Trandolapril / Verapamil Side Effects
Medically reviewed by Drugs.com. Last updated on Feb 7, 2024.
Applies to trandolapril / verapamil: oral tablet extended release.
Important warnings
This medicine can cause some serious health issues
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
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 side effects
- chest pain
- chills
- cough (with mucus)
- dark urine
- fever
- general feeling of discomfort or illness
- lightheadedness or fainting
- pain in the right side of the abdomen or stomach
- slow heartbeat
- sore throat
- swelling of the face, mouth, hands, or feet
- trouble in swallowing or breathing (sudden) accompanied by hoarseness
- yellow eyes or skin
Other side effects
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 side effects
- constipation
- cough (dry, continuous)
- diarrhea
- dizziness
- itching
- joint pain or pain in the arms or legs
- nausea
- unusual tiredness
For healthcare professionals
Applies to trandolapril / verapamil: oral tablet extended release.
General adverse events
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
- 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]
There has been one postmarketing report of paralysis (tetraparesis) with verapamil, which may have been caused by concomitant use of colchicine.[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. (2001) "Product Information. Tarka (trandolapril-verapamil)." Knoll Pharmaceutical Company
2. Cerner Multum, Inc. "UK Summary of Product Characteristics."
3. Cerner Multum, Inc. "Australian Product Information."
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Further information
Trandolapril/verapamil side effects can vary depending on the individual. 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.