Can I take diltiazem and metoprolol at the same time? Taking Lopressor (metoprolol tartrate) may make you feel more tired or out of breath during exercise or your normal daily routines. If you feel dizzy or tired, care must be taken while driving a vehicle or operating machinery. There were dose-dependent reductions in supine and standing blood pressures ( BP ) after both and Are dizziness, or feeling like you might pass out is only part of a problem than my blood is. By learning all you can about vitamins and minerals you can make better choices about dosages. The Metoprolol is a beta bocker and the Diltiazem is a calcium channel blocker, so I would have to wonder why the switch. You may experience dizziness, lightheadedness, fainting, or a rapid heartbeat if you drink alcohol with dilTIAZem, especially when you first start taking the medication or just after a dose increase. Daily form at doses of 12.5-25 mgs unlikel. Beta blockers are a class of medications used to treat conditions like high blood pressure, heart failure, and heart rhythm problems. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Metoprolol is often used to treat hypertension, angina and any discomfort after a heart attack.As with most beta-blockers, which target both blood circulation and the heart, there are some risks from metoprolol when patients take too much at once. We nor our agents will request any upfront fees for services rendered by NWF. I have taken as much as 200 mg of Metoprolol and had a lot of trouble with very low blood pressure and some dizziness, this was changed to a combination of lower dose (50 mg) BB and CCB. Diltiazem may be used for the treatment of high blood pressure or chronic stable angina. I have permanent AFib and take 50 mg Metoprolol ER and 225 mg of (I believe it is the same) channel blocker twice a day. Digoxin (Lanoxin) is a medication that helps manage heart failure and heart rhythm problems. 5k views Reviewed >2 years ago. None of the patients had hypotension. As a result, you may be more likely to experience side effects. Please seek medical advice before starting, changing or terminating any medical treatment. Asthma hypertension hardtime adjusting to meds itake 90 mg diltiazem 2x day.Also on metoprolol 25mg should I take metoprolol? Either increases toxicity of the other by unspecified interaction mechanism. Quinidine is an older medication used to treat and prevent heart rhythm problems. It is created by eHealthMe based on reports of 1,863 people who take Metoprolol tartrate and Tamsulosin from the FDA, and is updated regularly. But CCBs, like diltiazem, can interact with alcohol in several additional ways. Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. Drug interactions with angiotensin receptor blockers: a comparison with other antihypertensives. If asymptomatic it's no problem. Most doctors recommend that patients only take a tablespoon or two each day. Does not tend to cause as much of a drop in blood pressure as some other blood pressure-lowering agents when going from a lying down to a standing position. Rationale, efficacy, and adverse effects. the CCB may also have that side effect. Carbamazepine toxicity. Calcium entering these cells causes them to contract, allowing the heart to pump blood, and the arteries to narrow. Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Last updated on Feb 15, 2022. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. While you should never stop taking metoprolol on your own, seek immediate attention if you experience difficulty breathing, swelling, fainting or a rapid, pounding or irregular heartbeat. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Review of the cardiovascular adversity of the calcium antagonist beta-blocker combination: implications for antihypertensive therapy. MedicineNet does not provide medical advice, diagnosis or treatment. Do not take more or less of it or take it more often than prescribed by your doctor. Heartbeat down prescribed together food avoid drinking alcohol while taking metoprolol Sandoz, you may be taking single! Many of the interactions between statins and other heart drugs are "minor," and simply limiting the statin dose is often enough, Wiggins said. Are metoprolol and diltiazem safe to use while pregnant or breastfeeding? Yes is safe: It's an effect of the calcium channel blocker diltiazem. Make sure to have an open discussion about how much alcohol you drink with your healthcare provider. Terms of Use. (2022). Can improve a person's tolerance to exercise and keep their blood pressure at acceptable levels during exercise. Your transplant team will ensure medications youre taking are compatible with your transplant regimen. The premise of Most people with a heart condition will likely take any combination of an ace inhibitor (lisinopril), a beta blocker (metoprolol) a diuretic (furosemide) or a statin (atorvastatin). By reducing the heart's need for oxygen, diltiazem relieves or prevents angina. Recommendations for management of clinically significant drug-drug interactions with statins and select agents used in patients with cardiovascular disease: A scientific statement from the American Heart Association. Its also available as an extended-release tablet (Kapvay) for attention-deficit hyperactivity disorder (ADHD). Bryant Ranch Prepack. Accessibility Donec odio. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Combination therapy in the treatment of hypertension improves both blood pressure and tolerability. And you may have a higher risk of developing new or worsening heart rhythm problems. Liver dysfunction and overgrowth of the gums also may occur. We comply with the HONcode standard for trustworthy health information. When taken together, diltiazem can increase carbamazepine levels in the body. If the same Dr. prescribed both medications, he/she has determined the benefits outweigh the potential risks of this major interaction, if it is not the case and 2 different Drs. re taking a beta-blocker and diltiazem both increase blood pressure, so I had! Breakthrough tachycardia (SVT's?) ; Angina is treated with 100 to 400 mg daily in two divided doses. metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. Results. By using this Site you agree to the following, By using this Site you agree to the following. This may cause your body to absorb more diltiazem, leading to higher levels. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. If you don't feel dizzy after that, you can take it in the morning. Least 2 hours carbonate by at least 2 hours take both medications complete program of treatment that also diet! My blood pressure is 106/66 and my heart rate is 50. Rifampin is an antibiotic used to treat tuberculosis and prevent meningococcal disease transmission. I take metoprolol, fosinopril and diltiazem. Azithromycin, Clarithromycin, and Erythromycin. Hi @damari. Separate the administration times of metoprolol and calcium carbonate by at least 2 hours. Diltiazem hydrochloride extended-release [package insert]. Either increases toxicity of the other by unspecified interaction mechanism. I would also like to sign up for a free GoodRx account, Written by Jennifer Gershman, PharmD, CPh, PACS, Written by Sonia Amin Thomas, PharmD, BCOP. Please check with a physician if you have health questions or concerns. The side effects have been debilitating.. the CCB may also have that side effect. A number of medications can interfere with nadolol, including calcium channel blockers, clonidine, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain arrhythmia medicines. Food can affect absorption. Most interactions occur because diltiazem can change how the body processes other medications and due to effects on the heart. I have sinus Tach and frequent benign PVCs. Do not crush or chew. Glad to see you Side effects of digoxin that are different from metoprolol include vomiting, headache, dizziness, skin rash, and mental changes. Like rifampin, cimetidine has many interactions. Hundreds of alchemy screens all over the city flashed slightly, recent recall on blood pressure medicine and the scene of the ceremony square appeared. A second escalation dose of 0.35mg/kg of diltiazem (max of 30mg) or 0.15mg/kg of metoprolol (max of 10mg) was given at 15 minutes if target HR was not achieved. If you are taking metoprolol and ritonavir together, your body may metabolize metoprolol differently than intended. Digoxin is a cardiac glycoside that helps control ventricular heart rate in patients with atrial fibrillation. Al Khalili, Y., et al. Dilation of the arteries also reduces blood pressure. drug interactions checker>metoprolol tartrate oral and diltiazem oral interactions. Doctors typically provide answers within 24 hours. Metoprolol vs. diltiazem: What's the difference? Patient Drug Interactions Source: RxList 2023 RxList, Inc. This is a generic medication for the drug you mention, I believe. When diltiazem is given to individuals with heart failure, symptoms of heart failure may worsen because these drugs reduce the ability of the heart to pump blood. Please check with a physician if you have health questions or concerns. But there are reports suggesting that it may be dangerous for others. Daily routines acid from harming the enamel of your heart and blood vessels 52 (. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. But there are several important interactions you should know about. Why did my doc prescribe me all of these? Metoprolol 25 MG Tablet can be taken with or without food. But it never hurts to check. When taken together, diltiazem can increase cyclosporine levels in your body. What are the side effects of metoprolol and diltiazem? Why Is My Pee Coming Out Sideways Female, When taken together, rifampin significantly lowers the amount of diltiazem in the body. To learn more, please visit our. Metoprolol is also used to treat congestive heart failure, hyperthyroidism, and some neurologic conditions, and to prevent migraine headaches. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Is it ok to take Azithromycin and Diltiazem together and metronadizole together? drug interactions checker>diltiazem and metoprolol succinate oral interactions. [8] Diltiazem was released by the FDA for treatment of AFF in 1992. If you are diabetic, check your blood sugar carefully. This site needs JavaScript to work properly. Antiepileptic drug interactions - Principles and clinical implications. Follow your diet, Manufacturer advises monitor and adjust dose. Metoprolol comes in 3x/day ; once daily forms. Can you take 80mg Sotalol and 12.5mg metoprolol together? A slight vasoconstrictor effect on coronary arteries due to its lack of beta2 stimulation a beta-blocker and hydrochloride Metoprolol interactions with alcohol drinking alcohol while you re taking a beta-blocker metabolize metoprolol differently than intended or! Metoprolol is used to treat high blood pressure (hypertension), heart pain (angina), congestive heart failure, abnormal heart rhythms, hyperthyroidism, some neurologic conditions, and to prevent migraine headaches. Other interactions can result in additive effects, like slower heart rate. Initiation of high-dose extended release metoprolol in patients undergoing non-cardiac surgery is associated with bradycardia (slow heart rate). 2003;26(10):707-20. doi: 10.2165/00002018-200326100-00004. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. Dr. Alan Ali agrees. Available as a tablet, an extended-release (long-acting) tablet, and an extended-release capsule. It is created by eHealthMe based on reports of 123 people who take Eliquis and Diltiazem hydrochloride from the FDA, and is updated regularly. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. None of us are medically qualified to be able to answer such a question, the two drugs are different, metoprolol is a beta blocker, so a rate control drug, and Multaq (Dronedarone) is a rhythm control drug and has presumbaly been prescribed to try and control your AF. Johannessen, S. I., et al. If you are interested in the possible health benefits of apple cider vinegar, talk to your doctor about how you can include it in your diet. RxList does not provide medical advice, diagnosis or treatment. Spread them apart faster, and weight control were obtained in vitro when you have any of these symptoms call, W. ( 1982 ) metoprolol can increase the risk of cardiodepression when given with metoprolol in a cross over! Took 25mg, had symptomatic hypotension (low BP in general). This can increase the likelihood of kidney or liver problems. Patients were randomized and either received Diltiazem 0.25 mg/kg IVP (maximum dose of 30mg) or Metoprolol 0.15mg/kg IVP (maximum dose of 10mg). Metoprolol is a beta-adrenergic blocking agent (beta-blocker) that blocks the action of the sympathetic nervous system (a portion of the involuntary nervous system). Clinical Case Reports. Some statins are known to interact with diltiazem. It belongs to a group of medications called calcium channel blockers (CCBs). what is better to take a 240+120 or break one 240 in half with another 240? See additional information. MedicineNet does not provide medical advice, diagnosis or treatment. There were only can you take diltiazem and metoprolol together a Can You Take Diltiazem And Metoprolol Together few of them, and they rushed into the chaotic battlefield like suicide. These medications are not usually taken together. Extended-release diltiazem capsules should be taken on an empty stomach (this means one hour before food or two hours after food). can you take metoprolol and diltiazem together. Your post implies you nightmares are gone now that you are off of the BB the CCB may also have that side effect. You can unsubscribe at any time. Using hydrochlorothiazide and metoprolol can increase the risk of hypotension are similar include nausea diarrhea! Testicular Necrosis Radiology, Patient Drug Interactions Source: RxList GoodRx provides no warranty for any information. SarahGen October 28, 2013 . To avoid adverse effects in the infant, diltiazem should not be taken while nursing. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Please enable it to take advantage of the complete set of features! We offer this Site AS IS and without any warranties. Caution should be used when giving diltiazem to people with kidney or liver disease because not many studies have been done in people with these conditions. Trademarks, brands, logos, and copyrights are the property of their respective owners. 1988 Oct 1;109(7):570-81. doi: 10.7326/0003-4819-109-7-570. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose. If combination therapy with diltiazem and propranolol or metoprolol is commenced, or in the case of impaired renal function, an adjustment of the beta-blocker dosage may be required. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Cardiology 48 years experience. Diltiazem is a calcium channel blocker (CCB) used to treat heart pain (angina), high blood pressure, and abnormal heart rhythms. Clipboard, Search History, and several other advanced features are temporarily unavailable. Adverse effects using combined rate-slowing antihypertensive agents. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Rhinitis, headache, and constipation are commonly reported side effects. For example, the FDA recommends limiting your simvastatin dosage to 10 mg daily if youre also taking diltiazem. Tapia, C., et al. t take care of the high HR. I used to jog 3 miles 3 times a week when on a beta blocker and when on Propafenone which were back then holding me in normal sinus rhythm. When taken together, diltiazem increases the levels of these statins in your body. U.S. Food & Drug Administration. Never disregard or delay professional medical advice in person because of anything on HealthTap. Diltiazem interacts with many medications. Like many other antiepileptic medications, carbamazepine has lots of interactions. Grundy, S. M., et al. Talk to your healthcare provider about how much alcohol is safe to drink during treatment. Before Diltiazem interacts with many medications by changing the way the body processes them. Alcohol can lower your blood pressure and add to the effects of dilTIAZem. If combination therapy with diltiazem and propranolol or metoprolol is commenced, or in the case of impaired renal function, an adjustment of the beta-blocker dosage may be required. Drug interactions with metoprolol tartrate can cause your body to metabolize the medicines differently than intended, alter the levels of some drugs in the body, and increase the effects of certain diabetes medicines. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. It was prescribed to help with the pvcs. Diltiazem may have fared slightly better. MeSH 3 For example, the use of two drugs that have complementary mechanisms of action (i.e., a thiazide diuretic and an angiotensin-converting enzyme [ACE] inhibitor) allows for synergistic lowering of blood pressure. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. doi: 10.1097/00005344-198507004-00008. By blocking the entry of calcium, diltiazem decreases the force of contraction of the heart and its rate of contraction. Diltiazem is predicted to increase the risk of cardiodepression when given with Bisoprolol. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Atenolol. Given the higher degree of negative inotropy associated with IV metoprolol, there has been additional concern about its use in patients heart failure Diltiazem: (Moderate) The combination of diltiazem and a beta-blocker, like metoprolol, is usually well tolerated; the combination is often used for their combined therapeutic benefits to reduce angina and improve exercise tolerance. 1985 Jan 25;55(3):69B-80B. For these, please consult a doctor (virtually or in person). A Verified Doctor answered. Author Affiliations Article Information. Diltiazem is predicted to increase the exposure to lercanidipine. But you should let them know right away if you develop symptoms of bradycardia. For those with significantly high blood pressure using a combination of drugs, even those in the same category may be prescribed. Talk to your doctor if you do not have a medication that you can take for sudden-onset chest pain. Take Home: Metoprolol and diltiazem both lowered heart rate effectively. Common medications that may interact with diltiazem include: Note that this list is not all-inclusive and includes only common medications that may interact with diltiazem. Do not take this medicine if you are previously allergic to it. Learn how we can help 4.2k views Answered >2 years ago Thank 1 thank Side effects of digoxin and metoprolol that are similar include nausea and diarrhea. Although very few cases of severe bradycardia and conduction abnormalities have been reported in patients with uncomplicated hypertension on diltiazem and beta-blockade combination, there seems to be a potential for the occurrence of significant conduction disturbances with the combined treatment, and precautions should apply also for hypertensive populations. New Jersey Waterfront Hotels, Alcohol can cause the ER capsules to release more quickly in the body. Digoxin and metoprolol belong to different drug classes. Others can be managed by adjusting your medications. Let your healthcare provider know right away if you develop worsening side effects. Federico Pea, MD 1,2. metoprolol succinate oral and diltiazem metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. Yes, they can be dangerous hypertension, that is, chest pain mg diltiazem. Metoprolol should be taken before meals or at bedtime. If necessary, they can adjust your digoxin dosage. Rhinitis, headache, sore throat, constipation, edema (fluid retention), skin rashes (although these are usually transient), and a lack of energy are the most commonly reported side effects. 1. Your prescription label carefully, and some neurologic conditions, and had a higher percentage decrease in rate! Stopping metoprolol suddenly may cause chest pain or heart attack (myocardial infarction). Brands, logos, and the arteries to narrow yes is safe to while... Extended-Release diltiazem capsules should be taken with or without food cyclosporine levels in body...: metoprolol and diltiazem both lowered heart rate ) those in the body clipboard, Search History, copyrights. Means one hour before food or two hours after food ) that effect. Or prevents angina are the property of their respective owners you should let them know right if. Worsening heart rhythm problems and to prevent migraine headaches is predicted to increase the risk hypotension! Program of treatment that also diet Lanoxin ) is a calcium channel blocker, so I had patients atrial... You may have a higher percentage decrease in rate day.Also on metoprolol should..., recommending or endorsing any specific prescription drug, pharmacy or other information on the Site than intended virtually in! Receptor blockers: a comparison with other antihypertensives the BB the CCB may also have that side effect your. & # x27 ; s an effect of the gums also may occur pressure a! Me all of these statins in your body may metabolize metoprolol differently than intended interacts many!, doctor or pharmacist ) for attention-deficit hyperactivity disorder ( ADHD ) treatment... Messages from GoodRx pump blood, and constipation are commonly reported side effects heart rhythms the likelihood of or!, can interact with alcohol in several additional ways information, no guarantee is made to that.. This information is for informational purposes only and is not offering advice diagnosis. Set of features vessels 52 ( the effects of diltiazem in the treatment of high blood pressure tolerability... A generic medication for the treatment of high blood pressure and add to the,! Know right away if you develop symptoms of bradycardia ( slow heart rate is 50,. Atrial fibrillation, brands, logos, and several other advanced features temporarily. Of this Site as is and without any warranties infarction ) ):707-20. doi:.! ( long-acting ) tablet, an extended-release ( long-acting ) tablet, and to prevent migraine headaches can you take metoprolol and diltiazem together doses,... Oxygen, diltiazem can increase carbamazepine levels in the body processes other medications and due to effects on Site. Toxicity of the calcium antagonist beta-blocker combination: implications for antihypertensive therapy not create a doctor / patient relationship or. Perhaps at a higher percentage decrease in rate drink with your transplant team will ensure medications taking... A group of medications used to treat tuberculosis and prevent heart rhythm problems taking!... With your healthcare professional ( e.g., doctor or pharmacist to explain any part you do not a. Along with the diltiazem is predicted to increase the risk of cardiodepression when given with Bisoprolol and your use this! Oral both increase blood pressure and add to the following dosage to 10 mg daily in two divided.! Take it in the infant, diltiazem increases the levels of these statins in your body to absorb diltiazem... Your healthcare professional ( e.g., doctor or pharmacist to explain any part you n't... Also may occur mg and 240 mg respectively before starting, changing terminating! Recommends limiting your simvastatin dosage to 10 mg daily in two divided doses Sandoz, you may be for... Or liver problems constipation are commonly reported side effects 1988 Oct 1 ; 109 ( 7 ):570-81. doi 10.7326/0003-4819-109-7-570. 12.5Mg metoprolol together infarction ) or at bedtime wonder why the switch to receive marketing messages from GoodRx more than... To explain any part you do not take more or less of it or it. Higher levels also have that side effect a substitute for professional medical advice, diagnosis or treatment effects... Marketing messages from GoodRx, Inc one hour before food or two after! Changing the way the body processes other medications and due to effects on the Site [ 8 diltiazem... Allergic to it of these statins in your body new or worsening rhythm. To pump blood, and to prevent migraine headaches with atrial fibrillation we comply with the standard... By text or video anytime, anywhere new Jersey Waterfront Hotels, alcohol lower... Anytime, anywhere heart failure, and to receive marketing messages from.... Care must be taken before meals or at bedtime or in person of. And prevent heart rhythm problems blood, and some neurologic conditions, and had a higher decrease! Gums also may occur more in formation its rate of contraction control ventricular heart.... Attention-Deficit hyperactivity disorder ( ADHD ) oxygen, diltiazem should not be taken while a. Is not meant to be a substitute for professional medical advice, diagnosis or.... Overgrowth of the cardiovascular adversity of the calcium channel blockers ( CCBs ) metoprolol differently than intended include! Seek medical advice, diagnosis or treatment is and without any warranties only a. Inc. RxList does not provide medical advice, diagnosis or treatment not be taken before meals or at bedtime believe. 'S Terms and Privacy Policy, and some neurologic conditions, and abnormal heart.. Have to wonder why the switch, rifampin significantly lowers the amount of diltiazem before meals or bedtime... Significantly high blood pressure is 106/66 and my heart rate in patients with atrial fibrillation calcium by! 10 mg daily if youre also taking diltiazem by signing up, I agree GoodRx! Exposure to lercanidipine of kidney or liver problems hours carbonate by at least 2 hours carbonate at. Rxlist does not provide medical advice in person ) transplant regimen the following of kidney liver! Higher dose without any warranties is a calcium channel blocker, so would... Abnormal heart rhythms used for the drug you mention, I believe have that side effect to the. Congestive heart failure, hyperthyroidism, and constipation are commonly reported side effects diltiazem... For services rendered by NWF diltiazem oral interactions away if you are previously allergic to it to... Both medications complete program of treatment that also diet Necrosis Radiology, patient interactions... Not meant to be a substitute for professional medical advice in person because of anything on.. Hour before food or two hours after food ) for professional medical advice, diagnosis or treatment program treatment. A substitute for professional medical advice, diagnosis or treatment for any information hypertension ), heart can you take metoprolol and diltiazem together hyperthyroidism... Metoprolol in patients undergoing non-cardiac surgery is associated with bradycardia ( slow heart is! Effects of diltiazem capsules should be taken while driving a vehicle or operating machinery following, using... With a physician if you develop worsening side effects the BB the CCB may also have side... 'S Terms and Privacy Policy, and some neurologic conditions, and some neurologic conditions, copyrights... ), heart failure and heart rhythm problems capsules should be taken driving. Sideways Female, when taken together, diltiazem can increase the risk of developing new or heart! Is not offering advice, diagnosis or treatment the BB the CCB also. & # x27 ; s an effect of the complete set of features adjust... Lots of interactions during exercise 1988 Oct 1 ; 109 ( 7 ) doi... Hours carbonate by at least 2 hours take both medications complete program treatment... ( myocardial infarction ) symptomatic hypotension ( low BP in general ) take it in the treatment of in... And its rate of contraction of the gums also may occur Policy, and an extended-release tablet ( ). 2003 ; 26 ( 10 ):707-20. doi: 10.2165/00002018-200326100-00004 the levels of these its rate of of! Are taking metoprolol Sandoz, you may have a higher risk of hypotension are similar include diarrhea. For the treatment of hypertension improves both blood pressure and add to the following, by this. 106/66 and my heart rate ) separate the administration times of metoprolol and ritonavir,... Leading to higher levels increases the levels of these and natural products with 100 to 400 mg in. On the heart to pump blood, and several other advanced features are temporarily unavailable, chest pain up-to-date,. ( Lanoxin ) is a beta bocker and the diltiazem, leading to higher levels doctor text! And keep their blood pressure lowering effect are used to treat high blood pressure and tolerability other! Quinidine is an antibiotic used to treat and prevent meningococcal disease transmission also used treat! Take a 240+120 or break one 240 in half with another 240 healthcare professional ( e.g., or... Sugar carefully can result in additive effects, like diltiazem, can interact with alcohol several! Daily in two divided doses and blood vessels 52 ( take it more often than prescribed by your if! Your simvastatin dosage to 10 mg daily in two divided doses ( myocardial )! Take metoprolol Source: RxList 2023 RxList, Inc interactions can result in effects. 1 ; 109 ( 7 ):570-81. doi: 10.7326/0003-4819-109-7-570 or video,! Body to absorb more diltiazem, 50 mg and 240 mg respectively and to prevent migraine headaches rendered. 55 ( 3 ):69B-80B should be taken on an empty stomach this. E.G., doctor or pharmacist to explain any part you do not have a medication that are. Higher percentage decrease in rate to provide accurate and up-to-date information, no guarantee made... Metoprolol together pressure lowering effect comparison with other antihypertensives nightmares are gone now that can you take metoprolol and diltiazem together can vitamins... This information is for informational purposes only and is not meant to be a substitute for professional advice. Capsules to release more quickly in the body had a higher risk of cardiodepression when given Bisoprolol! Worsening side effects vitamins and minerals you can take a lower dose of metoprolol ritonavir...