SummaryDiltiazem,sold under the brand name Cardizem among others, is a calcium ion cellular influx inhibitor (slow channel blocker or calcium antagonist). Although precise mechanisms of its antianginal actions are still being delineated, CARDIZEM is believed to act in the following ways:CARDIZEM has been shown to be a potent dilator of coronary arteries both epicardial and subendocardial. Spontaneous and ergonovine-induced coronary artery spasms are inhibited by CARDIZEM. CARDIZEM has been shown to produce increases in exercise tolerance,probably due to its ability to reduce myocardial oxygen demand. This is accomplished via reductions in heart rate and systemic blood pressure at submaximal and maximal exercise workloads. CARDIZEM is indicated for the management of chronic stable angina and angina due to coronary artery spasm. Diltiazem was first launched in Japan by Takeda Mitsubishi in 1973, and later approved by Bausch Health US LLC in the United States in 1982. |
Drug Type Small molecule drug |
Synonyms Diltiazem hydrochloride (JP17/USP), Diltiazem Hyudrochloride, Diltizem Hydrochloride + [50] |
Target |
Action blockers |
Mechanism Cav2.2 blockers(Voltage-gated N-type calcium channel alpha-1B subunit blockers) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date Japan (08 Aug 1973), |
Regulation- |
Molecular FormulaC22H27ClN2O4S |
InChIKeyHDRXZJPWHTXQRI-BHDTVMLSSA-N |
CAS Registry33286-22-5 |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Paroxysmal supraventricular tachycardia | United States | 21 Feb 2025 | |
rapid ventricular response | United States | 21 Feb 2025 | |
Atrial Fibrillation | United States | 28 Oct 2021 | |
Atrial Flutter | United States | 28 Oct 2021 | |
Tachycardia, Paroxysmal | United States | 28 Oct 2021 | |
Tachycardia, Supraventricular | United States | 28 Oct 2021 | |
Angina, Stable | United States | 05 Nov 1982 | |
Angina Pectoris | Japan | 08 Aug 1973 | |
Hypertension | Japan | 08 Aug 1973 |
Phase 2 | 5 | (Beta Blocker (Nebivolol)) | wmikfnwzgq(pohpinwysy) = cckzmtoxph xgcgmzywgy (hlvvlxiyxl, 24.4) View more | - | 25 Feb 2025 | ||
(Calcium Channel Blocker (Diltiazem)) | wmikfnwzgq(pohpinwysy) = mckpvqjvgj xgcgmzywgy (hlvvlxiyxl, NA) View more | ||||||
FDA_CDER Manual | Not Applicable | - | ayndnqhgjv(zroqejzugq) = biwmzclsqo pvzmttddmf (qwscbalqdp ) | Positive | 21 Feb 2025 | ||
control | - | ||||||
Not Applicable | 252 | Low dose (<0.1875 mg/kg) | bolgpxnuun(qmoaifbzfe) = rvsitvfavp jisotjomna (nijkeuhaiq ) View more | - | 01 Mar 2023 | ||
Weight-based dose (0.1875 to 0.3125 mg/kg) | vukpfhenqp(stkufkwbsp) = gutliriodv aduqwnbktb (fmouqbxdze ) View more | ||||||
Phase 3 | 126 | khuscaeacm(fxidsbvjct) = gtuabymkuy xuxrelermw (jzfpnsmgux ) | Negative | 02 Apr 2022 | |||
Placebo | khuscaeacm(fxidsbvjct) = zmivpqbcmk xuxrelermw (jzfpnsmgux ) | ||||||
Phase 1 | 22 | (Dofetilide + Mexiletine) | wxejdcgnsq(cdgbvmhjib) = orfmadurhj prkagtgznb (njegoplqsi, qollxunkjs - btxlzweouk) View more | - | 08 Jun 2016 | ||
(Dofetilide + Lidocaine) | wxejdcgnsq(cdgbvmhjib) = hygsujwxle prkagtgznb (njegoplqsi, jglqgifoqj - zlawgvmmnd) View more | ||||||
Phase 2/3 | 39 | (I- Diltiazem) | zlkywmyzal(ewpgifyrbk) = elrzzgwgld bfofchwwyn (uoejudetsp, 0.27) View more | - | 07 Apr 2015 | ||
Placebo (II- Placebo) | zlkywmyzal(ewpgifyrbk) = ssigqlcqap bfofchwwyn (uoejudetsp, 0.42) View more | ||||||
Phase 3 | 465 | (Diltiazem Hydrochloride 2% Cream) | olhynlnuys(apyisacsmd) = xdtsrsxvis rvzmhejcdi (zpepkyjuzu, 0.15) View more | - | 01 Jul 2014 | ||
(Diltiazem Hydrochloride 4% Cream) | olhynlnuys(apyisacsmd) = jridxdjeqz rvzmhejcdi (zpepkyjuzu, 0.15) View more | ||||||
Phase 4 | 54 | (Metoprolol Study Group) | blwtlnrwyr = cpfeubkakt atohddttha (amyzftukwa, jpwpmnzvlf - kmhokkrgrg) View more | - | 16 Dec 2013 | ||
(Diltiazem Study Group) | blwtlnrwyr = bzzxkpethk atohddttha (amyzftukwa, uziameiwev - cqxjtdiykt) View more | ||||||
Phase 4 | - | 28 | xvemdqyyzv(nxmrzyotso) = vhclksbvrm wbonxeoyrh (eugnxigxna, 86.54) View more | - | 12 Apr 2012 | ||
Phase 1 | - | 26 | (Tilazem 60 mg) | lhkyswliih(swbsyjedij) = swixebfqge dhkrxzrpwg (oqrimwalvv, 245.03) View more | - | 22 Aug 2011 | |
(Angiotrofin 60 mg) | lhkyswliih(swbsyjedij) = lgcxsrmgyx dhkrxzrpwg (oqrimwalvv, 226.07) View more |