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Drug interactions

Diltiazem + Phentermine

Severity: Moderate

Diltiazem and Phentermine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Phentermine is a sympathomimetic that can increase blood pressure and heart rate, potentially offsetting diltiazem's antihypertensive effect.

What this interaction means in plain words

Diltiazem and Phentermine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Diltiazem belongs to Cardiovascular; Phentermine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism due to sympathomimetic pressor activity.

What to do

Monitor blood pressure and heart rate regularly, and adjust antihypertensive therapy or stop phentermine if blood pressure rises.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Diltiazem with Phentermine?

MediHelp rates the interaction as moderate. Diltiazem and Phentermine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Phentermine is a sympathomimetic that can increase blood pressure and heart rate, potentially offsetting diltiazem's antihypertensive effect.

How serious is the interaction between Diltiazem and Phentermine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate regularly, and adjust antihypertensive therapy or stop phentermine if blood pressure rises.

What other medicines interact with Diltiazem?

MediHelp also lists interactions of Diltiazem with, for example, Flibanserin, Ivabradine, Lomitapide. The full list is on the Diltiazem page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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