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Amiodarone major based on the pharmacology of amiodarone and diltiazem, additive effects on cardiac contractility and or av conduction are possible.

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Heart rhythm problemsIn people with certain types of heart rhythm problemssick sinus syndromesecondand third-degree atrio-ventricular blockwho do not have pacemakersdiltiazem may cause abnormally slow heart ratesPeople with certain types of heart rhythm problems should not take diltiazemIf you have a heart rhythm problemyour doctor should closely monitor your condition while you are taking diltiazemTalk to your doctor if you have any concerns.

Are allergic to diltiazem or any ingredients of the medication are or . may become pregnant are receiving the medication dantrolene have certain types of heart rhythm problems in the absence of a pacemaker have very low blood pressure have weakened pumping action of the heartcalled left ventricular failurehave heart block have had a heart attack and are experiencing difficulty breathing.

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Take diltiazem exactly as prescribed by your doctorFollow all directions on your prescription labelYour doctor may occasionally change your doseDo not use this medicine in larger or smaller amounts or for longer than recommended.

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