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Hi Lin

I am on a combination therapy of this diltiazem drug 120mg three times a day, together with another drug which is "off licence" for my problem which is very new and rarely prescribed by my cardiologist at St Thomas', London (Ivabradine). Only the combination of these 2 drugs has stopped the high rate of tachycardia (palpitations) that I was getting after I had a heart procedure in July last year.

I spent most of July and August in and out of A&E and St Thomas cardiology wards. It was only when they put me on the highest dose of diltiazem and combined with Ivabradine that my tachycardia was brought under control, otherwise I just sat in bed with a min heart rate of 110! (without doing anything at all!!); even drking water increased the heart rate and they were very concerned that they couldnt control the heart rate but as I have said, the Ivabradine added in to my "cocktail" of drugs seems to have done the trick, thankfully.

I am told that I am an exceptionally rare patient with this kind of treatment and I do admit that I still do get break through tachycardia when I get stressed/over do things. I also do suffer from an autonomic dysfunction called postural orthostatic tachycardia syndrome (pots)(neurocardio problem) which means that my heart rates accelerates on change of position ie from lying to sitting, sitting to standing etc. Thankfully it is mainly controlled by these 2 drugs and another drug, Fludrocortisone (but Im digressing the point now so I will stop!).

The only things I would say is that I feel like my whole body has "slowed down" I feel vey sluggish, thoughts are even more difficult sometimes to put into words and Ive put on weight (not sure if thats the diltiazem/ivabradine though and will be cheking with my consultant in a couple of weeks). I have a rapid digestion and cant use the slow release as my body uses it too quickly so that is why I take it 3 times a day. I would also say that I have to remain in bed for about 2 hours after I have taken my heart drugs to take effect (it would appear that my body uses it all up over night!) otherwise I get tachycardia. After that Im mostly ok until the next dose is due at 2pm.

Sorry if I have rabbited on, hope this helps!

Take care

Julia :)
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