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Paxlovid with Diltiazem?

Posted by mjamesone

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mjamesone

Paxlovid with Diltiazem?
May 23, 2024 05:18PM

Registered: 7 years ago
Posts: 253

I understand there's a moderate interaction between the two drugs and I will of course check with my doctor, but just wondering if any of you have been allowed to take the two together?

Jim

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MeganMN

Re: Paxlovid with Diltiazem?
May 23, 2024 05:46PM

Registered: 1 year ago
Posts: 394

Its just a 'caution advised ' interaction, so may be allowed. If it is not allowed and you are interested in other options, let me know. I worked on a medical team during 2021-23 that had other successful OTC recommendations for treatment.

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mjamesone

Re: Paxlovid with Diltiazem?
May 23, 2024 05:52PM

Registered: 7 years ago
Posts: 253

Thanks. Will do. Some centers still do the monoclonal antibodies, but I think it's the Recc for 3 consecutive days so logistically I might not be able to start till Monday. Paxlovid would be the easiest

Jim

Edited 1 time(s). Last edit at 05/23/2024 05:53PM by mjamesone.

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Pixie

Re: Paxlovid with Diltiazem?
May 23, 2024 05:56PM

Registered: 6 years ago
Posts: 222

I was told by my EP that they were ok to take together. I had no problems doing that. Good luck.

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Carey

Re: Paxlovid with Diltiazem?
May 23, 2024 05:58PM

Admin
Registered: 7 years ago
Posts: 5,930

The Paxlovid can modestly increase the effects of diltiazem, so your doc can just adjust the dosage if needed.

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mjamesone

Re: Paxlovid with Diltiazem?
May 23, 2024 06:27PM

Registered: 7 years ago
Posts: 253

I'm on 120 to 150 a day using 30 mg tabs with 4-5x/day dosing. It's not to keep my heart right down. It's for something else non-a fib related. If I remember correctly, I think I'm allowed up to 400 mg a day. I've never taken that much.

Edited 1 time(s). Last edit at 05/23/2024 06:28PM by mjamesone.

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Carey

Re: Paxlovid with Diltiazem?
May 23, 2024 08:23PM

Admin
Registered: 7 years ago
Posts: 5,930

I doubt your doc would say no. They would just tell you to reduce the diltiazem if you experienced symptoms like dizziness, feeling faint, etc.

I take 120 mg once daily for hypertension in extended release form. You're taking close to that but need 4x5 doses. Wouldn't it be easier to ask for extended release?

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mjamesone

Re: Paxlovid with Diltiazem?
May 23, 2024 09:05PM

Registered: 7 years ago
Posts: 253

Yes, I think at some point if this was going to be an every day thing, I might try the extended release. But on the shorter term, I appreciate how I can titrate the fast acting tabs per symptoms. The doctor did finally give me a go ahead and the first three Paxlovid tabs are down the hatch.

Jim