Calzem 60mg Tablets (20’s) – Diltiazem for High Blood Pressure, Angina & Heart Rhythm Control

Description

Calzem 60mg Tablets contain Diltiazem Hydrochloride, a calcium channel blocker used for the treatment of high blood pressure (hypertension), chronic stable angina (chest pain), and certain heart rhythm disorders such as supraventricular tachycardia (SVT) and atrial fibrillation.
It works by relaxing the muscles of the heart and blood vessels, improving blood flow, lowering heart rate, and reducing the heart’s workload. Regular use of Calzem helps prevent heart attacks, strokes, and other cardiovascular complications.

Ingredients

• Active Ingredient: Diltiazem Hydrochloride 60mg

• Inactive Ingredients: Lactose monohydrate, magnesium stearate, maize starch, povidone, and other standard excipients.

Drug Class

• Therapeutic Class: Antihypertensive / Antianginal / Antiarrhythmic

• Pharmacological Class: Calcium Channel Blocker (Benzothiazepine derivative)

Dosage Form

• Form: Tablet

• Strength: 60mg

• Packaging: 20 Tablets per pack

Uses

• Management of high blood pressure (hypertension)

• Treatment and prevention of angina pectoris (chronic chest pain)

• Control of heart rhythm disorders, including:

  • Atrial fibrillation

  • Atrial flutter

  • Supraventricular tachycardia (SVT)

• Prevention of heart attack and stroke due to high blood pressure

Dosage

• Adults:

  • Hypertension/Angina: Usually 30–60mg two or three times daily, as prescribed by the physician.

  • Arrhythmias: Dose individualized based on ECG and clinical response.

• Elderly or patients with liver/kidney disease: Lower doses may be required.

• Always follow your doctor’s exact instructions.

In Case of Overdose

Symptoms: Very low blood pressure, extremely slow heartbeat, fainting, confusion, dizziness, or cardiac arrest.
Action: Seek immediate emergency medical attention. Hospital monitoring and supportive care (IV fluids, calcium, vasopressors) may be necessary.

Missed Dose

• Take the missed dose as soon as remembered.

• If it’s almost time for your next scheduled dose, skip the missed one.

• Do not double your next dose to make up for a missed tablet.

How To Use

• Take orally with or without food, as directed by your doctor.

• Swallow the tablet whole with water; do not crush or chew.

• Take at the same time each day for best results.

• Continue taking even if you feel well — hypertension often has no symptoms.

When Not to Use

• Allergy to Diltiazem or any component of the medicine

• Severe heart failure or cardiogenic shock

• Bradycardia (slow heart rate) or heart block (second/third degree) without a pacemaker

• Severe hypotension (low blood pressure)

• Recent heart attack with left ventricular failure

• Concurrent use with intravenous beta-blockers

Side Effects

Common:

• Dizziness or lightheadedness

• Headache

• Flushing

• Swelling of ankles or feet (edema)

• Fatigue

Less Common:

• Constipation or upset stomach

• Slow heartbeat

• Nausea

• Rash or mild itching

Serious (seek medical attention):

• Shortness of breath or chest tightness

• Severe dizziness or fainting

• Irregular heartbeat

• Swelling of face, lips, or throat (allergic reaction)

Precautions & Warnings

• Monitor blood pressure and heart rate regularly.

• Use cautiously in liver or kidney impairment.

• Avoid grapefruit juice, which may increase drug levels.

• Do not stop taking suddenly; consult your doctor before discontinuation.

• May cause drowsiness or dizziness — avoid driving until you know your response.

• Use with caution in elderly patients and diabetics.

• Not recommended during pregnancy or breastfeeding, unless prescribed.

Drug Interactions

Possible interactions with:

• Beta-blockers (e.g., metoprolol, propranolol) – risk of slow heart rate or heart block

• Digoxin – increases digoxin levels

• Statins (simvastatin, atorvastatin) – risk of muscle toxicity

• Amiodarone or quinidine – may increase heart rhythm disturbances

• Cyclosporine, carbamazepine, theophylline – altered drug levels

• Alcohol and sedatives – may enhance dizziness

• NSAIDs – may reduce antihypertensive effect

Always inform your doctor about all medications, supplements, or herbal remedies you are taking.

Storage/Disposal

• Store below 30°C, in a cool, dry place.

• Protect from light and moisture.

• Keep out of reach of children.

• Do not use after the expiry date.

• Dispose of unused medicine responsibly; do not flush or throw in household waste.

Control Drug

• Prescription-only medicine (Rx)

• Not a controlled drug

Quick Tips

• Take Calzem at the same time every day for optimal effect.

• Avoid grapefruit juice and alcohol while using this medicine.

• Rise slowly from sitting or lying positions to prevent dizziness.

• Continue therapy even if symptoms improve — stopping suddenly can worsen your condition.

• Regular exercise, low-salt diet, and stress control enhance the effectiveness of treatment.

• Get regular blood pressure and ECG check-ups as advised by your doctor.