Trandolapril And Verapamil Hydrochloride + Digoxin Interaction
Majorinteraction on record
Description
Verapamil increases serum digoxin levels by 50-75% in first week, risking digoxin toxicity. Maintenance doses must be reduced and patient carefully monitored.
Mechanism
Reduced digoxin clearance
Source: NLP:trandolapril and verapamil hydrochloride