What you need to know about the heart drug Herbesser (diltiazem)

Cardiovascular disease is a fairly common disease, and the classes of cardiovascular drugs are diverse. Herbesser (diltiazem) is one of the medications used to treat cardiovascular diseases. So what is Herbesser and in what cases is it indicated? How to use the drug to bring the best effect? What special precautions should be taken while taking the drug? Let's analyze the article with SignsSymptomsList below to better understand what Herbesser is!

Active ingredient name: Diltiazem hydrochloride.
Name contains similar ingredients: Tildiem 60 mg, Denazox 60 mg, Diltiazem STADA 60mg,..

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• 1. What is Herbesser (diltiazem) and how does it work? 
• 2. In what cases should Herbesser (diltiazem) not be used?
• 3. How to use Herbesser (diltiazem) to be effective in treatment?
• 4. What are the side effects that will occur while taking Herbesser (diltiazem)?
• 5. What are the drug interactions to watch out for when taking Herbesser (diltiazem)?
• 6. Warnings and Precautions for Herbesser (diltiazem)
• 7. Treatment in case of overdose Herbesser (diltiazem)
• 8. What to do in case of a missed dose of Herbesser (diltiazem)
• 9. How much does Herbesser (diltiazem) cost?
• 10. How to store Herbesser (diltiazem)

1. What is Herbesser (diltiazem) and how does it work? 

Diltiazem hydrochloride (active ingredient in Herbesser, Tilhasan, Diltiazem STADA drugs) is indicated for the treatment of:

• Treat (long-term) and prevent possible angina .
• Treatment of patients with mild to moderate hypertension .

Herbesser

2. In what cases should Herbesser (diltiazem) not be used?

• Are allergic to diltiazem hydrochloride or any of the other ingredients in Herbesser.
• Are women who are pregnant or of childbearing age or are breast-feeding.
• Severely low blood pressure.
• Heart disease such as: bradycardia, an arrhythmia that causes palpitations, heart failure with reduced blood flow, congestive heart failure, narrowing of the opening of the aortic valve in the heart (aortic stenosis) , shock caused by heart problems (cardiogenic shock).
• Inherited disorder of hemoglobin, causing blistering of the skin, abdominal pain and nervous system disorders.
• Have taken medicine containing the active ingredient ivabradine to treat certain heart conditions.

3. How to use Herbesser (diltiazem) to be effective in treatment?

• Swallow the tablet whole with a little water.
• After the drug enters the body, the capsule may appear in the stool. This is completely normal and should not affect how the medicine works.

Take normal medicine with water

4. What are the side effects that will occur while taking Herbesser (diltiazem)?

Effects appear to be very common as swelling, especially of the ankles.

Some other common symptoms include:

• Dizziness, headache.
• Palpitations, flushing.
• Occurrence of digestive disorders such as: constipation , indigestion, stomach pain.
• Feeling sick, red skin and feeling uncomfortable.

Medications can cause headaches as a side effect

5. What are the drug interactions to watch out for when taking Herbesser (diltiazem)?

Tell your doctor or pharmacist if you have, are or plan to take any other medicines, especially:

• Infusion of dantrolene (a muscle relaxant).
• Antiarrhythmic drugs such as amiodarone (used to treat irregular heart rhythms).
• Treatment of hypertension.
• Lithium (used for mental health problems).
• Nitrates such as glyceryl trinitrate or isosorbide mononitrate (used to treat angina).
• Midazolam or triazolam (used for anesthesia and sedation).
• Rifampicin (a medicine used to treat tuberculosis).
• Imipramine and other antidepressants.

>> If you are depressed and need to take medication, you should carefully learn the information you need to know. See more articles: Drugs to treat depression: Basic information for you.

• Phenobarbital, phenytoin, or carbamazepine (to treat epilepsy).
• Cyclosporin (used to suppress the immune system, eg after an organ transplant).
• Theophylline (used in breathing problems such as asthma).
• Glycosides.
• Beta-blockers such as propranolol (used for certain heart problems).
• Cimetidine: A drug with an antihistamine effect.
• Diuretic.
• Alpha blockers such as Prazosin.
• Anesthesia drugs.
• Aspirin or clopidogrel (antiplatelet medicine used to reduce the risk of blood clots forming).
• Statins: simvastatin (used to treat high cholesterol).
• Corticosteroids (used to treat inflammation).

6. Warnings and Precautions for Herbesser ( diltiazem)

Talk to your doctor, pharmacist or nurse before taking diltiazem hydrochloride tablets if:

• Decreased liver and kidney function.
• The patient is suffering from depression.
• Potentially surgery that requires the use of anesthesia.
• The patient is having problems with the stomach or intestines.
• Have heart problems including bradycardia, arrhythmia, etc.
• Patient has diabetes . Diltiazem hydrochloride may impair glucose tolerance so treatment may require a re-adjustment of dosing.

7. Treatment in case of overdose Herbesser ( diltiazem)

• Do not take more than the amount prescribed by your doctor. In case of overdose, you should go to the nearest hospital and remember to bring the medicine or medicine package so that the doctor can easily identify and make treatment decisions.
• Overdose can lead to serious conditions such as bradycardia, accompanied by changes in heart rate and conduction.

8. What to do in case of a missed dose of Herbesser (diltiazem)

• In case you forget to take a dose, take it as soon as you remember.
• Then continue taking the medicine as before. Do not double the dose to make up for
   a missed dose.

9. How much does Herbesser (diltiazem) cost?

• Herbesser 30 mg costs about 170,000 VND/box of 100 tablets.
• Herbesser 60 mg costs about 257,000 VND/box of 100 tablets.

10. How to store Herbesser (diltiazem)

• Keep medicine out of sight and reach of children.
• Do not store the drug at temperatures > 25°C.
• Store the medicine in the original medicine box and keep it closed.
• Do not use diltiazem hydrochloride tablets after the expiration date indicated on the label/carton/bottle (the expiration date refers to the last day of that month).
• Do not dispose of any medications through sewage or household waste.
• Ask your pharmacist for advice on how to dispose of medicines when you are no longer using them. These treatment measures will contribute to environmental protection.

So we have found out what Herbesser is. The active ingredient diltiazem hydrochloride is used to treat angina pectoris or to treat high blood pressure. Note that the most common undesirable effect in this group of drugs is swelling of the feet. Therefore, to reduce symptoms, you can use a foot pillow when sleeping or limit standing for too long. In addition, although the frequency of dangerous symptoms is very small, if you have serious symptoms to your health, you must immediately call your doctor for timely treatment.

Pharmacist Nguyen Ngoc Cam Tien