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Diltiazem is also sometimes used to treat certain types of arrhythmiasabnormal heart rhythmsTalk to your doctor about the risks of using this medication for your condition.

Diltiazem controls high blood pressure and chest painanginabut does not cure themIt may take up to 2 weeks before you feel the full benefit of diltiazemContinue to take diltiazem even if you feel wellDo not stop taking diltiazem without talking to your doctor.

For women who are breastfeedingDiltiazem may pass into breast milk and may cause side effects in a child who is breastfedTalk to your doctor if you breastfeed your babyYou may need to decide whether to stop breastfeeding or stop taking this medication.

PregnancyWomen who are or may become pregnant should not take diltiazemIf you become pregnant while taking this medicationcontact your doctor immediately.

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toprol-xl should be used with caution in patients who have bronchospastic disease, diabetes, thyrotoxicosis, peripheral vascular disease, who are undergoing major surgery, or who take calcium channel blockers of the verapamil and diltiazem type.