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Aprepitant ciclosporin methylprednisolone may also increase the blood level and risk of side effects of ciclosporin diltiazem itraconazole ketoconazole macrolide-type antibiotics, eg clarithromycin, erythromycin protease inhibitors, eg ritonavir.

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You should not use diltiazem if you have very low blood pressurea serious heart condition such assick sinus syndromeorAV blockunless you have a pacemakeror if you have recently had a heart attack and you have a build-up of fluid in your lungs.

If taken regularlydiltiazem may control chest painbut it does not stop chest pain once it startsYour doctor may give you a different medication to take when you have chest pain.

Diltiazem comes as a tabletan extended-releaselong-actingtabletand an extended-release capsule to take by mouthThe regular tablet is usually taken three or four times a dayThe extended-release capsule and tablet are usually taken one or two times a dayAsk your pharmacist if you should take diltiazem with or without foodbecause instructions may vary with each productTake diltiazem at around the same time(severy dayFollow the directions on your prescription label carefullyand ask your doctor or pharmacist to explain any part you do not understandTake diltiazem exactly as directedDo not take more or less of it or take it more often than prescribed by your doctor.

If you are being treated for high blood pressurekeep using this medicine even if you feel wellHigh blood pressure often has no symptomsYou may need to use blood pressure medicine for the rest of your life.

Do not let anyone else take your medicationAsk your pharmacist any questions you have about refilling your prescription.

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