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diltiazem hydrochloride

Diltiazem Hydrochloride is a calcium channel blocker used to treat Variant Angina Pectoris, Atrial Fibrillation, Atrial Flutter, Hypertension.

Calcium Channel Blocker · by Nesher Pharms

Generic of Cardizem Cd

Not yet rated· sourced from the FDA label
Rated against independent regulatory sources·Last updated June 7, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass
Lower-cost optionsSave up to 96%
This medication~$9.18/30
Cheapest in class · amlodipine besylate~$0.33/30
See FDA-approved alternatives

Key facts

Active ingredient
Diltiazem Hydrochloride
Form
Capsule, extended release, Injectable, Powder, Solution, Tablet, Tablet, extended release
Strength
Diltiazem Hydrochloride 120MG · Diltiazem Hydrochloride 180MG · Diltiazem Hydrochloride 240MG · Diltiazem Hydrochloride 300MG · Diltiazem Hydrochloride 360MG · Diltiazem Hydrochloride 420MG
Type
Prescription (Rx)
Brand or generic
Generic
Manufacturer
Nesher Pharms
Half-life
about 3 to 4.5 hours (how long it stays in your system)
What the pharmacy pays
~$9.18 for 30 — not your price
FDA application
ANDA076563
Availability
Discontinued (per FDA)

How long does Diltiazem Hydrochloride stay in your body?

The elimination half-life of diltiazem hydrochloride is about 3 to 4.5 hours — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. This is the plasma elimination half-life of diltiazem itself after single or repeated dosing, in adults with normal organ function. The label elsewhere quotes a slightly wider 2-to-5-hour range for the drug. Three things change that number. (1) Extended-release forms: the label reports an apparent elimination half-life of 5 to 8 hours for the extended-release capsule. That is the slow release of the formulation, not a change in how fast the body clears the drug. (2) An active metabolite: desacetyldiltiazem circulates at 10% to 20% of parent levels and is 25% to 50% as potent a coronary vasodilator as diltiazem, so some activity outlasts the parent drug's numbers. The label does not state a half-life for desacetyldiltiazem, so none is given here. The label does note that metabolites are eliminated more slowly than the parent, with a total-radioactivity half-life of about 20 hours. (3) Dose: kinetics are not linear, and the label says half-life is slightly increased at higher doses. By population, the label says liver disease matters and kidney disease does not: in cirrhosis, half-life was increased and bioavailability rose 69%; in nine patients with severely impaired renal function, the pharmacokinetic profile did not differ from normal. The Geriatric Use section states nothing about half-life in older adults. Diltiazem is not a prodrug. These figures describe how long the drug stays in plasma; they are not a drug-test detection window (metabolites are detectable far longer) and are not dosing guidance.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: DailyMed - DILTIAZEM HYDROCHLORIDE capsule, extended release (Clinical Pharmacology - Pharmacokinetics and Metabolism).

Drug class

How this class works, per Calcium Channel Blockers - StatPearls - NCBI Bookshelf.

May treat (source: NIH RxClass)

See how Diltiazem Hydrochloride ranks — best-rated calcium channel blocker for:

Dosage forms

Capsule, extended release, Injectable, Powder, Solution, Tablet and Tablet, extended release

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

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Request a 90-day supply

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Use copay cards

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Frequently asked questions

What does Diltiazem Hydrochloride treat?
Diltiazem Hydrochloride (Diltiazem Hydrochloride) may be used to treat variant angina pectoris, atrial fibrillation, atrial flutter, hypertension, myocardial infarction, supraventricular tachycardia, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How does Diltiazem Hydrochloride work?
Diltiazem Hydrochloride is a calcium channel blocker. Calcium channel blockers slow the flow of calcium into the muscle cells of the heart and blood vessels. With less calcium, blood vessels relax and widen and the heart pumps with less force, which lowers blood pressure and eases chest pain.
How much does Diltiazem Hydrochloride cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $9.18 for 30, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins. Pharmacies pay less for a same-class option, Amlodipine Besylate — about $0.33 on the same basis.
Is there a coupon or discount for Diltiazem Hydrochloride?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Diltiazem Hydrochloride. To pay less, Diltiazem Hydrochloride is already a generic — usually the lowest-cost version — so the main levers are comparing cash prices between pharmacies and using a pharmacy discount-card service. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Diltiazem Hydrochloride?
Diltiazem Hydrochloride is marketed by Nesher Pharms. You can see Nesher Pharms's full profile, rating, and other products on pharmaranks.
Is Diltiazem Hydrochloride a brand-name or generic drug?
Diltiazem Hydrochloride is a generic medication; its active ingredient is Diltiazem Hydrochloride. Generics contain the same active ingredient as the brand-name original and are usually lower cost.
Is Diltiazem Hydrochloride available over the counter?
No. Diltiazem Hydrochloride is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Diltiazem Hydrochloride come in?
Diltiazem Hydrochloride is currently marketed as capsule, extended release, injectable, powder, solution, tablet and tablet, extended release, per the FDA's National Drug Code Directory.
What class of drug is Diltiazem Hydrochloride?
Diltiazem Hydrochloride is classified as calcium channel blocker, per the FDA's Established Pharmacologic Class.
Is Diltiazem Hydrochloride FDA-registered?
Diltiazem Hydrochloride is on record with the U.S. FDA under application number ANDA076563. You can verify this on its official FDA label.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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