Herbesser capsule 180mg

About Herbesser capsule 180mg

Herbesser Capsule 180mg Uses

• Controls high blood pressure (hypertension)
• Reduces the frequency of chronic stable angina attacks
• Manages vasospastic (Prinzmetal) angina
• Improves exercise tolerance in coronary artery disease
• Used long term to prevent recurrent chest pain episodes

Herbesser Capsule 180mg Benefits

• Sustained release formula allows once or twice daily dosing
• Relaxes coronary and peripheral blood vessels to ease heart strain
• Lowers the oxygen demand of the heart muscle during exertion
• Supports steady blood pressure control with fewer daily doses
• Generally well tolerated compared to immediate release diltiazem

What Experts Say

Diltiazem hydrochloride belongs to the benzothiazepine class of calcium channel blockers. It works by blocking calcium entry into the smooth muscle cells of blood vessel walls and into heart muscle cells. This action relaxes and widens blood vessels, lowers resistance in the arteries, and eases the workload on the heart, which brings blood pressure down.

In angina, the same calcium blocking action dilates the coronary arteries and reduces spasm, improving blood flow to the heart muscle. Diltiazem also slightly slows the heart rate and conduction through the AV node, which lowers the oxygen demand of the heart during physical activity or stress and reduces the frequency of chest pain episodes.

Because this is a sustained release capsule, it releases the drug slowly to maintain steady blood levels over the day and supports better adherence with fewer doses. Clinicians usually start with a low dose and increase it gradually while monitoring blood pressure and heart rate, since response varies between patients.

Drug Class

• Calcium Channel Blocker
• Benzothiazepine Derivative
• Antianginal Agent
• Antihypertensive Agent

Herbesser capsule 180mg formula

• Diltiazem Hydrochloride

Available forms

• Capsule

How to use Herbesser capsule 180mg?

• Swallow the capsule whole with a glass of water
• Do not crush, chew, or break the capsule
• Take at the same time each day for consistent blood levels
• Take with or without food as advised by your doctor
• Do not stop the medicine suddenly without consulting your doctor

Drug Interactions

• Beta Blockers: Combining with beta blockers can excessively slow the heart rate and lower blood pressure.
• Digoxin: Diltiazem can raise digoxin blood levels, increasing the risk of toxicity.
• Statins: Diltiazem can increase blood levels of certain statins, raising the risk of muscle related side effects.
• Cyclosporine: Diltiazem can raise cyclosporine levels, requiring dose adjustment and monitoring.
• Other Antihypertensives: Combined use may cause an additive drop in blood pressure.
• Grapefruit Juice: May increase diltiazem blood levels and the risk of side effects.

Risks and warnings

• Low Blood Pressure: Diltiazem can cause a drop in blood pressure, especially when standing up quickly.
• Heart Block: Avoid use in patients with sick sinus syndrome or second and third degree AV block without a pacemaker.
• Heart Failure: Use with caution in patients with reduced heart pump function.
• Liver Or Kidney Disease: Dose adjustment may be needed since diltiazem is metabolized by the liver.
• Pregnancy And Breastfeeding: Use only if clearly needed and under medical supervision.
• Elderly Patients: May be more sensitive to the blood pressure lowering effects.

Herbesser Capsule 180mg Side Effects

• Headache
• Dizziness
• Swelling of ankles or feet
• Flushing
• Fatigue
• Nausea
• Constipation
• Slow heart rate
• Low blood pressure
• Skin rash
• Irregular heartbeat (rare)
• Liver enzyme changes (rare)

Storage Conditions

• Store below 30°C in a cool, dry place
• Keep away from direct sunlight and moisture
• Keep the capsule in its original blister pack until use
• Keep out of reach of children
• Discard unused capsules after the expiry date