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diltiaZEM

diltiaZEM
  • Restricted Medications Cardiac Monitor (IV)
Brand names: Cardizem, Cardizem CD, Cardizem SR
Form Strength
CAPSULE, EXTENDED RELEASE, ORAL 60 mg/12 hours; 90 mg/12 hours; 120 mg/12 hours; 120 mg/24 hours; 180 mg/24 hours; 240 mg/24 hours; 300 mg/24 hours
SOLUTION, INTRAVENOUS 5 mg/ml
TABLET, ORAL 30 mg
Display Class IV Antiarrhythmics, Calcium-Channel Blocking Agents Class: 24040424, 242800
Medication comments:
Max single IV bolus dose = 20 mg at any given time (whether an infusion is being started or not).
diltiaZEM should generally not be interrupted during procedures unless there is a specific physician order.

Refrigerator item (injection) 

Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes                
diltaZEM (Cardizem)
IV Push, IV Infusion		 Y Y N N N N N N
Iredell Memorial Hospital ICU Adult Infusion Guidelines  
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached andgoals of therapy are not met.
Drug Name Onset Preparation Compatible fluids
diltiaZEM (Cardizem) minutes 125 mg/100 ml fluid for total volume of 125ml. Concentration = 1mg/ml NS or D5W
Starting Dose for ICU Sedation Titration Guidelines (for increasing and decreasing doses) with Maximum dose
LD: 0.25 mg/kg over 2 min. Max = 20 mg. Begin infusion at 5 mg/hr. titrate by 5 mg/hr every 15 min to goal heart rate of ≤ 110 beats per min or conversion to normal sinus rhythm, whichever comes first. Max = 15 mg/hr.
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.  
Non-Formulary Agent Formulary Equivalent
diltiaZEM BID products diltiaZEM SR (Cardizem SR)
diltiaZEM once daily products diltiaZEM CD (Cardizem CD)
Enteral Drug Administration notes.
Generic
(Brand)		 Comments and Considerations Recommendations for Administration with Enteral Nutrition
diltiaZEM
(Dilacor, Tiazac, Cardizem)		 Food increases absorption by 28%. Suggest dividing total daily dose into immediate release tables every 6-8 hours
diltiaZEM
(Dilacor, Tiazac, Cardizem)		 May open Tiazac capsule but do NOT crush the contents Tiazac capsule may be opened contents may be emptied into feeding tube, but do NOT crush contents.
Last updated: May. 1, 2024
  • Look-Alike/Sound-Alike diltiaZEM confused with diazePAM
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Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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