Herbesser Capsule 90mg

About Herbesser Capsule 90mg

Herbesser Capsule 90mg Uses

• Management of high blood pressure (hypertension)
• Chronic stable angina and vasospastic (Prinzmetal) angina
• Sustained release once or twice daily dosing for steady blood pressure control
• Adjunct control of certain supraventricular heart rhythm problems under specialist guidance

Herbesser Capsule 90mg Benefits

• Smooths blood pressure control over many hours with fewer sudden peaks and troughs
• Reduces frequency of angina attacks and helps improve exercise tolerance
• Sustained release design supports better adherence with fewer daily doses
• Suitable for patients who need both blood pressure control and mild heart rate reduction

What Experts Say

Physicians in Pakistan often prescribe sustained release Diltiazem Hydrochloride like Herbesser Capsule 90mg because it keeps a steady blood level over many hours instead of sharp peaks that can trigger dizziness. As a non dihydropyridine calcium channel blocker, it relaxes blood vessel walls and slightly slows heart rate, useful for patients with both high blood pressure and angina.

Doctors usually start with a low dose and review response after a couple of weeks, since the SR formulation releases medicine gradually and its full effect is not always visible within the first few days. Regular blood pressure checks and periodic heart rate monitoring confirm the dose is neither too weak nor causing excessive slowing of the heart.

Pakistan carries a heavy burden of uncontrolled hypertension and ischemic heart disease, so physicians value a medicine combining blood pressure control with angina relief in one daily capsule. Cardiologists generally favor this sustained release form over plain diltiazem tablets since it reduces dosing frequency and offers steadier symptom control.

Drug Class

• Calcium channel blocker (non dihydropyridine, benzothiazepine class)
• Antihypertensive and antianginal agent
• Sustained release (SR) oral capsule formulation

Herbesser Capsule 90mg formula

• Diltiazem Hydrochloride

Available forms

• Capsule

How to use Herbesser Capsule 90mg?

• Take Herbesser Capsule 90mg exactly as prescribed by your doctor, usually once or twice daily
• Swallow the capsule whole with a glass of water
• Do not crush, chew, or open the capsule since this destroys the sustained release effect
• Take at the same time each day to maintain a steady blood level
• Can be taken with or without food, but keep this consistent from day to day
• Do not stop the capsule suddenly without asking your doctor, since this can worsen angina
• If a dose is missed, take it as soon as remembered unless the next dose is nearly due

Drug Interactions

• Beta Blockers: Combined use can excessively slow the heart rate and lower blood pressure
• Digoxin: Diltiazem can raise digoxin blood levels, increasing toxicity risk
• Statins (Simvastatin, Atorvastatin): Can raise statin levels and increase muscle related side effect risk
• Other Antihypertensives: May cause additive blood pressure lowering effects
• Cimetidine: Can increase Diltiazem blood levels
• Carbamazepine: Diltiazem may raise carbamazepine levels and increase side effect risk
• Grapefruit Juice: May increase Diltiazem blood levels and should generally be avoided

Risks and warnings

• Low Blood Pressure: Can cause dizziness or fainting, especially when standing up quickly
• Heart Block or Slow Heart Rate: Should be avoided in patients with certain conduction problems unless a pacemaker is in place
• Heart Failure: Use with caution in patients with reduced heart pumping function
• Liver Disease: Requires dose caution since the liver clears this medicine
• Pregnancy and Breastfeeding: Use only if the benefit clearly outweighs potential risk, under specialist advice
• Elderly Patients: May need closer monitoring due to higher sensitivity to blood pressure lowering effects

Herbesser Capsule 90mg Side Effects

• Headache
• Dizziness or lightheadedness
• Swelling of the ankles or feet
• Flushing
• Fatigue
• Nausea
• Constipation
• Slow heart rate (bradycardia)
• Low blood pressure
• Skin rash
• Irregular heartbeat in rare cases
• Signs of liver problems such as yellowing of skin or eyes in rare cases

Storage Conditions

• Store Herbesser Capsule 90mg at room temperature, below 30 degrees Celsius
• Keep in a dry place away from direct sunlight and moisture
• Keep the capsules in their original blister pack until the time of use
• Keep out of reach of children
• Do not use beyond the expiry date printed on the pack