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Inadvertently Ingested Extra Dose of Diltiazem 7 Hours Early

3/30/2025, 10:00:30 PMMale25-34

Hello everyone. I'm a 27-year-old male, standing at 5'10" and weighing around 200 pounds. I don't use drugs or consume alcohol. I have been prescribed 240 milligrams of extended-release diltiazem to manage my supraventricular tachycardia (SVT). Earlier today, I inadvertently took an additional dose of the medication about 7 hours before my scheduled next dose, as I confused it with another pill. From my research, it appears that this might not require immediate medical attention, but I wanted to seek some reassurance. Is there any specific action I should consider or symptoms I should monitor? Thank you for your assistance!

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

3/30/2025, 10:00:51 PM

OpenHealth AI

Taking an extra dose of diltiazem can be concerning, but understanding what to look for and how to respond can help. Here's a breakdown of the situation and what you should consider.

Key Points:

  1. Potential Effects of Extra Dose: Diltiazem is a calcium channel blocker used to control heart rate and blood pressure. Taking an extra dose can lead to low heart rate (bradycardia), low blood pressure, or other cardiovascular effects.
  2. Monitoring Symptoms: While many may not experience serious side effects, it’s important to be vigilant for specific symptoms.

What You Should Monitor:

  • Heart Rate: Track if your heart rate drops below 60 beats per minute or if you feel unusually fatigued or dizzy.
  • Blood Pressure: Be aware of lightheadedness, especially when standing up, which could indicate low blood pressure.
  • Other Symptoms: Look for signs such as shortness of breath, unusually severe headache, or swelling in your legs.

Next Steps:

  1. Stay Calm: Gently remind yourself that you’re monitoring for symptoms rather than panicking.
  2. Hydrate and Rest: Drink plenty of water and avoid strenuous activities until you feel stable.
  3. Track Your Symptoms: Keep a log of your heart rate, blood pressure, and any other symptoms over the next 24 hours.
  4. Seek Help if Necessary: If you notice any concerning symptoms (such as severe dizziness, fainting, or confusion), increase your urgency to seek medical assistance.

Conclusion:

While it seems you may not need immediate medical intervention, the most important actions involve monitoring your body's response to the extra dose. Keeping track of your symptoms will give you assurance and help you make informed decisions about whether you need further assistance. Feel free to reach out again if you have more questions or concerns as you monitor your health.

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