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Since there have been conflicting results regarding the effect of digoxin levels, it is recommended that digoxin levels be monitored when initiating, adjusting, and discontinuing diltiazem therapy to avoid possible over- or under-digitalization.

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Tell your doctor and pharmacist if you are allergic to diltiazemany other medicationsor any of the ingredients in diltiazemAsk your pharmacist for a list of the ingredientstell your doctor and pharmacist what other prescription and nonprescription medicationsvitaminsnutritional supplementsand herbal products you are taking or plan to takeBe sure to mention any of the followingatazanavirReyatazbenzodiazepines such as midazolamVersedand triazolamHalcionbeta blockers such as atenololTenorminin TenoreticlabetalolmetoprololLopressorToprol XLin DutoprolnadololCorgardin Corzideand propranololInderalInnopranin InderidebuspironecarbamazepineCarbatrolEpitolEquetroTegretolcimetidineTagametcyclosporineGengrafNeoralSandimmunedigoxinLanoxinlovastatinAltoprevMevacorin Advicorquinidinein Nuedextaand rifampinRifadinin Rifamatein RifaterRimactaneYour doctor may need to change the doses of your medications or monitor you carefully for side effectsMany other medications may also interact with diltiazemso be sure to tell your doctor about all the medications you are takingeven those that do not appear on this listtell your doctor if you have buy imitrex injections online or have ever had a myocardial infarctionMIa narrowing or blockage of your digestive system or any other condition that causes food to move through your digestive system more slowlylow blood pressureor heartliveror kidney diseasetell your doctor if you are pregnantplan to become pregnantor are breastfeedingIf you become pregnant while taking diltiazemcall your doctorif you are having surgeryincluding dental surgerytell your doctor or dentist that you are taking diltiazem.

Heart rhythm problemsIn people with certain types of heart rhythm problemssick sinus syndromesecondand third-degree atrio-ventricular blockwho do not have pacemakersdiltiazem may cause abnormally slow heart ratesPeople with certain types of heart rhythm problems should not take diltiazemIf you have a heart rhythm problemyour doctor should closely monitor your condition while you are taking diltiazemTalk to your doctor if you have any concerns.

Some side effects can be seriousIf you experience any of the following symptomscall your doctor immediately or get emergency medical treatment:

Breast-feedingDiltiazem passes into breast milkIf you are a breast-feeding mother and are taking diltiazemit may affect your babyTalk to your doctor about whether you should continue breast-feeding.

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