer care continuum. The HeartWare left ventricular assist device is a miniaturized, continuous centrifugal-flow pump. Genetic affinities of north and northeastern populations of India: inference from HLA-based study. An arthroscopic approach is possible using manipulation of the patella in a loosened medial retinaculum. Bowel obstruction was observed in six of nine intussusceptions with ischemia or necrosis. The objective of this study was to characterize variations in packed red blood cell (PRBC) transfusion practices in critically ill patients and to identify which factors influence such practices. The results suggest that drugs injected into the epidural space may have unexpectedly easy access to the venous circulation with a potential to produce unwanted systemic effects.

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Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients. Neurologic damage may become permanent when the disorder is mistaken for multiple sclerosis or diabetic neuropathy--hence the need for prompt parenteral B12 in patients with pernicious anemia. The interrelationship between the autonomic nervous system and the immune system is discussed. In this study, mice were immunised intranasally and subcutaneously with influenza-immuno stimulating complexes (influenza-ISCOM). Effect of immunoglobulin source on survival, growth, and hematological and immunological variables in pigs. Collagen fibril diameter distribution in patellar tendon autografts after posterior cruciate ligament reconstruction in sheep: changes over time. To evaluate the effect of repetitive screw-hole use on the insertional torque and retentive strength of vertebral system screws. Outlining a future for non-Saccharomyces yeasts: selection of putative spoilage wine strains to be used in association with Saccharomyces cerevisiae for grape juice fermentation. GAPDH mRNA was readily detectable in cDNA prepared from short-time cultivated peripheral blood monocytes. N-urethane-protected amino alkyl isothiocyanates: synthesis, isolation, characterization, and application to the synthesis of thioureidopeptides.

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Molecular biological methods are useful in such a patient, to choose an optimal antibiotic treatment post-surgery. The expressions of integrin beta1 and ILK are increased in LSCC. To understand the meaning and experience of living with familial PancCa risk and to explore persantine drug class experiences related to screening and prevention of PancCa. Since SK3 only has been shown to be expressed in muscles upon denervation, this channel may be involved in hyperexcitability and afterhyperpolarization observed in muscle cells in the absence of the nerve. Pulmonary uptake of (99m)Tc-AM-L is greatly reduced in monocrotaline-induced PAH. Upon review of a surgical series of 15 purported craniopharyngiomas, the authors identified 3 such occurrences. There were also no significant differences in ANA between the light conditions.

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Apart from physical symptoms, buried staples can also lead to potential medico-legal consequences. Quality of life following surgery for oral and pharyngeal malignancy. Depression is regarded as the most common psychiatric abnormality in patients on hemodialysis (HD) for end-stage renal disease (ESRD). Adjustment for observation time was performed by ensuring that the time during which all included patients were at risk for Crohn disease was equal and that all patients had developed disease by the end of the risk period. In order to identify potential cytochrome P-450 3A4 (drug-metabolizing enzyme) inducers at an early stage of the drug discovery process, a cell-based transactivation high-throughput luciferase reporter assay for the human pregnane X receptor (PXR) in HepG2 cells has been implemented and multiplexed with a viability end point for data interpretation, as part of a Lead Profiling portfolio of assays. HBV DNA can bind to P53 protein and influence p53 transactivation in hepatoma cells. A large number phenergan syrup side effects in urdu of scalar as well as spinor excited states of OsO(4), in the experimentally accessible energy range of 3-11 eV, have been captured by time-dependent relativistic density functional linear response theory based on an exact two-component Hamiltonian resulting from the symmetrized elimination of the small component.

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Odorant Stimulation Promotes Survival of Rodent Olfactory Receptor Neurons via PI3K/Akt Activation and Bcl-2 Expression. Adherence to indicators of high-quality surveillance and median score of IBD surveillance guideline knowledge. An additional branch was observed innervating the stylohyoideus muscle in one animal only. This implies that the mean survival time can be well estimated when the support of linear predictor is wide in practice. Predictors of hospital admission from ED, in-hospital death, length of hospital stay, post-discharge mortality and re-attendance rate for AECOPD were the main outcomes. Testing the tyrosine/catecholamine hypothesis of oral contraceptive-induced psychological side-effects: a controlled study on triphasil. This tool allows the browsing of microarray data, the construction of coexpression and protein-protein interaction (PPI) networks and the exploration of diverse functional annotations. Women born in fall had the latest sleep onset time sleep offset time (22:23/6:30), compared to their counterparts born in winter.

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The construct and concurrent validity of the MMPI-2 Scale 2 Subtle and Obvious scales were examined for a group of 67 psychiatric inpatients. Conservative management of a large keratocystic odontogenic tumor in the maxilla. Despite its usefulness, 2-D PAGE is not being applied to its full potential because of difficulties with both the method and analysis neurontin brand name of the results. Accumulation of PTEN prior to myosin II suggests that PTEN is an upstream component in signaling pathway to localize myosin II, possibly with mechanosensing signaling loop where actomyosin-driven contraction further augments accumulation of PTEN and myosin II by a positive feedback mechanism. The treatment of methylprednisolone increased the Bcl-2/Bax ratio and prevented neuron death for 1-7 days after spinal cord injury. We discuss herein the role of the genetic and endothelial factors in the light of recent knowledge gained on the biology of peptide growth factors. Pharmacological ROS scavenging improves myocardial energy metabolism and insulin responsiveness in obesity and type 2 diabetes via direct effects that might be independent of changes in systemic metabolism. cuprina proteins appear to be more frequently recognized by sera from either resistant or susceptible animals, however the recognition of a specific protein could not be solely attributed to the resistance status of the animal. So far, most of the evidence for this debate has been provided by speculation and anecdotes. Auto-amputated Ovarian Cyst with Compression Sequelae: A Case Report.

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Comparative study of symmetric and asymmetric somatic hybridization between common wheat andHaynaldia villosa. Considering that large portion of SMB gene clusters might be sufficiently expressed only in limited uncommon conditions, it seems that prediction of SMB gene clusters by bioinformatics and successive experimental validation is an only way to efficiently uncover hidden SMB gene clusters. In recent years nerve transfers have been increasingly used to broaden reconstructive options for brachial plexus reconstruction. Correlates of well-being in mothers of children and adolescents with cystic fibrosis. We have previously identified patatin (Sol t 1) of potato tubers as a major food allergen among atopic children. The present serum bone biomarker results show that treatment with simvastatin, but not atorvastatin, decreases BSAP and suggest that simvastatin may have a beneficial effect on bone turnover. Sixty-nine ulcerative colitis patients (39 F, 30 M) dependent upon/refractory to steroids were treated with GMA. X-inactivation, the molecular mechanism enabling dosage compensation in mammals, is tightly controlled during mouse early embryogenesis. The time courses for silica-induced release of tumor vantin dose uti necrosis factor (TNF)-alpha, interleukin (IL)-1beta, and IL-8 both from co-cultures and monocyte mono-cultures showed an early peak at 5-10 h, almost no response at 20 h, and a strong increase at 43 h. Such dilemmas typically create a moral residue that is the basis of a second-order principle that tells us to reshape the world so that we can meet all our moral obligations.

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While the endothelium controls blood fluidity on its apical side, adaptation of the endothelium also prepares its involvement in tissue repair upon inflammation or damage. Topical application of PCA cream attenuated the UVB-induced erythema formation and pigmentation in mice models, more effectively compared with MPC cream. Whole-body nitrogen and splanchnic amino acid metabolism differ in rats fed mixed diets containing casein or its corresponding amino acid mixture. The reproducibility of each model was tested performing three runs of the Monte Carlo optimization. It is thus desirable to develop a novel strategy for the long-lasting resistance of rice plants to ever-changing fungal pathogens. Contrary to certain media headlines, however, the results plavix 5 mg tablet winter springs fl of these trials do not suggest that effective microbicides cannot be developed, only that Advantage-S, which was developed as a spermicide and not as a microbicide, is probably not one of them.

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Seasonal variations in fasting glucose and HbA1c levels in 638 diabetic patients (attending a primary care diabetic clinic during 2003-2007) were examined and found to be significantly higher in colder than in warmer months. Although this appears at first glance to be a highly plausible explanation, a review of the research performed on cell cycle regulation and DNA damage in mammalian cells provides little evidence to support this hypothesis. Available studies suggest that children have response rates to interferon monotherapy similar to adults. Since HDAC inhibition prompts tumour cells to enter apoptosis, small-molecule HDAC inhibitors have been developed as a new class of mechanism-based anticancer agent, many of which have entered clinical trials. Propofol is widely used in routine clinical practice for the induction and maintenance of anaesthesia. The effect of different concentrations of mannitol in solution on small intestinal transit: implications for drug absorption. The approach proposed in this paper has considerably eliminated the need for explicit perturbation results, making the RG approach simpler than many conventional singular perturbation approaches. A differential electromagnetic induction torque sensor and its finite element analysis. When small numbers of labeled subunits and large numbers of unlabeled subunits become randomly incorporated together into a macromolecular structure, the random distribution of fluorophores generates nonuniform fluorescence intensity patterns that appear as distinct puncta against low background fluorescence.

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