diltiazem doses for hypertension

Diltiazem is frequently prescribed to manage hypertension, with dosing tailored to individual patient needs. Typically, the initial dose of diltiazem might range from 60 milligrams once daily to a maximum of 90 milligrams administered three times daily. However, physicians will adjust the dosage based on factors such as the patient's blood pressure readings, age, body weight, and other health considerations.

For patients with mild hypertension, the starting dosage could be as low as 60 milligrams once daily. If blood pressure is not adequately controlled, the dosage may be incrementally increased over the course of treatment. In contrast, those with moderate to severe hypertension might begin with a higher initial dose, such as 60 milligrams twice daily or even 90 milligrams three times daily. Furthermore, elderly patients or those with additional health issues like diabetes or kidney disease may necessitate a lower starting dose, with a more prudent approach to dosage adjustments.

Patients taking diltiazem should adhere to their physician's instructions and avoid self-adjusting the dosage or discontinuing the medication. This caution is advised because, while diltiazem is effective in reducing blood pressure, it can also lead to side effects including dizziness, fatigue, and palpitations. Immediate medical consultation is advised if severe side effects occur. Additionally, patients are encouraged to adopt lifestyle modifications—such as a balanced diet, regular exercise, smoking cessation, and moderate alcohol intake—to complement the medical treatment and more effectively manage their blood pressure.