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[kawiz900]

I was diagnosed with micro vascular angina and told there is only one pill to treat it "TILDIEM" the side effects from it are awful and i was wondering if any one else is having a rough time with this medication/

[MichaelJH Heart Star]

This is actually a trade name for diltiazem hydrochloride. I was prescribed this for angina related to blocked main coronary arteries including the LAD. Although effective I had issues with it and was changed to isosorbide mononitrate. My understanding is that it is also effective for MVA.

[Milkfairy Heart Star]

Hi Kawiz900

I have lived with vasospastic angina causing Microvascular angina and Coronary artery spasms for over 6 years.

As Michael says Diltiazem is a medicine that lowers blood pressure by dilating blood vessels and reduces the spasms causing the angina pain of Microvascular angina and Coronary artery spasms.

Diltiazem is certainly NOT the only treatment for Microvascular angina. I suggest you go back to your Cardiologist and discuss other possible treatments. Diltiazem is a type of calcium channel blocker and there are others available.

I take Diltiazem as well as Amlodopine, nicorandil , isosorbide mononitrate extended release tablets and patches.

Unfortunately Microvascular and vasospastic angina are poorly understood and recognised conditions and it is disappointing to read that you have been given incorrect advice.

You may find the BHF website information about Microvascular angina helpful and perhaps print it out and give copies to your GP and Cardiologist to help them gain a greater understanding of the condition and how to care for you.

bhf.org.uk/informationsuppo...

bhf.org.uk/informationsuppo...

Good luck

[Bassman65]

I too have been given a possible diagnosis of micro vascular angina and was already on isosorbide mono nitrate and was put on ranolazine 2 weeks ago as well to see if it helps, so far not had any side effects that I am aware of

[Susieque21]

Hi, I was prescribed this, plus Atorvastatin in January, so far so good, but the whole Angina diagnosis is relatively new to me and despite reading up, really don't understand what to expect from either Angina or prescribed drugs.

[Milkfairy Heart Star in reply to Susieque21]

The BHF cardiac nurses are really helpful.

bhf.org.uk/informationsuppo...

[Susieque21 in reply to Milkfairy]

Thankyou so much, will try them, feeling a little uncomfortable at the mo.

[Healthyheart1]

Yes I did Kawiz900, I had problems for about 5 months settling down on mine. The hospital put me on Angitil SR, there are so many different versions of calcium channel blockers you may need tweaking, hang on in there.