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Diltiazem

Rate control (atrial fibrillation/flutter), SVT (second-line)

Indications

  • Rate control (atrial fibrillation/flutter)
  • SVT (second-line)

Adult dosing

  • bolus: dose: 0.25; unit: mg/kg; route: IV over 2min; weightBased: true; maxDose: 25; maxDoseAbsolute: true; repeat bolus: dose: 0.35; unit: mg/kg; route: IV over 2min; interval: if inadequate response after 15min; weightBased: true; maxDose: 35; maxDoseAbsolute: true; drip: dose: 5; maxDose: 15; unit: mg/hr; route: IV; fixed: true

Pediatric dosing

  • iv: dose: 0.25; unit: mg/kg; maxDose: 20; maxDoseAbsolute: true; route: IV over 2min; weightBased: true; pedNote: Avoid in children <1 year; use adenosine for SVT

Contraindications

  • SBP < 90
  • Acute heart failure
  • Wide-complex tachycardia of unknown origin
  • Pre-excited AF (WPW)
  • Second/third degree AV block

Clinical pearls

  • More effective than metoprolol for acute rate control in AF
  • Bolus: 0.25 mg/kg IV over 2 min — typical 70kg patient gets ~17.5mg
  • Start drip at 5 mg/hr after bolus — titrate to HR goal
  • Do NOT use in pre-excited AF (WPW) — can cause VF

Source and review

  • ACC/AHA Atrial Fibrillation Guidelines 2023. Last reviewed: 2024-10-01