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DILTIAZEM-INJECTION, Cardizem (cont.)

HOW TO USE: This medication is given by vein (slow IV injection or continuous infusion) as directed by the doctor. The patient's blood pressure and heart rhythm (ECG) should be monitored during the administration period. It is generally administered for up to 24 hours or as directed, then therapy is changed to an oral heart drug (antiarrhythmic). The dosage is based on the patient's medical condition and response to the medication. Learn all mixing, dilution and administration/usage instructions in the product package and ask the doctor or pharmacist if you are unclear about any of the information. The liquid should be checked for particles or discoloration. If present, discard the liquid. Make sure needles and medical supplies are stored safely and disposed of properly.

SIDE EFFECTS: Itching or burning at the injection site, drowsiness, flushing, dizziness, nausea, vomiting, loss of appetite, diarrhea, mental/mood changes, trouble sleeping and headache may occur. If these effects persist or worsen, notify the doctor promptly. Unlikely but report promptly: swelling, black stool, ringing in the ears, tremor, slow/irregular heartbeat, rash. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell the doctor the patient's medical history, including: any allergies, heart disease, very low blood pressure, liver problems, kidney disorders. Avoid alcohol intake, as it may intensify drug side effects. Some diltiazem products contain benzyl alcohol and should not be administered to newborn infants. If you have questions about which products contain benzyl alcohol contact the pharmacist. Caution is advised when using this drug in the elderly, as they may be more sensitive to drug effects (e.g., low blood pressure). This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Breast-feeding is not recommended while you are receiving this medication.



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