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Diltiazem is used to treat high blood pressure and to control chest pain (angina). Diltiazem is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart.Diltiazem comes as a tablet and an extended- or dual-release (long-acting) capsule to take by mouth. The tablet is usually taken three or four times a day with or without food. The capsule is usually taken one or two times a day. The extended-release capsule (Cardizem SR Dilacor XR Diltia XT) should be taken on an empty stomach at least 1 hour before or 2 hours after a meal. The extended-release capsule (Tiazac) may be taken with or without food. The dual-release capsule (Cardizem CD) may be taken with food.Follow the directions on your prescription label carefully and ask your doctor or pharmacist to explain any part you do not understand. Take diltiazem exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Swallow the capsules whole; do not split chew or crush them.Your doctor will probably start you on a low dose of diltiazem and gradually increase your dose.If taken regularly diltiazem controls chest pain but it does not stop chest pain once it starts. Your doctor may give you a different medication to take when you have chest pain.Diltiazem controls high blood pressure and chest pain (angina) but does not cure them. It may take up to 2 weeks before you feel the full benefit of diltiazem. Continue to take diltiazem even if you feel well. Do not stop taking diltiazem without talking to your doctor.Diltiazem is also used sometimes to treat Raynaud's syndrome.
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From Gulf News: Runners should avoid prescription drugs. Statins may increase production of the enzyme creatine kinase, and hence heighten chances of muscle damage in athletes. Marathon running has increased in popularity over the past three decades, with participation in the United States rising from 25,000 runners in 1976 to nearly 470,000 in 2008. Many professional and recreational runners take prescription drugs, unaware of potential side-effects that affect runners in particular. One such class of drugs, called statins, which includes medicines such as Lipitor, Crestor and Pravachol, lowers blood cholesterol by inhibiting a cholesterol-producing enzyme and may even lower the risks of heart attack and further cardiovascular disease in a narrow category of patients. A new study forthcoming in the American Journal of Cardiology examined the effect of statins on creatine kinase (CK), an enzyme linked to muscle damage. Elevated levels of CK in the blood and muscle after exercise correlates with muscle damage. The study, conducted by Dr Beth Parker of the Henry Low Heart Centre at Connecticut's Hartford Hospital, is the first to measure CK levels in athletes taking statins after physical activity in a real-life environment rather than in a university laboratory.


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