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Diltiazem hcl cd decreases vascular resistance, increases cardiac output by increasing stroke volume , and produces a slight decrease or no change in heart rate.

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diltiazem is extensively metabolized by the liver and excreted by the kidneys and in bile.

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both diltiazem cardizem-cd, tiazac, dilacor-xr and verapamil calan-sr, isoptin-sr, verelan, covera-hs have been reported to have variable effects on lithium levels in blood.

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