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If you forget to take a dose, take it as soon as you remember unless it is nearly time for your next dose, in which case leave out the missed dose. Do not take two doses together to make up for a forgotten dose. Getting the most from your treatment Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. Your doctor will discuss with you the possibility of unwanted side-effects when you first start taking diltiazem. You may experience headaches, feeling flushed, swollen ankles and some dizziness.

These effects usually only last for a few days, but if they continue or become troublesome, you should let your doctor know. Different formulations and brands of diltiazem can act in a slightly different way in your body. Because of this, it is important that you continue to take the same type of tablet or capsule as you have had before. So, each time you collect a prescription, check to make sure your supply looks the same and that the brand name is the same. If you are unsure, or if have any questions about your prescription, please ask your pharmacist to check it for you.

If you have diabetes you may need to check your blood sugar glucose level more often. This is because diltiazem may raise your glucose levels. Ask your doctor or pharmacist for advice. Before you buy any medicines or take any 'over-the-counter' remedies, please check with a pharmacist that they are suitable for you to take. This is because some medicines can interact with diltiazem. Drinking grapefruit juice may affect the amount of diltiazem in your blood and can make you more likely to experience side-effects. Let your doctor or pharmacist know if you enjoy drinking grapefruit juice and wish to continue.

If you need to have an operation or any medical treatment, always tell the person carrying out the treatment which medicines you are taking. Diltiazem may interfere with the way some anaesthetics work.

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