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When to Consider an Alternative to Trandolapril-Verapamil ER

Who Should Not Take Trandolapril-Verapamil ER?

You should not take trandolapril-verapamil ER if you have:
  • A history of angioedema related to previous ACE inhibitor treatment
  • Hereditary or idiopathic angioedema
  • Congestive heart failure or severe left ventricular dysfunction
  • Sick sinus syndrome
  • Very low blood pressure (hypotension or cardiogenic shock)
  • Second or third degree AV block (unless you have a working ventricular pacemaker), which are specific problems in the heart's electrical system
  • Atrial flutter or atrial fibrillation and an accessory bypass tract (Wolff-Parkinson-White or Lown-Ganong-Levine Syndrome).
You should also not take trandolapril-verapamil ER if you:
  • Are allergic to Tarka, Mavik, trandolapril, verapamil, or any inactive component used to make trandolapril-verapamil ER. Your healthcare provider or pharmacist has a list of the inactive ingredients.
  • Have diabetes and are also taking any medications that contain aliskiren (Tekturna®, Tekamlo®, Tekturna HCT®, Amturnide®, Valturna®), due to an increased risk for low blood pressure, high blood potassium, and kidney problems in this situation.

A Summary of Trandolapril-Verapamil ER Precautions and Warnings

There are a number of situations in which trandolapril-verapamil ER should not be taken, as well as a number of precautions and warnings people should be aware of with trandolapril-verapamil ER. However, it is possible that not all of the warnings or precautions for trandolapril-verapamil ER were discussed in this article. Therefore, you should talk with your healthcare provider about the warnings and precautions with trandolapril-verapamil ER that may apply to you.
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