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Drug interactions

Pregabalin + Trandolapril

Severity: Moderate

Pregabalin and Trandolapril: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs have been associated with angioedema, so using them together may raise the chance of facial or airway swelling. The risk is uncommon but potentially serious if the airway is involved.

What this interaction means in plain words

Pregabalin and Trandolapril can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Pregabalin belongs to Central Nervous System; Trandolapril belongs to Cardiovascular.

Evidence level: Low

Why it happens

ACE inhibitors raise bradykinin levels; pregabalin-associated angioedema has an unclear mechanism, and the effects may be additive.

What to do

Warn patients to seek emergency care for swelling of the face, lips, tongue or throat. Stop both drugs and treat if angioedema occurs, avoiding ACE inhibitor rechallenge.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Pregabalin with Trandolapril?

MediHelp rates the interaction as moderate. Pregabalin and Trandolapril can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs have been associated with angioedema, so using them together may raise the chance of facial or airway swelling. The risk is uncommon but potentially serious if the airway is involved.

How serious is the interaction between Pregabalin and Trandolapril?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Warn patients to seek emergency care for swelling of the face, lips, tongue or throat. Stop both drugs and treat if angioedema occurs, avoiding ACE inhibitor rechallenge.

What other medicines interact with Trandolapril?

MediHelp also lists interactions of Trandolapril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Trandolapril page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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