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Cardizem vs. Calan SR

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Diltiazem (Cardizem) and verapamil ER (Verelan) are both calcium channel blockers (CCBs) but are used for different conditions. Diltiazem (Cardizem) is primarily used to treat chest pain (angina) and is taken four times a day, while Verapamil ER (Verelan) is used to treat high blood pressure and is taken once daily. Diltiazem (Cardizem) can be crushed or chewed, whereas verapamil ER (Verelan) capsules can be opened and mixed with applesauce if swallowing is difficult. Common side effects of diltiazem include swelling in the legs, dizziness, and tiredness, while verapamil ER can cause constipation, headache, and dizziness. Both medications can cause low blood pressure and heart rhythm problems, but verapamil ER has additional risks for people with certain heart conditions. Diltiazem (Cardizem) is available as a lower-cost generic option, and verapamil ER also has a generic form.

Diltiazem

(Cardizem)

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Verapamil ER

(Verelan)

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Summary for Cardizem

Prescription only

Diltiazem (Cardizem) works well to treat chest pain caused by poor blood flow to the heart. Unlike its extended-release counterpart that's taken once a day, diltiazem (Cardizem) is taken four times a day. Common side effects of diltiazem (Cardizem) include swelling in the legs, dizziness, and tiredness.

Indications for Cardizem

  • New chest pain
  • Long-term chest pain

Pros and Cons for Cardizem

Pros

Cons

  • Need to take four times a day
  • Don't take with alcohol
  • Not for people with certain types of heart failure

Common Side Effects for Cardizem

  • Swelling in the legs and feet (2%)
  • Headache (2%)
  • Nausea (2%)
  • Dizziness (2%)
  • Weakness (1%)

Warnings for Cardizem

  • Heart rhythm problems
  • Risk of low blood pressure
  • Liver problems

Summary for Calan SR

Prescription only

Verapamil ER (Verelan) is used to treat high blood pressure (hypertension). It's an extended-release (ER) medication that works throughout the day and is available as a tablet and capsule.

Indications for Calan SR

  • High blood pressure

Pros and Cons for Calan SR

Pros

  • Lowers blood pressure, which lowers the risk of stroke and heart attack
  • Only need to take once daily
  • Capsule can be opened and contents (pellets) can be mixed in with applesauce for people who have trouble swallowing pills
  • Available in a lower-cost generic form

Cons

  • Doesn't treat irregular heart rate or chest pain like the immediate-release form
  • Has many undesirable side effects, such as headache, dizziness, and swelling of the arms or legs
  • Must use with caution in people with liver or kidney disease

Common Side Effects for Calan SR

Tablet (Calan SR)

  • Constipation (7%)
  • Dizziness (3%)
  • Nausea (3%)
  • Low blood pressure (3%)

Capsule (Verelan)

  • Constipation (7%)
  • Headache (5%)
  • Dizziness (4%)
  • Tiredness or sluggishness (3%)
  • Indigestion (3%)

Capsule (Verelan PM)

  • Headache (12%)
  • Infection (12%)
  • Constipation (9%)
  • Flu (4%)
  • Swelling of arms or legs (4%)
  • Dizziness (3%)
  • Sore throat (3%)
  • Sinus infection (3%)
  • Indigestion (3%)
  • Stuffy nose (3%)

Warnings for Calan SR

  • Heart failure
  • Low blood pressure
  • Liver problems
  • Heart rhythm problems
  • Complications in people with certain heart rhythm problems

Prices with our coupons for Cardizem vs. Calan SR

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Diltiazem90 tablets / 30mg
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Verapamil ER90 capsules / 120mg
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