Product image of Masdil Retard (Diltiazem Hydrochloride) supplied by GNH India

Masdil Retard

Active Ingredient:
Diltiazem Hydrochloride
Origin:
EU

Masdil Retard (Diltiazem Hydrochloride)

Diltiazem Hydrochloride, the active ingredient in Masdil Retard, is a calcium channel blocker presented as an extended‑release tablet for oral use. It helps control high blood pressure and relieves chest pain caused by chronic stable angina, and is indicated for patients with coronary artery disease.

GNH India supplies Masdil Retard as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing EU‑origin quality for global markets. All batches meet EU pharmacopoeial standards and are shipped under controlled conditions to maintain product integrity.

Manufacturer / TM Owner

Esteve Pharmaceuticals, S.A.

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Indications & Clinical Uses

  • Diltiazem Hydrochloride is a calcium channel blocker used to manage cardiovascular conditions.
  • Hypertension: lowers systemic vascular resistance and cardiac workload, resulting in sustained reduction of arterial blood pressure.
  • Chronic stable angina: dilates coronary arteries and reduces myocardial oxygen demand, decreasing the frequency and severity of angina episodes.
  • Coronary artery disease: improves coronary blood flow and limits ischemic episodes, supporting overall cardiac perfusion.

How It Works

  • Diltiazem Hydrochloride blocks L‑type calcium channels in cardiac myocytes and vascular smooth‑muscle cells. By inhibiting calcium influx, it reduces myocardial contractility and slows atrioventricular nodal conduction, while causing vasodilation of arterial smooth muscle. The combined negative inotropic, chronotropic and vasodilatory actions produce its antihypertensive and anti‑anginal effects.

Side Effects

Diltiazem Hydrochloride may be associated with a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Headache: mild to moderate.
  • Peripheral edema: swelling of ankles.
  • Dizziness: light‑headedness on standing.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Bradycardia: markedly reduced heart rate.
  • Heart block: AV conduction disturbances.
  • Severe hypotension: abrupt drop in blood pressure.

Precautions & Warnings

When prescribing Diltiazem Hydrochloride, clinicians should consider several precautionary measures to ensure safe use.

  • Cardiovascular assessment: evaluate for existing heart block or severe heart failure before initiation.
  • Concomitant beta‑blockers: avoid combined use unless closely monitored due to risk of excessive bradycardia.
  • Liver impairment: dose may need adjustment in patients with hepatic dysfunction.
  • Pregnancy: use only if potential benefit justifies potential risk, as safety data are limited.
  • Elderly patients: start at lower dose and monitor for hypotension and dizziness.
  • Store at ambient temperature: keep below 25°C in the original packaging, protect from moisture.

Avoid Interactions

Diltiazem Hydrochloride interacts with several medicines; awareness of these interactions helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may markedly increase diltiazem plasma levels.
  • Beta‑blockers (e.g., metoprolol) combined with diltiazem: can cause severe bradycardia or AV block.
  • Digoxin: diltiazem can raise digoxin concentrations, increasing toxicity risk.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (e.g., ACE inhibitors, diuretics): additive blood pressure lowering effect.
  • Statins metabolized by CYP3A4 (e.g., simvastatin, atorvastatin): may increase statin exposure, raising myopathy risk.
  • Anticonvulsants (e.g., carbamazepine): may reduce diltiazem effectiveness.

Frequently Asked Questions

Masdil Retard contains diltiazem hydrochloride, an extended‑release calcium channel blocker indicated for the treatment of hypertension, chronic stable angina, and coronary artery disease. It helps lower blood pressure and reduces chest‑pain episodes by relaxing blood vessels and decreasing the heart’s workload. The medication is prescribed by a qualified health professional based on individual patient needs.

Diltiazem hydrochloride blocks L‑type calcium channels in cardiac muscle and vascular smooth muscle. This inhibition reduces calcium entry into cells, leading to decreased myocardial contractility, slowed atrioventricular nodal conduction, and vasodilation of arterial vessels. The combined effect lowers heart rate, cardiac output, and peripheral resistance, providing antihypertensive and anti‑anginal benefits.

The exact dosage of Masdil Retard is determined by the prescribing physician according to the patient’s clinical condition, response to therapy, and any concomitant medications. Doses are individualized and may be adjusted during treatment; patients should follow the prescriber’s instructions and not alter the regimen without medical advice.

Safety data for diltiazem hydrochloride in pregnancy are limited, and the drug is generally classified as contraindicated or to be used only when the potential benefit justifies the potential risk to the fetus. It is excreted in breast milk, so breastfeeding mothers should consult their healthcare provider before using Masdil Retard.

To request Masdil Retard, visit the product page on gnhindia.com, enter the desired quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifying trade or institutional credentials before providing a quotation, availability, shipping details, and required import documentation.

Masdil Retard, as an extended‑release formulation of diltiazem, offers a once‑daily dosing schedule and a balanced profile of cardiac and vascular effects. Compared with dihydropyridine agents such as amlodipine, diltiazem has more pronounced effects on heart rate and AV nodal conduction, making it useful for patients who also need rate control in addition to blood‑pressure reduction.

Masdil Retard tablets should be stored at ambient temperature, preferably below 25 °C, in their original blister pack or container. Protect the product from moisture, direct sunlight, and excessive heat to maintain stability. Keep the medication out of reach of children and do not use after the expiration date.

Masdil Retard is taken orally, usually once daily in the morning, with or without food, as directed by the prescriber. The extended‑release tablet should be swallowed whole; it must not be split, chewed, or crushed, as this could alter the release profile and affect efficacy and safety.

The most serious adverse reactions to diltiazem include severe bradycardia, atrioventricular heart block, and profound hypotension, which can be life‑threatening if not promptly recognized. Patients should be monitored for signs of these events, especially when initiating therapy or when combined with other drugs that affect heart rate or blood pressure.

Masdil Retard is contraindicated in patients with known hypersensitivity to diltiazem or any component of the formulation, in those with severe hypotension, sick sinus syndrome, or second‑ or third‑degree AV block without a pacemaker. Caution is also advised for individuals with severe hepatic impairment or unstable heart failure, and the drug should be avoided unless medically justified.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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