Altiazem 30mg 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
- Severe chest pain that does not go away with rest or usual medication
- Difficulty breathing or shortness of breath
- Swelling of the face, lips, tongue, or throat
- Very slow or irregular heartbeat
- Fainting or loss of consciousness
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Severe dizziness or lightheadedness that does not improve
If experiencing severe symptoms, call emergency services immediately.
What is ionozem 30mg tablet used for?
This medicine contains diltiazem 30 mg, a calcium channel blocker used to treat high blood pressure and prevent angina. It works by relaxing blood vessels and reducing the heart's workload. It is a prescription medicine and should be taken exactly as directed by your doctor.
- Generic Name: Diltiazem (30mg)
- Manufacturer: Pfizer Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ionozem 30mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डिल्टियाज़ेम 30 मिलीग्राम की एक टैबलेट है, जिसका उपयोग उच्च रक्तचाप और एंजाइना (सीने में दर्द) के इलाज के लिए किया जाता है। यह रक्त वाहिकाओं को आराम देकर और हृदय पर दबाव कम करके काम करती है। यह एक प्रिस्क्रिप्शन दवा है और इसे डॉक्टर के निर्देशानुसार ही लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, पैरों में सूजन, और जी मिचलाना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, बहुत धीमी हृदय गति, या पीलिया जैसे लक्षण दिखें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को अचानक बंद न करें, क्योंकि इससे एंजाइना बिगड़ सकता है। इसे डॉक्टर के बताए अनुसार ही लें। अंगूर का जूस पीने से बचें, क्योंकि इससे दवा का स्तर बढ़ सकता है। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। शराब का सेवन न करें क्योंकि इससे चक्कर आ सकते हैं।
💊 ionozem 30mg tablet Uses & Benefits
[{"condition":"Chronic stable angina","description":"This medicine helps to prevent chest pain by relaxing blood vessels and reducing the heart's workload, improving blood flow to the heart muscle.","evidence":"Well-established"},{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure by relaxing blood vessels, which reduces the pressure against which the heart must pump.","evidence":"Well-established"},{"condition":"Vasospastic angina (Prinzmetal's angina)","description":"This medicine is effective in treating chest pain caused by spasms of the coronary arteries.","evidence":"Well-established"},{"condition":"Atrial fibrillation or atrial flutter","description":"This medicine may be used to control heart rate in certain patients with these irregular heart rhythms.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to help prevent migraines, though it is not a first-line treatment.","evidence":"Limited"},{"condition":"Raynaud's phenomenon","description":"Occasionally used off-label to improve blood flow to the fingers and toes in people with this condition.","evidence":"Limited"}]
Primary treatment for: Chronic stable angina
Also treats: Hypertension, Vasospastic angina, Atrial fibrillation, Atrial flutter
📋 Drug Information
| Generic Name(s) | Diltiazem (30mg) |
| Brand Name | ionozem 30mg tablet |
| Manufacturer | Pfizer Ltd |
| 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. Do not refrigerate unless specified. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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
This medicine works by blocking the entry of calcium ions into the smooth muscle cells of the blood vessels and the heart. Calcium is essential for these muscles to contract. By reducing calcium entry, this medicine causes the blood vessels to relax and widen, which lowers blood pressure and improves blood flow. In the heart, it reduces the force of contraction and slows the heart rate, which decreases the heart's demand for oxygen. This helps to relieve and prevent angina. Additionally, it dilates the coronary arteries, improving oxygen supply to the heart muscle.
Mechanism Steps
💡 How to Take ionozem 30mg tablet
Strength: This medicine is available as an immediate-release oral tablet containing 30 mg of diltiazem.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 30 mg taken three to four times a day for immediate-release tablets. Your doctor may gradually increase the dose based on your response and tolerance. For high blood pressure, the dose may range from 120 mg to 360 mg per day in divided doses. For angina, the dose is often 30 mg to 120 mg three to four times daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change your dose without consulting your doctor. |
| 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 this medicine, especially dizziness and low blood pressure. The starting dose may be lower, and dose adjustments should be made cautiously. Regular monitoring of blood pressure and heart rate is recommended. |
| Renal Impairment | No specific dose adjustment is usually required for mild to moderate kidney impairment. In severe kidney impairment, use with caution and monitor closely. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with liver impairment, the dose of this medicine should be reduced and titrated slowly, as the medicine is extensively metabolized by the liver. Regular monitoring of liver function is advised. |
| Maximum Daily Dose | The maximum recommended daily dose for immediate-release tablets is 360 mg per day, but this may vary based on the condition and individual response. Always follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ionozem 30mg 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 | |
| Other antihypertensives | Moderate | |
| Cyclosporine | Moderate | |
| Carbamazepine | Moderate | |
| Midazolam | Moderate | |
| Antacids | 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
- Other antihypertensive medicines
- Cyclosporine
- Carbamazepine
- Midazolam
🍷 Alcohol Interaction
Alcohol can increase the blood pressure-lowering effect of this medicine and may cause excessive dizziness, lightheadedness, or fainting. 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
["Severe low blood pressure (systolic BP < 90 mmHg)","Severe heart failure","Second- or third-degree heart block without a pacemaker","Sick sinus syndrome without a pacemaker","Severe bradycardia (heart rate < 40 beats per minute)","Known hypersensitivity to diltiazem or any component of the formulation","Acute myocardial infarction with pulmonary congestion"]
⚠️ Warnings & Precautions
["Do not stop taking this medicine suddenly, as it can worsen angina or lead to a heart attack.","Use with caution in patients with liver or kidney impairment; dose adjustment may be needed.","May cause dizziness or lightheadedness; avoid driving or operating machinery until you know how it affects you.","Avoid grapefruit juice while taking this medicine.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","This medicine may interact with many other medicines; always provide a complete list of your medications to your doctor.","Elderly patients may be more sensitive to the effects of this medicine, especially dizziness and low blood pressure."]
🤱 Lactation Safety
This medicine is excreted in breast milk in small amounts. It is generally considered safe for breastfeeding mothers, but you should consult your doctor to weigh the benefits and risks. Monitor your baby for any unusual symptoms such as drowsiness or poor feeding.
💊 Overdose Management
Overdose of this medicine can cause severe low blood pressure, very slow heart rate, heart block, and even cardiac arrest. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and may include intravenous fluids, medications to raise blood pressure, and in severe cases, temporary pacing or use of antidotes like calcium gluconate. Do not try to treat yourself.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Before you start this medicine, tell your doctor if you have any heart, liver, or kidney problems, or if you have ever had an allergic reaction to any medicine. Do not stop taking this medicine suddenly, because stopping abruptly can cause your angina to worsen or lead to a heart attack. Take this medicine exactly as prescribed, and do not change the dose without talking to your doctor first. Avoid drinking grapefruit juice while taking this medicine, as it can increase the amount of medicine in your blood and raise the risk of side effects. Be careful when standing up quickly, as this medicine can cause dizziness or lightheadedness. If you feel dizzy or faint, sit or lie down and inform your doctor. This medicine may interact with many other medicines, including those for blood pressure, cholesterol, and infections, so always give your doctor a complete list of everything you take. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Keep this medicine out of the reach of children and store it as directed on the label.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering and heart rate-slowing effects of this medicine. Start with a lower dose and monitor closely for dizziness, falls, and low blood pressure. Regular check-ups are important.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Your doctor may switch you to a safer alternative if needed. Use effective contraception while taking this medicine unless otherwise advised.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthesia and other medications used during surgery. Your doctor may adjust the dose or temporarily stop it before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may interact with certain local anesthetics or other medicines used in dentistry. Your dentist may need to consult your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or lightheadedness, especially when you start treatment or change doses. Avoid strenuous exercise until you know how the medicine affects you. If you experience chest pain during exercise, stop and rest, and follow your doctor's advice for angina. Always warm up and cool down gradually.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Most people can continue their normal work activities with some adjustments. Inform your employer if your job involves operating heavy machinery or driving.
🛑 When to Stop This Medicine
Do not stop taking this medicine on your own. Your doctor will decide when and how to stop it, usually by gradually reducing the dose. Stopping suddenly can cause worsening of angina or a heart attack. If you experience serious side effects, contact your doctor immediately for advice.
📅 Long-Term Use Effects
Long-term use of this medicine 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 require dose adjustments over time. It is important to continue lifestyle modifications such as a healthy diet and exercise to manage your condition effectively. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress management can help control blood pressure and angina.
Evidence: Well-establishedBeta-blockers, nitrates, and other calcium channel blockers may be alternatives.
Evidence: Well-establishedFor severe coronary artery disease, invasive procedures may be needed.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. 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
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, consult your doctor about how to adjust your dosing schedule. Check the customs regulations of your destination country regarding prescription medicines. Always carry enough supply for your entire trip, plus a little extra in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts to lower blood pressure and heart rate within 30 to 60 minutes, but the full effect may take several days of regular use.
A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.
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 dose.
A: No, do not stop taking this medicine without consulting your doctor. Stopping suddenly can worsen your condition.
A: This medicine should be used during pregnancy only if clearly needed. Consult your doctor to weigh the benefits and risks.
🤔 Common Patient Concerns
🔄 Substitutes for ionozem 30mg tablet
View AllAlternative brands with exact same active ingredient:
-
stayhappi diltiazem 30mg tabletSarvagunaushdhi Pvt Ltd ₹9.38 58% CHEAPER
-
davaindia diltiazem 30mg tabletDavaindia Generic Pharmacy ₹13.13 41.2% CHEAPER
-
diltisyn 30mg tabletThemis Medicare Ltd ₹14.15 36.6% CHEAPER
-
dilt 30mg tabletRedson Laboratories Pvt Ltd ₹14.75 33.9% CHEAPER
-
diltiaz 30mg tabletShreya Life Sciences Pvt Ltd ₹15.00 32.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: High blood pressure often has no symptoms, and stopping this medicine can cause a dangerous rise in blood pressure. Always consult your doctor before stopping. - Myth: This medicine is a blood thinner.
Fact: This medicine is not a blood thinner. It is a calcium channel blocker that relaxes blood vessels and reduces heart workload. - Myth: Grapefruit juice is safe with this medicine.
Fact: Grapefruit juice can increase the levels of this medicine in your blood and lead to side effects. It is best to avoid it.
🔄 Alternative Options
Generic Alternatives
- Diltiazem 30 mg tablet
Brand Alternatives
- Altiazem 30mg tablet