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Altiazem (Diltiazem)

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Altiazem is a calcium channel blocker. It relaxes your blood vessels and decreases the amount of work the heart has to do. It treats and/or prevents chest pain. Altiazem is taken four times a day. The total amount in a day typically ranges from 180–360 mg.

Other names for this medication:
Altiazem, Angizem, Cardem, Cardiorex, Cartia, Coriem, Dicard, Dilacor, Dilcardia, Dilcontin, Dilcor, Dilgard, Dilocor, Dilter, Diltia, Diltiaz, Diltiazem, Dilticard, Diltime, Diltp, Dilzem, Heartil, Icidil, Ionozem, Kaizem, Masdil, Onzem, Taztia, Tiamate, Tiazac

Similar Products:
Crestor, Persantine, Cytoxan, Noroxin, Intagra, Albest, Alpuric, Albiz, Cetract, Parotin, Teraderm, Nacet, Amlorid,

Also known as: Diltiazem


Diltiazem is used alone or together with other medicines to treat angina (severe chest pain) or hypertension (high blood pressure). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Diltiazem is a calcium channel blocker. It works by affecting the movement of calcium into the cells of the heart and blood vessels. As a result, diltiazem relaxes the blood vessels and increases the supply of blood and oxygen to the heart while reducing its workload.

This medicine is available only with your doctor's prescription.


Take Altiazem exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow it whole.

Use Altiazem regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

You should not stop using Altiazem suddenly. Stopping suddenly may make your condition worse.

If you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

Your blood pressure will need to be checked often. You may also need frequent blood tests.

Store Altiazem at room temperature away from moisture and heat.

Detailed Altiazem dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of diltiazem can be fatal.

Overdose symptoms may include slow heartbeat, weakness, chest pain, shortness of breath, or fainting.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Altiazem LA dosage information

Side effects

The most common side effects associated with Altiazem are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

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Stereotactic biopsy for intrinsic lesions of the medulla through the long-axis of the brainstem: technical considerations. A cyst of dental origin was produced by dental root fracture in the nasal septum. Eleven women were given estradiol treatment only (Oestrogel creme 3 mg percutaneously/day) for 21 days with a subsequent break of 7 days. The scope of this work is based on the proper handling and management of chronic renal failure patients receiving haemodialysis and undergoing an oral surgical procedure. The effect of incremental increases in SBP on events and costs was then assessed. Although the prevalence of severely affected permanent teeth following trauma to their predecessors is relatively low, each case may present a variety of sequelae. Dual-task related gait changes have been previously reported for healthy older adults, suggesting that gait control requires attention. The main purpose of the proposed study is to assess whether measurements of 18O/16O ratio can detect malignant metastases in bones due to deranged phosphate metabolism. Good results are reported for clinical symptoms and sperm quality, while the effect on pregnancy rates varies considerably. In the medically relevant, host-associated dermatophytes, however, is reason to suggest that clonal dermatophyte lineages are able to maintain ongoing populations and to follow independent evolutionary trajectories.

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According with the items proposed by Braunwald e Colucci the inotropic agents are classified. The intestinal mucosa functions as a major local defense barrier preventing bacteria that colonize the gut from invading organs and tissues. Blood viscosity and rheology factors were also examined before and after glucagon administration. The dermis appeared to be spared by the rejection process, whereas the epithelium and adnexal elements of the dermis were destroyed. Order and dynamics in the lamellar L alpha and in the hexagonal HII phase. In this study, we describe a rapid method to obtain functionally specific genetic markers that can be used in conjunction with standard or real-time polymerase chain reaction (PCR) to determine the abundance of target fungal strains in selected environmental samples. Immunofluorescence using anti-IE180 peptide antibody demonstrated the accumulation of IE180 in cytoplasm of SF21AE cells infected with the recombinant virus. The method was validated in phantom experiments and applied in vivo. UVA and UVB sensors were placed on the nasal limbus of an anatomically based model eye.

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This longer interval is more comfortable for the patients and their parents. An endovascular repair with retrograde (reverse-U stent-graft) hypogastric artery preservation can be considered a first choice until the use of branched iliac stent-grafts becomes more widespread. Application of adsorptive stripping voltammetry to the study of immunoglobulin A and its interaction with benzodiazepine drugs. Probing the Eumelanin-Silica Interface in Chemically Engineered Bulk Hybrid Nanoparticles for Targeted Subcellular Antioxidant Protection. Inhibition of hyaluronan uptake in lymphatic tissue by chondroitin sulphate proteoglycan. Binding of the chondrocyte-derived species to type I collagen was also demonstrated by surface plasmon resonance analysis, and the dissociation rate constant was calculated (3.42 x 10(-3) to 4.50 x 10(-3) s(-1)). Attention is paid to the possibility of misinterpretation of symptoms and ailments-and--to inappropriate procedure.

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Emotion-triggered cardiac asystole-inducing neurocardiogenic syncope. HyPer 3D CE-MRA is an alternative method for time-resolved high-resolution peripheral CE-MRA in evaluating the trifurcation and feet vessels with no venous contamination. These data define the molecular mechanism of transcriptional repression of an important target of TGF-beta signaling during angiogenesis. Plasminogen activator inhibitor-1 expression and secretion are stimulated by growth hormone and interleukin-6 in 3T3-L1 adipocytes. Immunohistochemical studies showed that keratin was present in both epithelial cells and spindle cells, whereas vimentin was present in spindle cells and absent in epithelial cells.

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Antagonist properties of (-)-pindolol and WAY 100635 at somatodendritic and postsynaptic 5-HT1A receptors in the rat brain. Small-subunit rDNA from 251 isolates were analysed by PCR-RFLP and representatives from different genospecies were selected for sequencing. Whereas the radioactivity in liver, spleen and kidney decreased, hepatic metastases showed increased contrast. Joint meeting of the Medico-Psychological Society and the Pierre Janet Society dedicated to: Pierre Janet on the occasion of the 100th anniversary of psychological automatism. Both methods identify a single antigen, but preservation of ultrastructure is suboptimal, and there is the potential problem of imprecise localization of antigen due to diffusion of the peroxidase reaction product. Infection with human papillomavirus (HPV) is a critical factor in the pathogenesis of most cervical cancers and some aerodigestive cancers. Gastric and duodenal ulcer mortality data from England and Wales between 1911 and 2000 were used to validate a model based on two simple and straightforward assumptions about H. The concept is based on deriving PCR primers that amplify all of the homoeoloci defined by a single-copy cDNA sequence, and separating the resulting mixture of homoeoamplicons via single-stranded conformation polymorphism (SSCP) gels, which are able to detect minor differences between related DNA sequences. These data could cast light on how a component of the ubiquitin-proteasome pathway participates in the assembly of flagellar periaxonemal structures.

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A repeated measures statistical model was used for comparing the HRQOL domain scores between the responders and non-responders and the treatment groups. The mutations tif (at the recA locus) and tsl (at the lexA locus) are known to induce filamentation and a high level of sfiA expression at 42 degrees C. The evidence continues to suggest that maternal periodontitis may bean important risk factor or risk indicator for pregnancies culminating in preterm low birth-weight deliveries. Three children have been presented who have had long-standing, typical systemic juvenile rheumatoid arthritis. Effect of induced metabolic acidosis on intracellular pH, buffer capacity and contraction force of human skeletal muscle. Clinical and biochemical features of autoimmune hepatitis in 36 pediatric patients. A multislab 3D TOF method, multiple overlapping thin slab acquisition (MOTSA), shows decreased sensitivity to the effects of flow saturation and therefore should result in better images. However, in one case some of the colony hybridization data could not be confirmed by PCR, due to DNA sequence variations in the binding area of one of the primers. To analyze the cortical gyral patterns and myelination patterns in a series of patients with congenital cytomegalovirus infections involving the central nervous system, to correlate them with known developmental events, and to develop a consistent theory regarding their embryogenesis.

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Plasminogen activator inhibitor-1 activity is independently related to both insulin sensitivity and serum triglycerides in 70-year-old men. The application of two-dimensional J-resolved nuclear magnetic resonance spectroscopy to determine the structure of two bile metabolites isolated from rats injected interperitoneally with bromobenzene is described. However, the pass/fail limit of the rabbit test was found at different endotoxin levels, corresponding to about 2 and 20 ng/kg, respectively. Trials of high frequency jet ventilation in preterm infants with severe respiratory disease. Positive results in the management of weight loss and anorexia have been achieved with hydrazine sulfate, metoclopramide, and megestrol acetate, as well as with nonpharmacologic approaches such as attention to the type of food presented and the ambience of the dining site. The predicted protein sequence shows high homology with the N-terminal sequence from an isolated subunit of ATP synthase complex from spinach (Hamsaur and Glaser (1992) Eur. Results of these studies indicated that nicarbazin improved beta-CE in both parasitized and coccidia-free chicks, but the magnitude of improvement was greater in coccidia-infected animals. A commonly discussed question amongst pharmaceutical microbiologists, and the quality assurance organizations they serve, is what microbial isolates from the many microbial monitoring programs at a manufacturing facility need to be characterized, identified to genus, identified to species, or strain-typed?.

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In this cross-sectional study blood samples for analysis of 25OHD were collected from all participating residents of Swedish nursing homes for the elderly from January to March 2012. Outcomes of ICU Patients With a Discharge Diagnosis of Critical Illness Polyneuromyopathy: A Propensity-Matched Analysis. This unusual change in glycolipid distribution is accompanied by changes in the activities of specific glycosyltransferases involved in their synthesis and is correlated with neuritogenesis and/or cellular differentiation in this cell line. The implications of selfing among parasitic platyhelminths are considered with respect to possible genetically deleterious consequences. The compound 48/80-induced water intake seems to be mainly mediated by stimulation of the renin-angiotensin system. All had a basal skull fracture involving the paranasal sinuses or mastoid air cells with coexisting cerebrospinal fluid leakage. There are now approximately 100 HIV-infected chimpanzees in the United States, and many of these animals could be made available for testing chemotherapeutic agents for the ability to alter virus load or to enhance immune responses. Cardiotoxins are small basic proteins (7 000 daltons) that are found in the venoms of Elapidae snakes. The other known microcephaly-associated genes encode microtubule-associated centrosomal proteins that might regulate neural progenitor cell division and cell number.

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Intervening gymnastics during work decreased the electrical activities. Increased work loads on medical personnel and the hospital further affects the management plan and outcome adversely. Letter: Effect of oxygen on DNA strand breaks in irradiated thymocytes. 250 resident patients and 264 new and consecutively admitted patients above the age of 65. Macromolecular crowding allows blunt-end ligation by DNA ligases from rat liver or Escherichia coli. Nosocomial and community outbreak of epidemic keratoconjunctivitis in Navarra in 1996. The characteristics of companies that either accepted or declined participation in a 5-year randomized trial of a multirisk factor health promotion intervention were compared to investigate potential limitations on the generalizability of research findings.

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Effects of different simulated gravity conditions on neuromuscular control in drop jump exercises. Early diagnosis of arbovirus infections by the indirect hemagglutination reaction. Association and dissociation rate constants of sea urchin USF were about 10-fold those of human USF. The identification of potential protein binding sites (cis-regulatory elements) in the upstream regions of genes is key to understanding the mechanisms that regulate gene expression. In the study made at different time intervals after isotope administration whole blood plasma and different tissues like liver, heart, spleen kidney and brain were investigated. Extracellular matrix components, such as hyaluronan (HA), have recently been shown to influence macrophage effector functions, such as the release of inflammatory chemokines and cytokines. At 14 days, PGI2 synthesizing activity returned to the normal level. Twenty patients with cardiac echinococcosis, and 2 patients with isolated pericardial echinococcosis were operated on. The utility of syndromic surveillance is dependent on alarm thresholds that can be evaluated in practice. P-31 MRS provides objective evidence for metabolic abnormalities consistent with weakness and fatigue in patients with FM.

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We established an orthotopic animal model of colon cancer in mice and applied this model to study the antitumor effects of B7-H3, the newest member of the B7 family of costimulatory molecules. Instead, the product encoded by the fifth open reading frame turned out to be homologous to transposition-related proteins of IS1031 and Tn4811. Hospitals with a review committee, larger hospitals, and those which reached a decision rapidly were most likely to grant access. Because the patient also presented with a bimaxillary protrusion and a displaced maxillary midline, the treatment options also illustrate the dilemma between ideal, but prolonged, treatment options and quicker, but compromised, alternatives. Controversies remain over the need for antiulcer treatment following 1-week eradication triple therapy for Helicobacter pylori-positive peptic ulcers. Therefore, it is considered that directly targeting the downstream PI3K pathway may be more effective in blocking multiple inputs. The inability of carcinogenicity studies in animals to accurately predict potential human tumor sites must also be recognized.

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The relationship between the biogenetic and catalytic processes is discussed. A total of 92 individuals, 50 to 85 years old, participated in the study. In a 25-year-old woman, admitted with a haemorrhagic syndrome following biliary surgery, an inhibitor of factor VIII was detected. In this study we investigated whether induction of toll-like receptor 2 (TLR2) amplifies the effect of a cell wall component derived from gram-positive bacteria, namely peptidoglycan (PGN). Twenty-five hundred cervicovaginal split samples were processed with the traditional direct smearing method and with the ThinPrep Pap Test (Cytyc Corp., Boxborough, Massachusetts, U.S.A.) method and evaluated according to the Bethesda system, focusing mainly on the cytomorphologic features. The study demonstrates that radiofrequency appears to be an effective and safe tool for treating allergic rhinitis with poor response to medical therapy. Platelet numbers declined during the anesthetic period but returned to normal within 24 h. The present study aimed at the predictive value of early release patterns of protein S-100B and neuron specific enolase (NSE) in patients with traumatic brain injury.

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The ontogenetic development of the follicular dendritic cell in rat spleen. A study of these procedures makes it possible to compare their efficacy and describe the major steps of their implementation. Mitochondria play a significant role in apoptosis and loss of their function is 30 mg of zyprexa too much may influence OTA- or cisplatin-induced apoptosis. In a cost-opportunity situation (location of available resources, penitentiary and extrapenitentiary) the program is very efficacious taking into account the fact of higher prevalence of pulmonary tuberculosis in this people. This paper reviews numerous findings concerned with the activity of fatty acids, particularly with their interaction with diverse neurochemical systems and their consequences for better understanding neurotransmitters, hormones and peptides. Each of three Gaucher disease mutations in 112 chromosomes studied was associated with a unique haplotype. Other members showed different stage-specific expression patterns. The efficacy and safety profiles of fluvastatin XL are equivalent for morning and evening administration.

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Predictive studies have shown that combinations of these risk factors predict drug abuse better than any single risk factor does, but no one combination reliably predicts better than any other. The bulb was sensitive to small variations in velopharyngeal closure force. They also form oligomers with Pcdh-gamma proteins at the same membrane sites. GM-CSF-IgG complexes did not bind to cellular GM-CSF receptors, but Fc-dependent binding occurred to blood polymorphonuclear cells. The combination of hyperthermia followed by radiation proved to be 1.8-fold more toxic to dim than to bright cells. This is the first demonstration of hereditary amyloidosis associated with a variant fibrinogen alpha-chain does lipitor have a generic . The condition was familial in rats of the fawn-hooded strain and appeared to be unrelated to the platelet storage pool deficiency in this strain of rats.

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Populations of the districts of the Kuopio University Hospital and Turku University Central Hospital (study 1). In addition, five cases treated by this method in general practice were investigated. In particular, the CB-HB mab reacted with different self and foreign (viral and bacterial) antigens when tested in three independent systems (solid- and fluid-phase ELISA, Western blot) showing binding constants in a range from 1.9 x 10(-7) to 7.5 x 10(-8) mol/l to four antigens chosen. Tabulated numerical calculations of Nusselt and Sherwood numbers with respective well-argued discussions are also presented. The literature concerning undescended testis mainly concentrates on the increased risks of infertility and development of germ cell tumors. A proposal has been developed by the Agricultural Chemical Safety Assessment (ACSA) Technical Committee of the ILSI Health and Environmental Sciences Institute (HESI) for an improved approach to assessing the safety of crop protection chemicals. Five minutes after the initial drop application, patients were questioned on overall preference and comfort, as measured by stickiness, blurring, and soothing. The models allow inferences on these two sets of probabilities to be made independently. Modification, as indexed by an increase in quantity of speech and in semantic coherence was observed in speech to a retarded listener but not to a younger listener, suggesting that the intellectually handicapped children were perceived as being less competent listeners. This treadmilling reaction or disparity of the apparent affinity of the two ends for monomers is caused by a continuous hydrolysis of adenosine triphosphate occurring during the association of a monomer with a filament end.

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In this report, we demonstrate that the ORF 57 gene is regulated by the ORF 50a gene product. The average age at diagnosis was 8 years in the dog and 9 years in the cat. We performed transesophageal echocardiography (TEE) in 10 patients affected by sick sinus syndrome (SSS) treated with a permanent pacemaker (VDD modality). At 48 h, at the time of maximum 3H-thymidine incorporation, the left kidney was directly injected with a suspension of the Psi2 BAG retrovirus which transduces the beta-galactosidase gene. Intra-articular expression of hIL-10, vIL-10, and mut.hIL-10 resulted in significant improvement of the pathology in the treated joints to similar levels. The development of the dental profession in The Netherlands in the beginning of the 19th century. Each patient was thoroughly examined both clinically and cost of priligy radiographically.

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In the rcg signs of degeneration can already be recognized in the myelinated as well as in the unmyelinated axons 48 h after sympathectomy. Experimental implantation of a silicone tube with a valve mechanism for reduction of intraocular pressure. The alpha and beta subunits in Fe-Co hybrid hemoglobins differ in their rapid reactions with dioxygen and nitric oxide after dissociation by a 25-ns photoflash. The cytotoxicity of naphthazarin derivatives isolated from the roots of Onosma arenaria on human cervix adenocarcinoma cells (HeLa) and leukaemia K562 cells, as well on non-malignant peripheral blood mononuclear cells (PBMC) was studied. Adrenoleukodystrophy: fatty acid analysis of total glycerophospholipids in erythrocyte membranes. Most measurements of environment are derived from life event can zofran tablets be cut in half scales that capture amount of stress or change associated with stressful events that have occurred over the past six to twenty-four months. Eradication of Brucella ovis from the Falkland Islands 1977-1993.

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Purification and characterization of UDP-GlcNAc:IV3 beta Gal-Gb4Cer beta-1,6-GlcNAc transferase from mouse kidney. Mind-body medicine: state of the science, implications for practice. Peer assessment feedback marking in a large medical anatomy class. The neural pathways mediating reflex contraction of extraocular muscles during semicircular canal stimulation in rabbits. There is, however, a novel way of placing PMCs involving no local anaesthesia, no caries removal and no preparation of the tooth: the Hall technique. A study of remeron medication usage multiple causes of death in California: 1955 and 1980.

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As we have demonstrated, amino acid residues on the common target structure may be in quite different chemical environments, and may also adopt different conformations within two protein-protein complexes. Infrared-guided laser stimulation was used to examine the synaptic connectivity of neurons in rat barrel cortex. Retrospective institutional medical record review of paediatric aphakic patients 12 years of age and younger with documented ultrasonic axial length and objective refraction (retinoscopy) within 3 months of each other. Medical practice managers may be unaware of the magnitude of the hidden costs-financial, strategic, and quality-associated with turnover. The flexible tube is solidified by injection of acrylic monomer. Tracheal bronchus: a cause of prolonged atelectasis in intubated children. Neurons perform much of their integrative work in the dendritic tree, and spinal motoneurons have the largest tree of any cell. Recurrent nasal hemorrhage after galvanocautery of the inferior turbinates. The structure of the 84 residue DNA binding domain of the Escherichia lipitor 5 mg coli LexA repressor has been determined from NMR data using distance geometry and restrained molecular dynamics. Lesions with high signal intensity due to paramagnetic relaxation enhancement are easily distinguished from low-intensity lipid, which would otherwise dominate T1-weighted images.

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