Trand-V ER Tablet 2mg / 240mg

About Trand-V ER Tablet 2mg / 240mg

Uses

• Long term control of high blood pressure
• Management of hypertension that needs two medicines working together
• Reduction of strain on the heart in patients with persistent high blood pressure
• Use when single blood pressure medicines are not enough on their own

Benefits

• Combines two blood pressure lowering mechanisms in one tablet
• Extended release formula that provides steady round the clock control
• Simplifies treatment by reducing the number of tablets needed daily

What Experts Say

Cardiologists in Pakistan increasingly prefer combination blood pressure tablets like Trand-V ER for patients whose pressure stays high despite one medicine alone. Hospitals in Lahore, Karachi, Islamabad and Rawalpindi report growing hypertension rates linked to stress, salty diets and low physical activity.

Trandolapril relaxes blood vessels while verapamil slows the heart's workload, and together they offer steadier control than either drug used separately. The extended release design means the tablet is taken once daily, which many patients find easier to remember and stick with long term.

Doctors stress that combination tablets like this one should never be started or stopped without medical guidance, since sudden changes can cause blood pressure swings. Regular monitoring, along with a low salt diet and routine exercise, remains essential alongside this medicine for long term heart health.

Drug Class

• ACE inhibitor combined with a calcium channel blocker

Trand-V ER Tablet 2mg / 240mg formula

• Trandolapril + Verapamil Hydrochloride

Available forms

• Tablet

How to use Trand-V ER Tablet 2mg / 240mg?

• Take Trand-V ER once daily at the same time each day
• Swallow the tablet whole, do not crush or chew it
• Take with or without food, as your doctor recommends
• Do not stop the medicine suddenly without consulting your doctor
• Check your blood pressure regularly while on treatment

Drug Interactions

• Potassium supplements or potassium sparing diuretics: May raise potassium to unsafe levels
• Beta blockers: Combined use can slow the heart rate too much
• Digoxin: Verapamil can increase digoxin levels in the blood
• NSAIDs: May reduce the blood pressure lowering effect

Risks and warnings

• Pregnancy: ACE inhibitors like trandolapril can seriously harm an unborn baby and must be avoided
• Kidney disease: Requires close monitoring of kidney function during treatment
• Heart block or severe heart failure: Verapamil may worsen certain heart rhythm conditions
• Low blood pressure: May cause dizziness, especially when standing up quickly
• Angioedema history: Avoid if there is a past reaction of facial or throat swelling to ACE inhibitors

Trand-V ER Tablet 2mg / 240mg Side Effects

• Dizziness
• Headache
• Constipation
• Dry cough
• Swelling in the ankles or feet
• Fatigue
• Low blood pressure
• Flushing

Storage Conditions

• Store below 25°C in a dry place
• Protect from direct sunlight and moisture
• Keep in the original packaging until use
• Keep out of reach of children