Diltiazem for PVCs ?

[Anjolive]

Looking to replace my nadolol beta blocker since I feel after 20 years and several dose increases it's just not working any longer for my pvcs. My EP is reccomending Diltiazem to see if it will work...180mg to start...anyone have any experience with this calcium channel blocker ?....thank you...

[Jfelder]

I am a long time endurance athlete in my late forties, who is plagued with constant symptomatic PVC's/PAC's and sometimes short runs of sinus tachycardia. According to all the testing and my long line of cardiologist's; I have a disease free structurally normal heart. Beta blockers seem to work the best in reducing both the frequency and perception/symptoms of these issues for me. Unfortunately beta blockers are a nightmare for athletes, it makes working out near impossible for me. My cardiologist recommended calcium channel blockers (including Diltiazem)..I tried it (and many other calcium channel blockers) and it was pretty worthless I felt no difference in symptoms...But it seems after doing tons of research everyone's physiology is very different and some of these drugs work great for some and not so great for others. The one drug that seem(s) to work the best for me is Labatolol (beta blocker)..100mg twice a day. Good luck!