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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Reduced Blood Pressure While On Diltiazem?

I am 6 weeks into working my out of a serious bout with Gullian Barre. I had been prescribed Diltiazem 360mg daily before the being stricken. I have be on the Diltiazem for about three years to assist with BP control but primarily for heart rate control in the event of an A-Fib issues. I have not had an episode of A-fib recently, I believe primarily because I have eliminated meloxicam and now daily alcohol from my daily life. My BP is testing very low, generally in the 100/60 range. Are there any cautions I should know about regarding eliminating Diltiazem from my daily prescriptions? Tim
posted on Mon, 13 Jul 2015
Twitter Wed, 1 Jul 2020 Answered on
Twitter Fri, 3 Jul 2020 Last reviewed on
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General Surgeon 's  Response
Hi,

* As per my clinical experience, the sudden stoppage of Diltiazem may be disastrous for your cardio health and wellbeing.

* Low blood pressure may be in relation with inhibitory effect via parasympathetic pathway over long term consumption of the Diltiazem.

* Primary management would include

- plenty of liquids
- dose adjustment of Diltiazem
- working out other cause of low blood pressure
- control of blood sugar.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Reduced Blood Pressure While On Diltiazem?

Hi, * As per my clinical experience, the sudden stoppage of Diltiazem may be disastrous for your cardio health and wellbeing. * Low blood pressure may be in relation with inhibitory effect via parasympathetic pathway over long term consumption of the Diltiazem. * Primary management would include - plenty of liquids - dose adjustment of Diltiazem - working out other cause of low blood pressure - control of blood sugar. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel