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Drug Catalog - Product Detail

DILTIAZEM HCL ER (CD) CP 120MG 90

NDC Mfr Size Str Form
68682-0993-98 OCEANSIDE PHARMACEUTICALS 90 120MG CAPSULE
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Generic Name
DILTIAZEM HYDROCHLORIDE
Substance Name
DILTIAZEM HYDROCHLORIDE
Product Type
HUMAN PRESCRIPTION DRUG
Route
ORAL
Application Number
ANDA075116
Description
DESCRIPTION Diltiazem hydrochloride is a calcium ion cellular influx inhibitor (slow channel blocker or calcium antagonist). Chemically, diltiazem hydrochloride is 1,5-Benzothiazepin-4(5 H )-one,3-(acetyloxy)-5-[2-(dimethylamino)ethyl]-2, 3-dihydro-2-(4-methoxyphenyl)-, monohydrochloride, (+)- cis -. The chemical structure is: Diltiazem hydrochloride is a white to off-white crystalline powder with a bitter taste. It is soluble in water, methanol, and chloroform. It has a molecular weight of 450.98. Diltiazem Hydrochloride Extended-Release Capsule (Once-a-Day Dosage), is formulated as a once-a-day extended-release capsule containing 120 mg, 180 mg, 240 mg, or 300 mg diltiazem hydrochloride. Also contains: D&C Yellow #10, FD&C Green #3, gelatin, hypromellose, magnesium stearate, microcrystalline cellulose, ethyl acrylate and methyl methacrylate copolymer, polysorbate, povidone, simethicone emulsion, sucrose stearate, talc, and titanium dioxide. Diltiazem Hydrochloride Extended-Release Capsule meets USP Dissolution Test 12. For oral administration. Chemical Structure
How Supplied
HOW SUPPLIED Diltiazem Hydrochloride Extended-Release Capsules, USP Strength Description Qty. NDC# 120 mg Light green opaque capsule 90 btl 68682-993-98 Imprinted with BVF 120 180 mg Dark green opaque/light green 90 btl 68682-994-98 opaque capsule imprinted with BVF 180 240 mg Dark green opaque capsule 90 btl 68682-997-98 imprinted with BVF 240 300 mg Ivory opaque/dark green opaque 90 btl 68682-998-98 capsule imprinted with BVF 300 Storage Conditions: Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Avoid excessive humidity.
Indications & Usage
INDICATIONS AND USAGE Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) are indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive medications. Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) are indicated for the management of chronic stable angina and angina due to coronary artery spasm.
Dosage and Administration
DOSAGE AND ADMINISTRATION Patients controlled on diltiazem alone or in combination with other medications may be switched to Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) at the nearest equivalent total daily dose. Higher doses of Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) may be needed in some patients. Monitor patients closely. Subsequent titration to higher or lower doses may be necessary. There is limited general clinical experience with doses above 360 mg, but doses to 540 mg have been studied in clinical trials. The incidence of side effects increases as the dose increases with first-degree AV block, dizziness, and sinus bradycardia bearing the strongest relationship to dose. Hypertension: Adjust dosage to individual patient needs. When used as monotherapy, reasonable starting doses are 180 to 240 mg once daily, although some patients may respond to lower doses. Maximum antihypertensive effect is usually observed by 14 days of chronic therapy; therefore, schedule dosage adjustments accordingly. The usual dosage range studied in clinical trials was 240 to 360 mg once daily. Individual patients may respond to higher doses of up to 480 mg once daily. Angina: Dosages for the treatment of angina should be adjusted to each patient's needs, starting with a dose of 120 or 180 mg once daily. Individual patients may respond to higher doses of up to 480 mg once daily. When necessary, titration may be carried out over a 7- to 14-day period. Concomitant Use with Other Cardiovascular Agents Sublingual NTG: May be taken as required to abort acute anginal attacks during Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) therapy. Prophylactic Nitrate Therapy: Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) may be safely coadministered with short- and long-acting nitrates. Beta-Blockers: (See WARNINGS and PRECAUTIONS ). Antihypertensives: Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) has an additive antihypertensive effect when used with other antihypertensive agents. Therefore, the dosage of Diltiazem Hydrochloride Extended-Release Capsules (Once-a-Day Dosage) or the concomitant antihypertensives may need to be adjusted when adding one to the other.