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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cardizem For Mat The Best Possible Medication Available?

I am on 300mg cardizem for MATs that are symptomatic (SOB). I was on 180mg, but increased due to excessive MATs again. If this dose doesn t work, what are the next steps. This is all recent (3wks) with thorough work up and no underlying cause found.
Thu, 16 Jul 2015
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Internal Medicine Specialist 's  Response
Hello....
As You are suffering from Multifocal Atrial Tachycardia (MAT). And you are taking Tab Dilteazem and that is not responding.
Ideally. recent guideline says that the treatment of choice for MAT is Selective beta blocker that is Metoprolol then Calcium channel blocker that is Dilteazem.
So in my opinion, kindly start with Tab Metoprolol extended release 50 mg once a day and see the response then gradually increase the dose upto 100-200 mg or simultaneously take Tab Dilteazem along with Metoprolol.

Thank You
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Is Cardizem For Mat The Best Possible Medication Available?

Hello.... As You are suffering from Multifocal Atrial Tachycardia (MAT). And you are taking Tab Dilteazem and that is not responding. Ideally. recent guideline says that the treatment of choice for MAT is Selective beta blocker that is Metoprolol then Calcium channel blocker that is Dilteazem. So in my opinion, kindly start with Tab Metoprolol extended release 50 mg once a day and see the response then gradually increase the dose upto 100-200 mg or simultaneously take Tab Dilteazem along with Metoprolol. Thank You