₨ 200.00
MBBS
Calzem tablet SR 90 mg 20’s
- Does this requires a prescription ? Yes
- Generic Name: Diltiazem
- Manufactured by : Maple Pharmaceuticals Pvt. Ltd
- Drug Strength : 90 mg
- Drug Form : Tablet SR
- Pack Size : 20s
- Product SKU : pu_pg_3526_4684
Calzem tablet SR contains Diltiazem | belongs to Calcium antagonist
Alternate brands of Calzem tablet SR 90 mg 20’s
| Brand Name | Price | Savings |
|---|---|---|
| Zem tablet 60 mg 10×10’s | ₨ 604.03 | You will pay -404.03 more |
| Zem tablet 30 mg 10×10’s | ₨ 332.34 | You will pay -132.34 more |
| Perlita SR tablet Rtd 90 mg 10’s | ₨ 120.00 | You can save 80 |
| Myozem tablet 60 mg 3×10’s | ₨ 108.00 | You can save 92 |
| Metazem tablet 30 mg 10×10’s | ₨ 275.00 | You will pay -75 more |
How it works
Calzem tablet SR 90 mg 20’s works by inhibiting the influx of calcium into the muscles and causes relaxation of the muscles.
Side effects
Major & minor side effects for Calzem tablet SR 90 mg 20’s
- Body pain
- Cough
- Fever
- Chest discomfort
- Headache
- Diarrhea
- Swelling of the hands, ankles, feet, or lower legs
- Sneezing
- Acid or sour stomach
- Constipation
- Muscle pain
- Skin rash
Uses of Calzem tablet SR 90 mg 20’s
What is it prescribed for?
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Angina Pectoris Prophylaxis
Calzem tablet SR 90 mg 20’s is used in the treatment of angina pectoris which is a type of heart disease characterized by chest pain caused due to emotional stress and smoking.
When not to use?
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Allergy
Avoid if you have a known allergy to Calzem tablet SR 90 mg 20’s or any medicine belongs to the class calcium channel blockers.
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Acute myocardial infarction
This medicine is not recommended in the patients with known case of myocardial infarction.
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Sick sinus syndrome
This medicine is not recommended in the patients with sick sinus syndrome except in the presence of a functioning ventricular pacemaker.
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Hypotension
Calzem tablet SR 90 mg 20’s may further decrease the blood pressure which results in symptomatic hypotension. Frequent monitoring of blood pressure is necessary. Dose adjustments are to be made based on the clinical condition.
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Cardiac Conduction
Calzem tablet SR 90 mg 20’s may cause slow heart rates and this effect is more in the patients who are on beta-blockers or digitalis. Frequent monitoring of heart function is necessary. Dose adjustments are to be made based on the clinical condition.
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Impaired liver function
Calzem tablet SR 90 mg 20’s may cause a mild elevation in the liver enzymes like alkaline phosphatase, LDH, SGOT, SGPT. These levels return to normal once the medicine is discontinued. Close monitoring of liver function tests is necessary. Dose adjustments are to be made based on the clinical condition.
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Skin reaction
Calzem tablet SR 90 mg 20’s may cause rare but severe skin reactions like Stevens-Johnson syndrome, toxic epidermal necrolusis, erythema multiforme and/or exfoliative dermatitis. Any symptoms of skin rash or itching should be reported to the doctor.
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Use in children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.
Dosage
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Missed Dose
The missed dose can be taken as soon as you remember. However, the missed dose should be skipped if it is almost time for your next dose.
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Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
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severe
Calzem tablet SR 90 mg 20’s is not recommended in the patients with aortic stenosis as it may worsen the myocardial oxygen balance.
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severe
This medicine is not recommended for use in patients suffering from a cardiogenic shock since it may worsen the patient's condition.
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severe
This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
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moderate
This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
General Instructions
You should carefully follow all instructions on the label. The duration and amount of medicine consumed should be as prescribed by the doctor. It can be taken with food or after food. An adequate amount of water should be consumed to minimize the irritation caused in the stomach.
Other details
- Can be taken with or without food, as advised by your doctor
- To be taken as instructed by doctor
- May cause sleepiness
References
- practo.com - Diltiazem [Internet]. Available from: https://www.practo.com/medicine-info/diltiazem-86-api [cited 26 september 2019]. 16 Nov 2017
- toxnet.nlm.nih.gov - TOXNET Databases [Internet]. Available from: https://toxnet.nlm.nih.gov/cgi-bin/sis/search2/f?./temp/~G636cu:4 [cited 26 september 2019]. not available
How to use Calzem tablet SR 90 mg 20’s
UNLICENSED USE
Children: Raynaud’s syndrome: ORAL:12-18 yr, 30-60 mg 2-3 times daily.
what are the adverse effects of Calzem tablet SR 90 mg 20’s?
Bradycardia, 1st degree AV block, ankle oedema, nausea, headache, rash, flushing, hypotension, GI upset, fatigue, gingival hyperplasia. Changes in liver function, hepatitis, palpitations, dizziness, malaise, asthaenia, erythema, pruritus, hyperglycaemia. Mood changes incl depression.
What happens if I miss a dose of Calzem tablet SR 90 mg 20’s?
Adults: Usually 60 mg three times daily, increasing if necessary to max 480 mg daily in divided doses. Elderly: Initially 60 mg twice daily. Children: Not recommended.
One of the following licensed pharmacy from the nearest location will deliver Calzem tablet SR 90 mg 20’s. The details of the licensed pharmacy shall be shared once you request the drugs and the respective pharmacy accepts your request based on valid prescription and availability.
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