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Information on this page was last modified on : 2021/05/16 2:54:31 PM

Herbesser tablet 60 mg 30’s

Belongs to Category

Herbesser tablet contains Diltiazem | belongs to Calcium antagonist

Alternate brands of Herbesser tablet 60 mg 30’s

Brand Name Price Savings
Zem tablet 60 mg 10×10’s  604.03 You will pay -344.03 more
Zem tablet 30 mg 10×10’s  332.34 You will pay -72.34 more
Perlita SR tablet Rtd 90 mg 10’s  120.00 You can save 140
Myozem tablet 60 mg 3×10’s  108.00 You can save 152
Metazem tablet 30 mg 10×10’s  275.00 You will pay -15 more
List of alternate brands

How it works

Herbesser tablet 60 mg 30’s works by inhibiting the influx of calcium into the muscles and causes relaxation of the muscles.

Uses of Herbesser tablet 60 mg 30’s

What is it prescribed for?

  • Angina Pectoris Prophylaxis

    Herbesser tablet 60 mg 30’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.

Concerns

Frequently asked questions

  • Onset of action

    The peak effect of this medicine can be observed in 2 to 4 hours for an immediate release tablet, 11 to 18 hours for an extended release tablet and 10 to 14 hours for an extended release capsule.

  • Duration of Effect

    The effect of this medicine lasts for an average duration of 9 to 12 hours for an immediate release tablet, 12 to 24 hours for an extended release tablet, 15 to 30 hours for an extended release capsule, 9 to 12 hours for a single intravenous dose, 12 to 15 hours for an infusion.

  • Safe with Alchohol?

    Consumption of alcohol should be avoided while taking this medicine, especially when you start taking the medicine or a change its dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.

  • Is it habit forming?

    No habit forming tendencies were reported.

  • Usage in pregnancy?

    This medicine is not recommended for pregnant women. Use under the supervision of the doctor, only if clinical condition clearly requires the use of this medicine.

  • Usage while breast-feeding?

    This medicine is not recommended for breastfeeding women. Use only if clearly needed under the doctor's supervision. Monitoring of blood pressure is necessary.

When not to use?

  • Allergy

    Avoid if you have a known allergy to Herbesser tablet 60 mg 30’s or any medicine belongs to the class calcium channel blockers.

  • Acute myocardial infarction

    This medicine is not recommended in the patients with known case of myocardial infarction.

  • Sick sinus syndrome

    This medicine is not recommended in the patients with sick sinus syndrome except in the presence of a functioning ventricular pacemaker.

Warnings

Warnings for special population
  • Pregnancy

    This medicine is not recommended for pregnant women. Use under the supervision of the doctor, only if clinical condition clearly requires the use of this medicine.

  • Breast-feeding

    This medicine is not recommended for breastfeeding women. Use only if clearly needed under the doctor's supervision. Monitoring of blood pressure is necessary.

General Warnings
  • Hypotension

    Herbesser tablet 60 mg 30’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.

  • Cardiac Conduction

    Herbesser tablet 60 mg 30’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.

  • Impaired liver function

    Herbesser tablet 60 mg 30’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.

  • Skin reaction

    Herbesser tablet 60 mg 30’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.

  • 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

  • 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.

  • Overdose

    Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

Interaction with Medicines
  • Carbamazepine severe
  • Itraconazole severe
  • Ethinyl Estradiol moderate
  • Atorvastatin moderate
Disease interactions
  • severe

    Herbesser tablet 60 mg 30’s is not recommended in the patients with aortic stenosis as it may worsen the myocardial oxygen balance.

  • severe

    This medicine is not recommended for use in patients suffering from a cardiogenic shock since it may worsen the patient's condition.

  • 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.

  • 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.

Lab interactions

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.

References

Additional Information:

How to use Herbesser tablet 60 mg 30’s

UNLICENSED USE
Children: Raynaud’s syndrome: ORAL:12-18 yr, 30-60 mg 2-3 times daily.

what are the adverse effects of Herbesser tablet 60 mg 30’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 Herbesser tablet 60 mg 30’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 Herbesser tablet 60 mg 30’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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