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Although most of the side effects listed below don’t happen very oftenthey could lead to serious problems if you do not seek medical attention.

Heart rhythm problemsIn people with certain types of heart rhythm problemssick sinus syndromesecondand third-degree atrio-ventricular blockwho do not have pacemakersdiltiazem may cause abnormally slow heart ratesPeople with certain types of heart rhythm problems should not take diltiazemIf you have a heart rhythm problemyour doctor should closely monitor your condition while you are taking diltiazemTalk to your doctor if you have any concerns.

Contact your doctor if you experience these side effects and they are severe or bothersomeYour pharmacist may be able to advise you on managing side effects.

Diarrhea dizziness or lightheadedness general feeling of being unwellflushing headache nausea redirritatedor sore eyes tiredness or weakness.

Rememberkeep this and all other medicines out of the reach of childrennever share your medicines with othersand use diltiazem only for the indication prescribed.

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further, ritonavir and diltiazem both prolong the pr interval and caution for increased risk is recommended with coadministration.

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Avoid drinking alcohol while you are taking DilantinAlcohol use can increase your blood levels of phenytoin and may increase side effectsDaily alcohol use can decrease your blood levels of phenytoinwhich can increase your risk of seizures.

Do not dispose of medications in wastewatere.gdown the sink or in the toiletor in household garbageAsk your pharmacist how to dispose of medications that are no longer needed or have expired.

Do not stop taking DILANTIN without first talking to your healthcare providerStopping DILANTIN suddenly can cause serious problemsStopping a seizure medicine suddenly in a patient who has epilepsy can cause seizures that will not stopstatus epilepticus

The level of phenytoin in your blood can be checked through laboratory testingThis test helps your doctor determine the dose of phenytoin that best suits you.

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Keep taking digoxin as directedeven if you feel wellGet your prescription refilled before you run out of medicine completely.

Before taking digoxintell your doctor or pharmacist if you are allergic to itor to similar drugssuch as digitoxinor if you have any other allergiesThis product may contain inactive ingredientswhich can cause allergic reactions or other problemsTalk to your pharmacist for more details.

Serious side effects may be more likely in older adults and those who are ill or debilitated.

If you miss a dosetake it as soon as you remember if it is within 12 hours of your scheduled doseIf it is more than 12 hours after your scheduled doseskip the missed dose and resume your usual dosing scheduleDo not double the dose to catch upIf you miss more than 2 doses in a rowcall your doctor to get a new dosing schedule.

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