Doctor insights on:
Is it possible that the hypertension drug mavik (trandolapril) (4 mg) be replaced with accupril (40 mg)?
Replace BP drugs?: Trandolapril (t) is an ace inhibitor (ace-i) used to treat high blood pressure. Accupril (quinapril) (a) is a a member of the same class of drugs and have similar actions. The most common side effect of ace-i's is a dry cough. If it occurs with one, it will likely occur with another ace-i. You should ask your physician why the change is being considered. ...Read more
OK: There is no interaction.Get a more detailed answer ›
Mavik (trandolapril) and grapefruit: No, it is not possible. Drugs affected by grapfruit juice are statins, antihistamines, calcium channel blockers, psychiatric medications, intestinal medications, immune suppressants, pain medications, impotence medications, anti-hiv medications, and antiarrhythmics. Mavik (trandolapril) is not in any of these classes of drugs, enjoy. ...Read more
Possible multiple: Mavik (trandolapril) is an angiotensin converting enzyme inhibitor, or " ACE". This is a very commonly used class of blood pressure lowering medication. Any blood pressure medication, if too strong, can make you feel weak or light headed, if the reduction in BP is too great. A side effect specific to ACE inhibitors is chronic cough. ...Read more
Check: Most times the pharmacist can print out a detailed list of side effect.Side effect can vary from one to another best to get a list and check with your symptoms. ...Read more
No interactions: Although grapefruit does have interactions with some drugs it does not appear that mail is one of them. ...Read more
Yes: They are both ace inhibitors so they can be substituted as long as the doses are adjusted. ...Read more
My Dr prescribed me tramadol and flexarol, at bedtime I have pills I take daily as wel(elavil&mavik). Last night I was very lightheaded and felt sick.
Sedating medications: Elavil (amitriptylene), tramadol, and Flexeril (cyclobenzaprine) are all sedating and if taken together in someone who's not used to them could indeed make you feel ill. The Mavik (trandolapril) is a blood pressure medication which is not sedating and is not culpable here. Both tramadol and Flexeril are as-needed meds, so it is safe to reduce your own dose of these by dividing the tablets and taking 1/2. ...Read more
Perhaps: Tarka (trandolapril and verapamil) contains trandolapril (an ace inhibitor) plus verapamil (a calcium channel blocker). Benicar is an arb (angiotensin blocker). The combination of an ace & arb is associated with increased side effects such as high potassium levels and decreased kidney function and low blood pressure. Not a good combination. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
So call your doc: This is the HT public information site.We are thousands of volunteer docs based primarily in the US who answer medical questions.We do not offer treatments. State medical boards require a physician/patient relationship,a retrievable record,recent exam with vital signs for prescribing.Failure to do so can lead to loss or restriction of license. It may seem minor to you but it is not. ...Read moreSee 1 more doctor answer
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more