Step 3 = Give the first oral dose ~ 1 hr before titrating down the IV infusion (since the time to maximal absorption is ~ 1-1
15 mg/kg IV bolus over 2 min; may give an additional dose after 30 min if no response: 0
However, no studies exist comparing oral (PO) immediate release and IV continuous infusion Cardizem; Descriptions
Some patients may maintain response to an initial
Introduction Diltiazem is commonly used for the management of atrial fibrillation (AFIB) with rapid ventricular rate (RVR) in the emergency department (ED)
Generic: 60 mg, 90 mg, 120 mg Capsule Extended Release 24 Hour, Oral, as hydrochloride: Cardizem CD: 120 mg, 180 mg, 240 mg, 300 mg, 360 mg [contains brilliant blue fcf (fd&c blue #1)] Cartia XT: 120
Diltiazem (Cardizem) 15 to 20 mg IV over 2 minutes; may repeat in 15 minutes: 5 to 15 mg per hour by continuous IV infusion: Convenient; easy to titrate to
Medication
Check with your doctor or nurse immediately if any of the following side effects occur: More common
Cardizem (diltiazem hydrochloride) is a calcium channel blocker used to prevent chest pain ( angina )
Diltiazem, sold under the brand name Cardizem among others, is a nondihydropyridine calcium channel blocker medication used to treat high blood pressure, angina, and certain heart arrhythmias
Drugs & Supplements
Diltiazem hydrochloride injection rarely converts atrial fibrillation or atrial flutter to normal sinus rhythm
It has a pH range of 3
5 mg/hr to 260 mg/day · 10 mg/hr to 330 mg/day · 15 mg/hr to 480 mg/day Diltiazem hydrochloride injection rarely converts atrial fibrillation or atrial flutter to normal sinus rhythm
Diltiazem Hydrochloride Injection is for direct intravenous bolus injection and continuous intravenous infusion
Bolus dose
33-35 (Class II, Level B) 14
Lake Forest, IL;
In a study involving single oral doses of 300 mg of CARDIZEM in six normal volunteers, the average maximum PR prolongation was 14% with no instances of greater than first-degree AV block
If rounding is required, round to the nearest whole number
In a study involving single oral doses of 300 mg of CARDIZEM in six normal volunteers, the average maximum PR prolongation was 14% with no instances of greater than first-degree AV block
There are numerous brand names for oral diltiazem (capsules and tablets), and available strengths include 30 mg, 60 mg, 90 mg, 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, and 420 mg
The drug is dispensed in a concentration of 250 Intravenous Drugs Text continues on page 6 Ceftazidime Ceftizoxime Ceftriaxone Ciprofloxacin Clindamycin Daptomycin Dexamethasone Dextrose 5% in water Diazepam Diltiazem Diphenhydramine Dobutamine Dopamine Doripenem Doxycycline Enalaprilat Epinephrine Eptifibatide Esmolol Esomeprazole Famotidine Fentanyl Fluconazole
Drip can be titrated to 15mg/hr, with re-bolus of 0
Cardizem LA and Matzim LA extended-release tablets: Maximum 360 mg daily