ACASMUL (CARDIZEM) INDICATIONS
Acasmul is used for treating supraventricular tachycardia, a rhythm disturbance of the heart. It is also used for controlling heart rate response to other rhythm disturbances, specifically, atrial fibrillation and flutter. Acasmul is a calcium channel blocker. It works by slowing the electrical conduction in the heart, slowing heart rate, and/or normalizing heart rhythm.
ACASMUL (CARDIZEM) INSTRUCTIONS
Use Acasmul as directed by your doctor.
- Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
- Your doctor may occasionally change your dose to make sure you get the best results from this medication.
- Take Acasmul with a full glass of water. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
- It is important to use Acasmul regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.
- Do not stop taking this medication without first talking to your doctor. If you stop taking Acasmul suddenly, your condition may become worse.
- If you are being treated for high blood pressure, keep using this medication even if you feel fine.
- If you miss a dose of Acasmul, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Acasmul.
ACASMUL (CARDIZEM) STORAGE
Store Acasmul at room temperature away from moisture and heat. Keep Acasmul out of the reach of children and away from pets.
ACASMUL (CARDIZEM) MORE INFO:
Do NOT use Acasmul if:
- you are allergic to any ingredient in Acasmul
- you have sick sinus syndrome or have second- or third-degree heart block and do not have a pacemaker, or very low blood pressure
- you have atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway in the heart), such as Wolff-Parkinson-White syndrome (WPW) or Lown-Ganong-Levine syndrome (LGL)
- you are receiving injectable beta-blockers (eg, metoprolol) or erythromycin.
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Acasmul. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have heart failure or have had a recent heart attack with lung congestion, heart block, low blood pressure, a very slow heart rate, or abnormal heart rhythm
- if you have kidney or liver disease.
Some medicines may interact with Acasmul. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Cimetidine or protease inhibitors (eg, indinavir) because they may increase the actions and side effects of Acasmul
- Rifampin because it may decrease the effectiveness of Acasmul
- Amiodarone, cisapride, digoxin, erythromycin, protease inhibitors (eg, indinavir), quinidine, tricyclic antidepressants (eg, desipramine), theophylline, or general anesthetics because toxic effects on the heart may occur
- Benzodiazepines (eg, midazolam), beta-blockers (eg, metoprolol), buspirone, carbamazepine, cilostazol, corticosteroids (eg, prednisone), cyclosporine, HMG-CoA reductase inhibitors (eg, atorvastatin), macrolide immunomodulators (eg, tacrolimus) because the risk of their side effects, some potentially life-threatening, may be increased by Acasmul.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Acasmul may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Important safety information:
- Acasmul may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Acasmul with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
- Acasmul may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- Acasmul may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Acasmul. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Tell your doctor or dentist that you take Acasmul before you receive any medical or dental care, emergency care, or surgery.
- Lab tests, including electrocardiogram (ECG), heart rate, and blood pressure monitoring, may be performed while you use Acasmul. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Acasmul with caution in the elderly; they may be more sensitive to its effects.
- Acasmul should not be used in children; safety and effectiveness in children have not been confirmed.
- Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Acasmul while you are pregnant. Acasmul is found in breast milk. Do not breastfeed while taking Acasmul.
All medicines may cause side effects, but many people have no, or minor, side effects.
Check with your doctor if any of these most common side effects persist or become bothersome:
Constipation; dizziness; facial flushing; headache; weakness.
Seek medical attention right away if any of these severe side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); hallucinations; irregular heartbeat; swelling of the feet or hands; symptoms of liver problems (eg, yellowing of the skin or eyes, dark urine, pale stools); tender, bleeding, or swollen gums.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.