Generic Name: trandolapril/verapamil (tran-DOL-a-pril/ver-AP-a-mil)
Brand Name: Tarka
Trandolapril/verapamil may cause injury or death to the fetus if taken during pregnancy. If you think you may be pregnant, contact your doctor right away. If you are planning to become pregnant, talk with your doctor about other treatment options.
Trandolapril/ verapamil is used for:
Treating high blood pressure. It may also be used for certain conditions as determined by your doctor.
Trandolapril/verapamil is an angiotensin-converting enzyme (ACE) inhibitor and calcium channel blocker combination. It works by helping to relax blood vessels, which helps to lower blood pressure.
Do NOT use trandolapril/ verapamil if:
- you are allergic to any ingredient in trandolapril/verapamil or to another ACE inhibitor (eg, lisinopril)
- you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or unusual hoarseness), including angioedema caused by treatment with an ACE inhibitor
- you have certain heart problems (eg, left ventricular dysfunction; sick sinus syndrome or second- or third-degree heart block and you do not have a pacemaker), very low blood pressure, or severe congestive heart failure (CHF)
- you have atrial fibrillation or atrial flutter and a certain condition (eg, Wolff-Parkinson-White [WPW] syndrome, Lown-Ganong-Levine [LGL] syndrome)
- you have shock caused by serious heart problems
- you are pregnant
- you are taking a medicine that contains aliskiren and you also have diabetes or kidney problems. Check with your doctor or pharmacist if you are not sure if a medicine you take contains aliskiren
- you are taking disopyramide, dofetilide, erythromycin, or tolvaptan
Contact your doctor or health care provider right away if any of these apply to you.
Before using trandolapril/ verapamil:
Some medical conditions may interact with trandolapril/verapamil. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are able to become pregnant
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of heart problems (eg, aortic stenosis, heart failure), blood vessel problems, blood flow problems, bone marrow problems, kidney or liver problems, nervous system problems, muscular dystrophy, a neuromuscular disease, diabetes, or fluid in the lungs
- if you have a history of stroke, a recent heart attack, or a kidney transplant
- if you have an autoimmune disease (eg, lupus, rheumatoid arthritis, scleroderma)
- if you are dehydrated or have low blood volume or low blood pressure
- if you have high potassium levels, low blood sodium levels, or are on a low-salt (sodium) diet
- if you are receiving treatments to reduce sensitivity to bee or wasp stings
- if you are having dialysis or apheresis, or are scheduled to have surgery or receive anesthesia
- if you are taking another blood pressure medicine or you are being treated for cancer
- if you have never taken another medicine for high blood pressure
Some MEDICINES MAY INTERACT with trandolapril/verapamil. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Many prescription and nonprescription medicines (eg, used for aches and pains, asthma or other lung or breathing problems, cancer, cystic fibrosis, depression or other mental or mood problems, diabetes, electrolyte replacement, high blood pressure, high cholesterol, HIV infection, immune system suppression, infections, inflammation, irregular heartbeat or other heart problems, migraine headaches, rheumatoid arthritis, seizures, swelling or fluid retention), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) because they may interact with trandolapril/verapamil. Ask your doctor or pharmacist if you are unsure if any of your medicines might interact with trandolapril/verapamil.
This may not be a complete list of all interactions that may occur. Ask your health care provider if trandolapril/verapamil may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use trandolapril/ verapamil:
Use trandolapril/verapamil as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take trandolapril/verapamil by mouth with food.
- Swallow trandolapril/verapamil whole. Do not break, crush, or chew before swallowing.
- Eating grapefruit or drinking grapefruit juice may affect the amount of trandolapril/verapamil in your blood. Talk with your doctor before including grapefruit or grapefruit juice in your diet.
- Take trandolapril/verapamil on a regular schedule to get the most benefit from it. Taking trandolapril/verapamil at the same time each day will help you remember to take it.
- Continue to use trandolapril/verapamil even if you feel well. Do not miss any doses.
- If you miss a dose of trandolapril/verapamil, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use trandolapril/verapamil.
Important safety information:
- Trandolapril/verapamil may cause dizziness, light-headedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use trandolapril/verapamil with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using trandolapril/verapamil; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Trandolapril/verapamil may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. If light-headedness occurs, especially during the first few days of treatment, contact your health care provider.
- Trandolapril/verapamil may cause a serious side effect called angioedema. The risk may be higher in black patients. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or unusual hoarseness.
- Trandolapril/verapamil may not work as well in black patients. Contact your doctor if your symptoms do not improve or if they become worse.
- Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.
- Rarely, trandolapril/verapamil may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
- Trandolapril/verapamil may cause a dry, unproductive cough. If caused by trandolapril/verapamil, this symptom usually stops after treatment with trandolapril/verapamil is stopped.
- Check with your doctor before you use a salt substitute or a product that has potassium in it.
- Proper dental care is important while you are taking trandolapril/verapamil. Brush and floss your teeth carefully to reduce swelling and tenderness of your gums while you are using trandolapril/verapamil, and visit the dentist regularly.
- Tell your doctor or dentist that you take trandolapril/verapamil before you receive any medical or dental care, emergency care, or surgery.
- Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
- If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
- Diabetes patients - Trandolapril/verapamil may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Lab tests, including liver function, kidney function, complete blood cell counts, and blood pressure, may be performed while you use trandolapril/verapamil. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Trandolapril/verapamil should be used with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Trandolapril/verapamil may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. Trandolapril/verapamil is found in breast milk. Do not breast-feed while taking trandolapril/verapamil.
Possible side effects of trandolapril/ verapamil:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Diarrhea; dizziness; light-headedness when sitting up or standing; nausea; persistent, dry cough; tiredness.
Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); chest, jaw, or arm pain; confusion; decreased urination; fainting; muscle pain, weakness, or cramping; one-sided weakness; red, swollen, blistered, or peeling skin; shortness of breath; slurred speech; stomach pain (with or without nausea or vomiting); sudden, severe nausea or vomiting; sudden, unexplained weight gain; swelling of the hands, ankles, or feet; symptoms of infection (eg, fever, chills, persistent sore throat); symptoms of liver problems (eg, yellowing of the skin or eyes, dark urine, pale stools, severe or persistent stomach pain, fever, general feeling of being unwell); symptoms of low blood pressure (eg, fainting, severe dizziness or light-headedness); tender, bleeding, or swollen gums; unusual sweating; unusually fast, slow, or irregular heartbeat; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include decreased urination; fainting; severe dizziness or light-headedness; symptoms of high blood potassium levels (eg, muscle pain, weakness, or cramping); unusually fast, slow, or irregular heartbeat.Proper storage of trandolapril/verapamil:
Store trandolapril/verapamil at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep trandolapril/verapamil out of the reach of children and away from pets.
- If you have any questions about trandolapril/verapamil, please talk with your doctor, pharmacist, or other health care provider.
- Trandolapril/verapamil is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take trandolapril/verapamil or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about trandolapril/verapamil. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to trandolapril/verapamil. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using trandolapril/verapamil.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
More about trandolapril/verapamil
- Other brands: Tarka