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When to take Verapamil

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Hello all...sorry if this sounds silly but, for those of you on Verapamil (or any calcium channel blocker), do you take it right before you go to bed? I am on 200mg at night and I have been taking it at about 8:30pm with my nighttime dose of my beta blocker, but my husband noticed it said to take at bedtime. I don't usually go to bed until midnight. My symptoms have been kicking in horribly in the early evening hours and we are wondering if maybe I should wait for bedtime to take it. My cardiologist is no help....he only talks to me once a year to update my meds because I am uninsured and he says his hands are tied on treatments for me. He just keeps wanting to ram my meds up more every time I talk to him which I am really sick of doing. I hate to even tell him the symptoms are worse because he wants to push my Verapamil to 300mg and I already said no. That's why I wondered when the rest of you take your CCB. Maybe a later dose would last longer the next day...
Thank's!
Carolyn

Explore topics in this discussion:

Pain Cardizem Diltiazem ER Imdur Diltiazem Verapamil

4 replies

I take 240 mg. of Diltiazem CD each morning. I don't have a set time. Just make sure to take it before noon. It is a controlled release generic form of Cardizem - a calcium channel blocker. I can definitely tell when I have missed a dose. By about 8pm, my coronary artery spasms rear their ugly head.

I think you have to consider the formulation you are on - there are extended release, controlled release, etc. with what and when you experience symptoms. Trial and error plays a big role in getting control over symptoms and pain.

Take care and I hope you find what works for you -

Dianna

I also have coronary artery spasms and am on Diltiazem ER 240 mg, and my cardiologist wants me to take it in the morning. At one time I was on Verapamil, also in the morning, but the cardiologist discontinued it, when he started the Diltiazem. He also prescribed Imdur 30mg, which has been bumped up to 60 mg. On Friday, he also added Ranexa, so hopefully this will all work. I had bad spasms last night, but they didn't last long, so hopefully they are all kicking in and doing their jobs. I will let you know.

Myra

I have been diagnosis also with Coronary Spasm and I'm on Imdur 60mg in morning and I'm on Cardizem 120mg and I have my nitroquick when needed. I have PVC's also and day's it's hard for me to do things I want to do.

Carolyn,
I am taking the same dose of Verapimil as you and have had the same side effects. My doctor had me change the evening dose to take it as soon as I wake up in the morning. This has cut down on the evening episodes but I do have to take it slow in the morning until it kicks in. Please listen to your body and don't be disparaged by the doctor.
Brendaa

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