Diltiazem potentiates mechanical activity in mammalian skeletal muscle

The calcium antagonist drug diltiazem produces a concentration dependent increase in twitch amplitude and a decrease in the mechanical threshold in mouse and rat skeletal muscle fibers in vitro. The greater potency of the d-cis isomer of diltiazem over the 1-cis isomer suggests that the effects of diltiazem are specific and may result from its binding to a specific receptor.