Trandolapril and Verapamil
Why this is used
The combination of trandolapril and verapamil is used to treat high blood pressure. It is a combination of two medications. It decreases certain chemicals that tighten the blood vessels, so blood flows more smoothly. It also relaxes your blood vessels so your heart does not have to pump as hard. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
How to take it
The combination of trandolapril and verapamil comes as a tablet to take by mouth. It is usually taken once a day. The tablet should be swallowed whole. Do not chew, divide, or crush the tablets. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take trandolapril and verapamil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. The combination of trandolapril and verapamil controls high blood pressure but does not cure it. Continue to take trandolapril and verapamil even if you feel well. Do not stop taking trandolapril and verapamil without talking to your doctor.
Side effects
<p></p> <p></p> <p></p> <p>Trandolapril and verapamil may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
<ul>
<li>
cough</li>
<li>
dizziness or lightheadedness</li>
<li>
sore throat</li>
<li>
hoarseness</li>
<li>
excessive tiredness</li>
<li>
headache</li>
<li>
diarrhea</li>
<li>
constipation</li>
<li>
upset stomach</li>
<li>
heartburn</li>
<li>
flushing (feeling of warmth)</li>
<li>
slow heartbeat</li>
<li>
vivid, unusual dreams</li></ul></p> <p></p> <p>If you experience any of the following symptoms, call your doctor immediately:
<ul>
<li>
swelling of the face, eyes, lips, tongue, arms, or legs</li>
<li>
difficulty breathing or swallowing</li>
<li>
fainting</li>
<li>
rash</li>
<li>
yellowing of the skin or eyes</li>
<li>
fever</li>
<li>
increase in frequency or severity of chest pain (angina)</li></ul>If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>
<ul>
<li>
cough</li>
<li>
dizziness or lightheadedness</li>
<li>
sore throat</li>
<li>
hoarseness</li>
<li>
excessive tiredness</li>
<li>
headache</li>
<li>
diarrhea</li>
<li>
constipation</li>
<li>
upset stomach</li>
<li>
heartburn</li>
<li>
flushing (feeling of warmth)</li>
<li>
slow heartbeat</li>
<li>
vivid, unusual dreams</li></ul></p> <p></p> <p>If you experience any of the following symptoms, call your doctor immediately:
<ul>
<li>
swelling of the face, eyes, lips, tongue, arms, or legs</li>
<li>
difficulty breathing or swallowing</li>
<li>
fainting</li>
<li>
rash</li>
<li>
yellowing of the skin or eyes</li>
<li>
fever</li>
<li>
increase in frequency or severity of chest pain (angina)</li></ul>If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>
Precautions
Before taking trandolapril and verapamil, tell your doctor and pharmacist if you are allergic to trandolapril, verapamil, benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, quinapril, ramipril, or any other drugs. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially albuterol (Volmax, Proventil [tablets and syrup only], Ventolin [tablets and syrup only]); allopurinol (Zyloprim); antacids; betamethasone (Celestone); carbamazepine (Tegretol); chemotherapy medications; cimetidine (Tagamet); cortisone (Cortone); cyclosporine (Neoral, Sandimmune); dantrolene (Dantrium); dexamethasone (Decadron, Dexone); diuretics ('water pills'); fentanyl (Duragesic); fludrocortisone (Florinef); heart and blood pressure medications such as beta-adrenergic blockers, digoxin (Lanoxin), disopyramide (Norpace), flecainide (Tambocor), procainamide (Procan), and quinidine (Quinaglute, Quinadex); hydrocortisone (Cortef, Hydrocortone); lithium (Eskalith, Lithobid); medications that suppress your immune system; medications to treat depression or psychiatric conditions; medications to treat glaucoma (increased pressure in the eye); medications to treat pain; muscle relaxants; methylprednisolone (Medrol); nonsteroidal anti-inflammatory drugs; other medications for high blood pressure or diabetes; phenobarbital; phenytoin (Dilantin); potassium supplements; prednisolone (Prelone); prednisone (Deltasone, Orasone); rifampin (Rifadin, Rimactane); theophylline; tranquilizers; triamcinolone (Aristocort); and vitamins or herbal products. tell your doctor if you have or have ever had heart, liver, or kidney disease; a recent heart attack; an irregular heartbeat; muscular dystrophy; gastrointestinal obstruction (strictures); or diabetes. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking trandolapril and verapamil. you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how trandolapril and verapamil will affect you. remember that alcohol can add to the drowsiness caused by this drug. Do not drink alcohol while taking this medication.
Overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Educational reference only — talk to a pharmacist or prescriber about Trandolapril and Verapamil.