Diltiazem 60mg Sustained-Release Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Fainting or severe dizziness
- Chest pain that worsens or is not relieved by rest
- Difficulty breathing or sudden weight gain
- Slow or irregular heartbeat
- Yellowing of skin or eyes (jaundice)
- Severe abdominal pain or vomiting
- Swelling of face, lips, or throat
If experiencing severe symptoms, call emergency services immediately.
What is genericart diltiazem hydrochloride 60mg tablet used for?
Diltiazem 60 mg sustained-release tablet is a calcium channel blocker used to treat high blood pressure and chest pain (angina). It works by relaxing blood vessels and slowing the heart rate, reducing the heart's workload. It is taken orally, usually once or twice daily, and should not be crushed or chewed.
- Generic Name: Diltiazem (60mg)
- Manufacturer: Swast Aushadhi Seva Generic Medicine Store
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 genericart diltiazem hydrochloride 60mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) और एंजाइना (सीने में दर्द) के इलाज के लिए इस्तेमाल की जाती है। यह रक्त वाहिकाओं को आराम देकर और हृदय की गति को धीमा करके हृदय पर दबाव कम करती है। यह दिल की धड़कन की कुछ समस्याओं में भी उपयोगी हो सकती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, चक्कर आना, थकान, मतली और पैरों में सूजन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन धीमी हृदय गति, निम्न रक्तचाप, या यकृत की समस्या हो सकती है। यदि आपको बेहोशी, सीने में दर्द, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। गोली को चबाएं या तोड़ें नहीं, पूरा निगल लें। शराब से बचें क्योंकि इससे चक्कर और निम्न रक्तचाप बढ़ सकता है। डॉक्टर की सलाह के बिना दवा अचानक बंद न करें। नियमित रूप से रक्तचाप और हृदय गति की जांच कराएं।
💊 genericart diltiazem hydrochloride 60mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"Lowers blood pressure by relaxing blood vessels, reducing the risk of stroke and heart attack.","evidence":"Well-established"},{"condition":"Chronic stable angina","description":"Reduces the frequency and severity of chest pain by improving blood flow to the heart and decreasing its workload.","evidence":"Well-established"},{"condition":"Vasospastic angina (Prinzmetal's angina)","description":"Helps prevent coronary artery spasms that cause chest pain at rest.","evidence":"Well-established"},{"condition":"Atrial fibrillation or flutter","description":"Used to control heart rate in certain patients with rapid atrial arrhythmias.","evidence":"Established"},{"condition":"Post-myocardial infarction protection","description":"May be used to reduce the risk of further heart events after a heart attack, especially when beta-blockers are not suitable.","evidence":"Established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, though evidence is limited.","evidence":"Limited"},{"condition":"Raynaud's phenomenon","description":"May help reduce frequency and severity of Raynaud's attacks by improving circulation.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Chronic stable angina, Vasospastic angina, Atrial fibrillation/flutter, Post-myocardial infarction
📋 Drug Information
| Generic Name(s) | Diltiazem (60mg) |
| Brand Name | genericart diltiazem hydrochloride 60mg tablet |
| Manufacturer | Swast Aushadhi Seva Generic Medicine Store |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Calcium channel blockers- Nondihydropyridines |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization includes calcium channel blockers like diltiazem as one of the first-line drug classes for the treatment of hypertension in adults, especially in certain populations. However, specific recommendations may vary based on individual patient factors. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) guidelines for hypertension management include calcium channel blockers as first-line therapy, either alone or in combination with other antihypertensives. Diltiazem is among the recommended options. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Diltiazem inhibits the influx of calcium ions into vascular smooth muscle cells and cardiac muscle cells by blocking L-type calcium channels. This leads to relaxation of blood vessels (vasodilation) and a decrease in heart rate and contractility, thereby reducing myocardial oxygen demand and lowering blood pressure.
Mechanism Steps
💡 How to Take genericart diltiazem hydrochloride 60mg tablet
Strength: Sustained-release tablet, 60 mg
Dosage Information
| Adult Dosage | The usual adult dose for hypertension is 180-240 mg once daily as a sustained-release formulation, but may be adjusted to 120-360 mg daily in divided doses. For angina, the typical dose is 120-180 mg once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Do not crush or chew the sustained-release tablet; swallow it whole. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of diltiazem, especially bradycardia and hypotension. Start with a lower dose and titrate slowly. Monitor renal and hepatic function regularly. |
| Renal Impairment | No specific dose adjustment is provided in the manufacturer's labeling for renal impairment. However, diltiazem and its metabolites are excreted by the kidneys, so caution is advised. Monitor renal function and adjust dose as needed. |
| Hepatic Impairment | In patients with hepatic impairment, diltiazem should be started at a lower dose and titrated slowly. Monitor liver function tests regularly. |
| Maximum Daily Dose | The maximum recommended daily dose is 360 mg for hypertension and 360 mg for angina, but doses above 240 mg/day are rarely used. Individualize as per clinical response. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of genericart diltiazem hydrochloride 60mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Beta-blockers | Major | |
| Digoxin | Major | |
| CYP3A4 inhibitors | Major | |
| CYP3A4 inducers | Major | |
| Statins | Major | |
| Cyclosporine | Moderate | |
| Carbamazepine | Moderate | |
| Midazolam | Moderate | |
| Rifampin | Moderate | |
| Cimetidine | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol, metoprolol)
- Digoxin
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin)
- CYP3A4 inducers (e.g., rifampin, carbamazepine, phenytoin)
- Statins (e.g., simvastatin, atorvastatin)
⚡ Moderate Interactions
- Cyclosporine
- Carbamazepine
- Midazolam
- Rifampin
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering and dizziness effects of diltiazem. It is advisable to avoid or limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to diltiazem or any component of the formulation","Sick sinus syndrome (unless a functioning pacemaker is present)","Second- or third-degree AV block (unless a functioning pacemaker is present)","Severe hypotension (systolic BP
⚠️ Warnings & Precautions
["Use with caution in patients with impaired liver or kidney function; dose adjustment may be required.","May cause drowsiness or dizziness; avoid driving or operating machinery until effects are known.","Do not abruptly discontinue; taper gradually under medical supervision.","Use with caution in elderly patients; start at lower doses.","May worsen heart failure; monitor for signs of fluid retention.","Avoid grapefruit juice as it can increase drug levels.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
Diltiazem is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.
💊 Overdose Management
Overdose of diltiazem can cause severe hypotension, bradycardia, heart block, and cardiac arrest. Treatment is supportive and symptomatic. Gastric lavage may be considered if ingestion is recent. Intravenous calcium gluconate or calcium chloride may be used to reverse calcium channel blockade. Atropine, vasopressors, and cardiac pacing may be required. Seek immediate medical attention.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed. Do not crush, chew, or break the sustained-release tablet; swallow it whole. Avoid alcohol as it may increase dizziness and low blood pressure. Do not stop this medicine suddenly without consulting your doctor, as it may worsen angina or blood pressure. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular monitoring of blood pressure, heart rate, and liver function may be required. Use caution while driving or operating machinery until you know how this medicine affects you.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the blood pressure-lowering and heart rate-slowing effects of diltiazem. Start with a lower dose and titrate slowly. Monitor renal and hepatic function regularly. Falls due to dizziness are a concern; take precautions.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor. Diltiazem is Pregnancy Category C and should be used only if the potential benefit justifies the potential risk. Your doctor may switch you to a safer alternative.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking diltiazem. It may interact with anesthesia and other medications used during surgery. Your doctor may advise temporary discontinuation or dose adjustment.
🦷 Dental Procedures
Inform your dentist that you are taking diltiazem, especially if you are undergoing procedures that may cause bleeding or require anesthesia. Diltiazem can cause gingival hyperplasia, so maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe and beneficial, but avoid sudden strenuous activities until you know how this medicine affects you. If you experience dizziness, chest pain, or shortness of breath during exercise, stop and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities with some adjustments.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects or your doctor decides to discontinue, the dose will be tapered gradually to prevent rebound effects.
📅 Long-Term Use Effects
Long-term use of diltiazem is generally safe when monitored appropriately. Regular check-ups should include blood pressure, heart rate, and liver function tests. Some patients may develop tolerance or need dose adjustments. It is important to continue lifestyle modifications and attend follow-up appointments.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, weight loss, and stress reduction can help manage hypertension and angina.
Evidence: Well-establishedACE inhibitors, ARBs, beta-blockers, or diuretics may be alternatives based on individual needs.
Evidence: Well-establishedFor severe coronary artery disease, invasive procedures may be necessary.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions between diltiazem and vaccines are known. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If traveling across time zones, consult your doctor about adjusting dosing times. Store at room temperature and avoid direct sunlight. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within a few hours, but full therapeutic effect may take 2-4 weeks of regular use.
A: No, do not stop without consulting your doctor. High blood pressure often has no symptoms, and stopping suddenly can cause rebound hypertension or angina.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Avoid grapefruit juice as it can increase drug levels. Limit alcohol as it may enhance side effects like dizziness.
🤔 Common Patient Concerns
🔄 Substitutes for genericart diltiazem hydrochloride 60mg tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia diltiazem 60mg tabletDavaindia Generic Pharmacy ₹21.00 59.3% CHEAPER
-
diltp 60mg tabletTaurus Laboratories Pvt Ltd ₹22.90 55.6% CHEAPER
-
diltisyn 60mg tabletThemis Medicare Ltd ₹23.38 54.7% CHEAPER
-
diltiaz 60mg tabletShreya Life Sciences Pvt Ltd ₹27.42 46.8% CHEAPER
-
dilter cd 60mg capsuleSun Pharmaceutical Industries Ltd ₹27.80 46.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Diltiazem is a blood thinner.
Fact: Diltiazem is not a blood thinner; it is a calcium channel blocker that relaxes blood vessels and slows the heart rate. - Myth: You can stop diltiazem once your blood pressure is normal.
Fact: High blood pressure often has no symptoms, and stopping medication can cause dangerous rebound hypertension. Always consult your doctor before stopping. - Myth: Diltiazem can be taken with grapefruit juice.
Fact: Grapefruit juice can increase diltiazem levels and side effects. It is best to avoid grapefruit juice while on this medicine.
🔄 Alternative Options
Generic Alternatives
- Diltiazem sustained-release tablets are available as generics from various manufacturers.
Brand Alternatives
- Dilzem SR
- Diltia
- Angizem
- Dilcontin
- Diltiazem SR