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Tarka Side Effects

Generic name: trandolapril / verapamil

Medically reviewed by Drugs.com. Last updated on Jan 9, 2024.

Note: This document contains side effect information about trandolapril / verapamil. Some dosage forms listed on this page may not apply to the brand name Tarka.

Applies to trandolapril / verapamil: oral tablet extended release.

Warning

Oral route (Tablet, Extended Release)

Discontinue treatment with trandolapril/verapamil hydrochloride as soon as possible when pregnancy is detected, since fetal toxicity, including injury and death to the developing fetus, can be caused by drugs that act directly on the renin-angiotensin system.

Serious side effects of Tarka

Along with its needed effects, trandolapril / verapamil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking trandolapril / verapamil:

Rare

Other side effects of Tarka

Some side effects of trandolapril / verapamil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common or rare

For Healthcare Professionals

Applies to trandolapril / verapamil: oral tablet extended release.

General

The most common adverse reactions were headache, upper respiratory tract infection, cough, atrioventricular block first degree, constipation, and dizziness.[Ref]

Respiratory

Common (1% to 10%): Upper respiratory tract infection, cough, dyspnea, bronchitis, upper respiratory tract congestion

Frequency not reported: Epistaxis

Verapamil:

Frequency not reported: Pulmonary edema[Ref]

Other

Common (1% to 10%): Asthenia/weakness, chest pain, edema, fatigue

Frequency not reported: Malaise

Verapamil:

Frequency not reported: Gynecomastia[Ref]

Gastrointestinal

Common (1% to 10%): Constipation, nausea, diarrhea

Frequency not reported: Dyspepsia, dry mouth

Trandolapril:

Frequency not reported: Pancreatitis

Verapamil:

Frequency not reported: Gingival hyperplasia, reversible nonobstructive paralytic ileus[Ref]

Musculoskeletal

Common (1% to 10%): Pain back, pain extremity, pain joint

Frequency not reported: Arthralgias/myalgias[Ref]

Cardiovascular

Common (1% to 10%): Atrioventricular (AV) block first degree, bradycardia

Uncommon (0.1% to 1%): Hypotension

Frequency not reported: Angina, AV block second degree, bundle branch block, flushing, myocardial infarction, palpitation, premature ventricular contraction, nonspecific ST-T changes, tachycardia

Verapamil:

Frequency not reported: Congestive heart failure, AV block third degree, AV dissociation, claudication, vasculitis[Ref]

Nervous system

There has been one postmarketing report of paralysis (tetraparesis) with verapamil, which may have been caused by concomitant use of colchicine.[Ref]

Common (1% to 10%): Headache, dizziness

Uncommon (0.1% to 1%): Near syncope

Frequency not reported: Drowsiness, hypesthesia, loss of balance, paresthesia, vertigo, tinnitus

Verapamil:

Frequency not reported: Syncope, cerebrovascular accident, shakiness, somnolence

Postmarketing reports: Tetraparesis[Ref]

Renal

Common (1% to 10%): Creatinine increased

Uncommon (0.1% to 1%): BUN increased[Ref]

Metabolic

Common (1% to 10%): Hyperlipidemia

Frequency not reported: Gout, uric acid increased, hyperkalemia, hyponatremia[Ref]

Hepatic

Common (1% to 10%): Liver enzymes increased

Frequency not reported: Serum bilirubin increased[Ref]

Immunologic

Common (1% to 10%): Influenza[Ref]

Dermatologic

Uncommon (0.1% to 1%): Angioedema

Frequency not reported: Pruritus, rash

Verapamil:

Frequency not reported: Purpura, ecchymosis, exanthema, hair loss, hyperkeratosis, maculae, Stevens-Johnson syndrome, erythema multiform[Ref]

Genitourinary

Frequency not reported: Impotence, endometriosis, hematuria, nocturia, polyuria, proteinuria

Verapamil:

Frequency not reported: Urination increased, menstruation spotty[Ref]

Hematologic

Frequency not reported: Leukocytes decreased, neutrophils decreased, white blood cells low, neutrophils low, lymphocytes low, platelets low[Ref]

Psychiatric

Frequency not reported: Insomnia, anxiety, mentation abnormal

Trandolapril:

Frequency not reported: Libido decreased

Verapamil:

Frequency not reported: Confusion, psychotic symptoms[Ref]

Ocular

Frequency not reported: Vision blurred[Ref]

Endocrine

Verapamil:

Frequency not reported: Galactorrhea/hyperprolactinemia[Ref]

References

1. Product Information. Tarka (trandolapril-verapamil). Knoll Pharmaceutical Company. 2001;PROD.

2. Cerner Multum, Inc. UK Summary of Product Characteristics.

3. Cerner Multum, Inc. Australian Product Information.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.