PRECAUTIONS: Before taking this product, tell your doctor or pharmacist if you are allergic to trandolapril or verapamil; or to other ACE inhibitors (such as benazepril, lisinopril); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain types of heart rhythm problems (such as second- or third-degree atrioventricular block, sick sinus syndrome unless you have a pacemaker, Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome), a history of an allergic reaction that included swelling of the face/lips/tongue/throat (angioedema).Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease (such as renal artery stenosis), collagen vascular disease (such as lupus, scleroderma), loss of too much body water (dehydration), certain types of heart problems (such as aortic stenosis, heart failure), certain muscle/nerve disorders (muscular dystrophy, myasthenia gravis), untreated salt imbalance (such as high potassium, low sodium).This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.Losing too much body water (such as too much sweating, diarrhea, or vomiting) can lower your blood pressure and worsen dizziness. Tell your doctor if you have prolonged diarrhea or vomiting. Drink enough fluids during exercise. Consult your doctor for more details.Before having surgery, tell your doctor or dentist that you are taking this medication.This product may increase your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist.If you have diabetes, this product may cause low blood sugar levels (hypoglycemia) when you first start using it. Check your blood sugar levels regularly as directed by your doctor. Treat symptoms of low blood sugar quickly. Tell your doctor immediately if you have signs of low blood sugar such as nervousness, hunger, and shaking.Older adults may be more sensitive to the side effects of this drug, especially dizziness, increases in potassium level, constipation, swelling ankles/feet, and unusual change in the amount of urine (kidney problems).This medication is not recommended for use during pregnancy due to the risk for harm to an unborn baby. Consult your doctor for more details. (See also Warning section.)Verapamil passes into breast milk. It is unknown if trandolapril passes into breast milk. Discuss the risks and benefits with your doctor before breast-feeding.
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