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DILCARDIA SR 60MG
DILCARDIA SR 60 mg
DILCARDIA SR 90 mg
DILCARDIA SR 120 mg
Read all of this leaflet carefully before you start
taking this medicine.
• eep this leaﬂet. You may need to read it again.
• f you have any further questions, ask your doctor
• his medicine has been prescribed for you. Do not
pass it on to others. It may harm them, even if
their symptoms are the same as yours.
• f any of the side eﬀects gets serious, or if you
notice any side eﬀects not listed in this leaﬂet,
please tell your doctor or pharmacist.
In this leaflet:
1. hat Dilcardia is and what it is used for.
2. efore you take Dilcardia.
3. ow to take Dilcardia.
4. ossible side effects.
5. ow to store Dilcardia.
6. Further information.
1. WHAT DILCARDIA IS AND WHAT IT IS USED FOR
Diltiazem hydrochloride belongs to a group of
medicines called calcium channel blockers. Diltiazem
acts by relaxing the muscles around the blood vessels
and so relaxes and widens the blood vessels and makes
it easier for the heart to do its work and allows more
blood to flow to the heart, relieving angina (chest pain
due to an inadequate blood supply to the heart).
Dilcardia can be used to treat:
• igh blood pressure (hypertension).
• hest pain (angina).
2. BEFORE YOU TAKE DILCARDIA
Take special care with Dilcardia
You should tell your doctor before taking this
medicine if you:
• uffer from a slow beating heart
• ave heart disease
• re going to have a general anaesthetic for an
• ave liver or kidney problems
• re 65 or over
Medicines like Dilcardia can cause mood changes,
including depression. If you think you may be
affected, talk to your doctor or pharmacist.
Taking other medicines
Please tell your doctor or pharmacist if you are taking
or have recently taken any other medicines, including
medicines obtained without a prescription or any of
• antrolene (a muscle relaxant) (See section 'Do not
• ithium, to treat severe depression
• itrate derivates, usually used to treat angina
e.g. glycerol trinitrate
• lpha-blockers, used to treat prostate problems
or high blood pressure e.g. prazosin
• edicine to treat a heart condition eg. digoxin,
• eta-blockers or ACE inhibitors, used to treat high
blood pressure and heart conditions
e.g. propranolol or lisinopril
• ifampicin, used to treat an infection
• iclosporin, tacrolimus or sirolimus, usually used
after an organ or bone marrow transplant
• heophylline (to prevent shortness of breath or
• arbamazepine (an antiepileptic)
• imetidine or ranitidine, for heartburn or stomach
• enzodiazepines, used to treat anxiety or sleep
disturbances e.g. midazolam or triazolam
• ethylprednisolone, a corticosteroid
• tatins, used to lower blood cholesterol levels
If you need to have an operation and will require an
anaesthetic, tell your doctor you are taking this
Pregnancy and breast-feeding
Ask your doctor or pharmacist for advice before
taking any medicine. Do not take Dilcardia if you are
pregnant or planning to become pregnant. Dilcardia
should not be taken if you are breast-feeding.
Driving and using machines
Dilcardia may cause side eﬀects such as dizziness or
feeling generally unwell. If you are aﬀected you
should not drive or use machines.
Do not take Dilcardia if you:
• re allergic (hypersensitive) to diltiazem hydrochloride
or any of the other ingredients of this medicine
• re pregnant or might become pregnant
• uffer from a very slow beating heart (less than 40
beats per minute)
• ave been told by your doctor that you suffer from
heart block or sick sinus syndrome (disorders of the
heart's rhythm), not requiring a pacemaker
• ave recently had a heart attack and are suffering
from heart failure
• ave a severe liver problem
• ave a kidney problem
• ave been given an infusion of a drug called
dantrolene (muscle relaxant).
• have diabetes
• uffer from constipation.
Important information about some of the
ingredients of Dilcardia
This medicine contains sucrose. If you have been told
by your doctor that you have an intolerance to some
sugars, such as sucrose, contact your doctor before
taking this medicine.
3. HOW TO TAKE DILCARDIA
Always take Dilcardia exactly as your doctor has told
you. You should check with your doctor or pharmacist
if you are not sure.
• this medicine should not be sucked or
• wallow the capsule whole with a glass of water
• llow 12 hours between each dose.
Very common side effects (affecting more than 1 in
10 people): • swelling of the ankles, feet and ﬁngers.
The usual dose is 90 mg twice daily. If necessary, this
may be increased to a dose of 180 mg twice daily.
Common side effects (affecting fewer than 1 in 10
people): • headache • feeling dizzy • abnormal heart
rhythm (AV block) • palpitations • ﬂushing
• constipation • indigestion • stomach pain • feeling
sick • redness of the skin • feeling generally unwell.
Elderly or patients with liver or kidney problems
Your doctor may prescribe a lower dose of 60 mg
twice a day which may be increased to up to
90 mg twice a day if required.
Dilcardia are not suitable for children.
If you take more Dilcardia than you should
Contact your doctor or nearest hospital emergency
department immediately. Take the container and any
remaining capsules with you. Symptoms of overdose
include low blood pressure possibly
leading to collapse, slow heart beat and/or abnormal
blood sugar levels.
If you forget to take Dilcardia
If you have forgotten to take a dose at the scheduled
time, take it as soon as possible. If it is less than
6 hours until you are due to take your next dose, do
not double the dose, just carry on as before. Do not
take a double dose to make up for forgotten
If you stop taking Dilcardia
Take the medicine for as long as the doctor has
prescribed it. Do not discontinue treatment without
prior discussion with your doctor or pharmacist.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Dilcardia can cause side effects,
although not everybody gets them.
These side effects are serious. You may need medical
Tell your doctor straight away if you notice any of
the following side effects:
• ood changes, including depression
• ncontrollable movements, including trembling
or shaking of the hands and fingers
• rembling, muscle stiffness or spasms, slowing of
movement (Parkinsonian syndrome)
• hortness of breath, swelling of the feet or legs.
Rare side effects (affecting fewer than 1 in 1,000
people): • dry mouth • a nettle-like rash or hives.
Other side effects (frequency not known):
• reduction in blood platelets which increase risk of
bleeding or bruising • loss of appetite • pins and
needles or tingling • bleeding, tender or enlarged
gums • skin problems such as an increased sensitivity
to light, rash, dark areas, severe flaking or peeling
• sweating • breast enlargement in men.
If any side effect gets serious, or if you notice any
side effects not listed in this leaflet, please tell your
doctor or pharmacist.
5. HOW TO STORE DILCARDIA
Keep out of the reach and sight of children. Do not
use Dilcardia after the expiry date which is stated on
the label after 'EXP'. The expiry date refers to the last
day of that month. Do not store above 25°C. Keep
away from heat or moisture.
Medicines should not be disposed of via wastewater
or household waste. Ask your pharmacist how to
dispose of medicines no longer required. These
measures will help protect the environment.
6. FURTHER INFORMATION
What Dilcardia contains
The active substance is 60 mg, 90 mg or 120 mg of
diltiazem hydrochloride. The other ingredients are
sucrose, corn starch, povidone, methacrylic acid
copolymer, ethylcellulose, diethyl phthalate and talc.
The capsule also contains gelatine, titanium dioxide
(E171) and iron oxide (E172).
If any of the following happen, stop taking
Dilcardia and tell your doctor immediately or go to
your nearest hospital emergency department:
• llergic reactions such as swollen skin or swelling
of the face, lips, tongue and/or throat which may
cause difficulty breathing or swallowing
• iver problems which may cause dark urine, pale
stools, yellowing of the skin or whites of the eyes
• evere skin reactions including blistering of the
skin, mouth, eyes and genitals, and swollen blood
vessels in the skin.
Uncommon side effects (affecting fewer than 1 in
100 people): • feeling nervous • diﬃculty sleeping
• slower heart beat • dizziness, light-headedness or
fainting on standing up • being sick • diarrhoea
• increase in liver enzymes.
What Dilcardia looks like and contents of the pack
Your medicine comes as a capsule. Dilcardia is
available in blisters containing 56 or 100 capsules.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Mylan, Potters Bar, Hertfordshire, EN6 1TL,
Generics [UK] Limited, Potters Bar, Hertfordshire,
EN6 1TL, United Kingdom.
Gerard Laboratories, 35/36 Baldoyle Industrial Estate,
Grange Road, Dublin 13, Ireland
This leaﬂet was last
revised in: 11/2013
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.