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The Diltiazem HCl 20 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This liquid formulation offers a precise and convenient method for administering the medication, particularly beneficial for patients who experience difficulty swallowing pills, such as those in pediatric and geriatric groups. Diltiazem is a calcium channel blocker that is commonly used to treat hypertension (high blood pressure) and angina pectoris (chest pain). It may also be prescribed for certain types of cardiac arrhythmias (irregular heartbeats). The liquid form ensures that patients receive an accurate dose of the medication in an easily ingestible format.
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
Diltiazem HCl 20 mg/ml Oral Liquid is a custom-prepared medication designed for ease of administration and precise dosing. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as those in pediatric and geriatric populations, or for those with conditions affecting the esophagus or swallowing reflex. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient.
Diltiazem is a calcium channel blocker that works by relaxing the muscles of the heart and blood vessels. It is commonly used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. By dilating blood vessels and reducing the workload on the heart, diltiazem helps to lower blood pressure, increase the supply of blood and oxygen to the heart, and prevent angina attacks. This oral liquid formulation ensures that patients who are unable to take solid forms of medication can still receive the therapeutic benefits of diltiazem.
For prescribers, it is important to note that the concentration of diltiazem in this formulation is 20 mg/ml, allowing for precise dosing tailored to the individual patient's requirements. The liquid form should be measured with an appropriate device such as an oral syringe or a medicine dropper to ensure accuracy. It is also crucial to consider the patient's weight, age, and renal and hepatic function when determining the appropriate dose. Regular monitoring of blood pressure and heart rate is recommended to assess the efficacy and safety of the treatment.
Patients should be instructed on how to properly measure and take their medication, and to adhere to their dosing schedule as prescribed by their healthcare provider. They should also be made aware of potential side effects, which may include dizziness, lightheadedness, weakness, and gastrointestinal disturbances. Patients should be advised to report any adverse effects or concerns to their healthcare provider promptly.
As compounding pharmacists at Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of our patients. If you have any questions about the Diltiazem HCl 20 mg/ml Oral Liquid formulation or its administration, please do not hesitate to reach out to us for further information and guidance.
Diltiazem HCl is a calcium channel blocker that is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. When formulated as a 20 mg/ml oral liquid, it provides an alternative for patients who have difficulty swallowing tablets or capsules. However, diltiazem is known to interact with a variety of medications and substances, which can lead to either increased side effects or reduced efficacy of treatment.
One of the most significant interactions occurs with drugs that are metabolized by the liver enzyme CYP3A4, as diltiazem is an inhibitor of this enzyme. This can lead to increased levels of these drugs in the body, potentially causing toxicity. Examples include certain statins (such as simvastatin and atorvastatin), benzodiazepines, and some antiviral medications. Patients should be closely monitored and dosage adjustments may be necessary when diltiazem is co-administered with these drugs.
Concomitant use of diltiazem with beta-blockers or digoxin can lead to an additive effect on the heart, potentially resulting in bradycardia (slow heart rate), conduction disturbances, or heart failure. Patients should be monitored for signs of excessive cardiac depression when these medications are used together. Additionally, combining diltiazem with other antihypertensive agents can enhance the blood pressure-lowering effects, which may require dose adjustments to avoid hypotension (low blood pressure).
Grapefruit juice can increase the plasma concentrations of diltiazem, as it inhibits CYP3A4. Patients should be advised to avoid grapefruit and grapefruit juice while taking diltiazem oral liquid to prevent unintended increases in drug levels. Alcohol consumption should also be approached with caution, as it may enhance the blood pressure-lowering effects of diltiazem and increase the risk of side effects such as dizziness or fainting.
Patients taking diltiazem should also be cautious about using over-the-counter medications and herbal supplements. For example, St. John's Wort can decrease the effectiveness of diltiazem by inducing CYP3A4, while supplements like magnesium or coenzyme Q10 may have additive effects on blood pressure and heart rate.
It is crucial for patients and prescribers to be aware of these interactions when considering the use of diltiazem HCl 20 mg/ml oral liquid. A thorough medication review should be conducted to identify any potential interactions before starting treatment. Dose adjustments or alternative therapies may be necessary to ensure safe and appropriate use of this medication. If you have any questions or concerns regarding drug interactions with diltiazem, please reach out to us at Bayview Pharmacy for further assistance.
Diltiazem HCl, the active ingredient in this oral liquid formulation, is a calcium channel blocker that works by inhibiting the influx of calcium ions into cardiac and vascular smooth muscle cells. This action results in the dilation of coronary and systemic arteries, leading to a decrease in blood pressure and a reduction in the workload of the heart. By relaxing the vascular smooth muscle, diltiazem reduces the force of contraction of the heart and decreases the rate at which the heart beats.
The 20 mg/ml concentration of Diltiazem HCl in this oral liquid formulation allows for precise dosing tailored to the individual needs of the patient. The liquid form is particularly beneficial for patients who have difficulty swallowing pills, such as the elderly or children, or for those with conditions that affect the esophagus or swallowing reflex. The liquid formulation ensures that the medication can be administered easily and absorbed quickly into the bloodstream for a rapid onset of action.
When taken as directed, this oral liquid formulation of Diltiazem HCl can help to restore normal heart rhythms, relieve chest pain, and lower high blood pressure, thereby reducing the risk of stroke, heart attack, and other heart-related complications. It is important for patients and prescribers to understand that consistent, regular dosing is crucial for the management of cardiovascular conditions. As with any medication, it is essential to follow the dosing instructions provided by the healthcare provider to achieve the best therapeutic outcomes.
For patients and prescribers interested in using this Diltiazem HCl oral liquid formulation, it is important to consider the patient's complete medical history, including any other medications being taken, to avoid potential drug interactions. Monitoring for side effects, such as dizziness, headache, or swelling of the extremities, is also important for safe and appropriate use of the medication. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure optimal care for our patients.
Diltiazem HCl 20 mg/ml Oral Liquid is a heart and blood pressure medication prescribed for the treatment of high blood pressure (hypertension), angina (chest pain), and certain heart rhythm disorders. It works by relaxing the blood vessels so the heart does not have to pump as hard, and by slowing the heart rate to improve blood flow and decrease the workload on the heart.
This medication should be stored at room temperature, away from direct sunlight and heat. Keep the bottle tightly closed and out of reach of children and pets. Do not freeze the liquid formulation and discard any unused portions after the expiration date or as per the instructions of your healthcare provider.
Yes, Diltiazem HCl Oral Liquid can be taken with or without food. However, it's essential to take it consistently in relation to meals. If you begin taking it with food, continue to do so for the duration of your therapy unless your healthcare provider advises otherwise.
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Measure the prescribed dose with the provided measuring device, which is designed to ensure accurate delivery of the medication. Do not use a household spoon which can lead to incorrect dosing.
As with any medication, side effects are possible with Diltiazem HCl Oral Liquid. Common side effects include dizziness, lightheadedness, weakness, tiredness, and nausea. If any of these effects persist or worsen, or if you experience more severe side effects like a very slow heartbeat or severe skin reactions, contact your healthcare provider immediately.
Yes, Diltiazem can interact with other medications, which can alter how your medications work or increase your risk for serious side effects. It's important to share all information about your current medications and supplements with your healthcare provider, and never start, stop, or change the dosage of any medicines without your provider's approval.
Diltiazem HCl Oral Liquid may be prescribed to children as it allows for flexible dosing and is easier to swallow than solid forms. However, the use in pediatrics should be guided by a healthcare professional who will determine the appropriate dose based on the child's specific condition and weight.
Geriatric patients can take Diltiazem HCl Oral Liquid, especially since it may be preferable for those who have difficulty swallowing tablets or capsules. Doses may be adjusted by healthcare providers based on kidney function or concomitant medications to minimize the risk of side effects.
If you suspect an overdose, seek immediate medical attention or call the Poison Help line at 1-800-222-1222. Symptoms of overdose may include severe dizziness, fainting, or difficulty breathing.
This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.
A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.
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Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.
Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.
Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.
Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.
Take orally
