Trandolapril; Verapamil Sustained-Release Oral Tablets

What is this medication?

TRANDOLAPRIL; VERAPAMIL (tran DOLE a pril; ver AP a mil) is a combination of an ACE inhibitor and a calcium channel blocker. It treats high blood pressure.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Tarka

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• bone marrow disease
• collagen-vascular disease like scleroderma
• heart or blood vessel disease
• if you are on a special diet, such as a low-salt diet
• immune system disease like lupus
• kidney or liver disease
• low blood pressure
• previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat
• slow or irregular heartbeat
• an unusual or allergic reaction to trandolapril, verapamil, other medicines, insect venom, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medication?

Take this drug by mouth. Take it as directed on the prescription label at the same time every day. Take it with food. Keep taking it unless your health care provider tells you to stop.

Talk to your health care provider about the use of this drug in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?

Do not take this medicine with any of the following medications:

• cisapride
• disopyramide
• dofetilide
• flibanserin
• lomitapide
• sacubitril; valsartan
• tranylcypromine

This medicine may also interact with the following medications:

• aliskiren
• almotriptan
• buspirone
• carbamazepine
• certain medicines for blood pressure, heart disease, irregular heart beat
• certain medicines for cholesterol like atorvastatin, lovastatin, simvastatin
• certain medicines for diabetes like glyburide
• cimetidine
• colchicine
• diuretics
• doxorubicin
• gold
• imipramine
• lithium
• local anesthetics or general anesthetics
• medicines for infection like clarithromycin, erythromycin, rifampin, telithromycin
• medicines that lower your chance of fighting infection
• medicines that relax muscles for surgery
• NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
• phenobarbital
• potassium salts or potassium supplements
• ritonavir
• St. John's Wort
• sulfinpyrazone
• theophylline

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her. Call your doctor or health care professional if you notice an irregular or fast heart beat.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.

Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.

Avoid salt substitutes unless you are told otherwise by your doctor or health care professional.

Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.

This medicine can sometimes cause dental problems for some patients. Clean and floss your teeth carefully and regularly. Check with your dentist if your gums get swollen or inflamed and have the dentist clean your teeth regularly.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash or hives, swelling of the hands, feet, face, lips, throat, or tongue
• decreased amount of urine passed
• difficulty breathing, or swallowing
• persistent dry cough
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• stomach pain
• swelling of your legs and ankles
• irregular or fast heartbeat, chest pain, palpitations

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• decreased sexual function or desire
• drowsiness or dizziness
• facial flushing
• headache

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused drug after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.