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SHEET /vs/diltiazem-vs-verapamil · COMPARISON

Diltiazem vs Verapamil: what is the difference?

DiltiazemC22H26N2O4S VerapamilC27H38N2O4

How they differ

from source

Diltiazem and verapamil are the two calcium channel blockers that act on the heart itself as well as on blood vessels, which sets them apart from amlodipine and the other dihydropyridines. That is why both are used to slow some fast heart rhythms, not only for blood pressure and angina. They come from different chemical families: diltiazem is a benzothiazepine with a sulfur in its ring, C22H26N2O4S at 414.5, while verapamil is a phenylalkylamine, C27H38N2O4 at 454.6. Verapamil has the stronger effect on the heart's rhythm, and diltiazem sits between it and the dihydropyridines. Both are prescription medicines, sold as Cardizem and as Calan.

Side by side

 DiltiazemVerapamil
FormulaC22H26N2O4SC27H38N2O4
Molecular weight414.5 g/mol454.6 g/mol
FamilyBlood-pressure medicinesBlood-pressure medicines
Everyday groupPrescription medicinePrescription medicine
Functional groupsAromatics, Esters, Amides, EthersAromatics, Ethers
GHS signal wordThe supplier-filed hazard label, not a statement about ordinary use.not recordedDanger
Oral LD50A single acute animal measure. It ranks nothing about human safety.not recorded114 mg/kg (oral, rat)
CAS number42399-41-752-53-9
PubChem CID391862520

Common questions

What is the difference between Diltiazem and Verapamil?
Diltiazem and verapamil are the two calcium channel blockers that act on the heart itself as well as on blood vessels, which sets them apart from amlodipine and the other dihydropyridines. That is why both are used to slow some fast heart rhythms, not only for blood pressure and angina. They come from different chemical families: diltiazem is a benzothiazepine with a sulfur in its ring, C22H26N2O4S at 414.5, while verapamil is a phenylalkylamine, C27H38N2O4 at 454.6.
Is Diltiazem bigger than Verapamil?
Verapamil is the heavier molecule, 454.6 g/mol against 414.5 g/mol for Diltiazem. Diltiazem is C22H26N2O4S and Verapamil is C27H38N2O4.

Read the full records: Diltiazem and Verapamil.