Drug & supplement interaction

Tocotrienols + Trandolapril, Verapamil

Trandolapril, Verapamil brand name: Tarka.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Tocotrienols and Trandolapril, Verapamil in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Trandolapril, Verapamil states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Tocotrienols and Trandolapril, Verapamil

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Trandolapril, Verapamil and Tocotrienols in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Tocotrienols safety at a glance

Tocotrienols overall Use caution Generally well tolerated in studies, but long-term safety at supplement doses is not well established.
Pregnancy Avoid Not enough safety information, so it is best to avoid supplemental doses during pregnancy.
Breastfeeding Use caution Little is known about safety while breastfeeding, so avoid supplements unless advised by your doctor.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Trandolapril, Verapamil and Tocotrienols? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Trandolapril, Verapamil

Interactions in our licensed database are recorded against drug classes, not just single drug names. Trandolapril, Verapamil is filed under 13 classifications — including calcium channel blockers, ace inhibitors (aceis), cytochrome p450 2c8 (cyp2c8) substrates. Tocotrienols has documented interactions with 1 drug class — the most serious being anticoagulant/antiplatelet drugs (minor) — and none of Trandolapril, Verapamil’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Tocotrienols Does Interact With Other Medications

Tocotrienols has 122 minor known drug interactions in our database — Trandolapril, Verapamil isn’t one of them. If you take anything else, check it against the full list below.

Minor 122 No known interaction 2,708 (incl. Trandolapril, Verapamil)
Taking anything else?

Check Another of Your Medications Against Tocotrienols

Covers the 2,830 medications we’ve checked against Tocotrienols. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Tocotrienols and Trandolapril, Verapamil May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Itching Additional detail

    Tocotrienols

    “Topically, a cream containing 5% tocotrienols has been reported to cause mild itching in 7% of patients in one clinical study. Contact dermatitis has been reported in 33% of patients using a cream containing vitamin E as a mixture of tocopherols and tocotrienols. However, it is unclear if this effect resulted from tocopherols, tocotrienols, or the combination.”

    Tocotrienols · Natural Medicines adverse-effect record, reported in dermatitis.

    2 sources cited
    1. 99699. Khoo TL, Halim AS, Zakaria Z, Mat Saad AZ, Wu LY, Lau HY. A prospective, randomised, double-blinded trial to study the efficacy of topical tocotrienol in the prevention of hypertrophic scars. J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):e137-45. Epub 201 PubMed
    2. 4721. Baumann LS, Spencer JS. The effects of topical vitamin E on the cosmetic appearance of scars. Dermatol Surg 1999;25:311-5. PubMed

    Trandolapril, Verapamil

    Listed in the ADVERSE REACTIONS section of the FDA label for Trandolapril, Verapamil. Read the label on DailyMed ›

  • A skin rash Additional detail

    Tocotrienols

    Recorded for Tocotrienols in the same Natural Medicines adverse-effect record shown under Itching above.

    Trandolapril, Verapamil

    Listed in the ADVERSE REACTIONS section of the FDA label for Trandolapril, Verapamil. Read the label on DailyMed ›

Effects for Trandolapril, Verapamil come from the ADVERSE REACTIONS section of its FDA label; effects for Tocotrienols come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Trandolapril, Verapamil Products Have a Food Rule — Tocotrienols Should Not Break It

At least one FDA label for a product containing Trandolapril, Verapamil says to take it with food. If you take Tocotrienols on an empty stomach out of habit, keep them separate — and take Trandolapril, Verapamil with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Trandolapril, Verapamil products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Trandolapril and verapamil hydrochloride extended-release tablets should be administered with food.

From the Dosage and Administration section of the FDA label we read for Trandolapril, Verapamil — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Trandolapril, Verapamil

This page covers Tocotrienols only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trandolapril, Verapamil page lists 304 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Asarabacca (major) and Beer (major).

By severity: 11 major · 250 moderate · 43 minor.

From our pharmacist’s overview on the Trandolapril, Verapamil page

“This is one of the supplement lists I would want a patient to read closely, not skim. Tarka combines trandolapril and verapamil to lower blood pressure, and most of these interactions pull on that same lever, either dropping pressure further than intended or working against the medicine altogether.”

Reviewed by 2 · Jul 18, 2026

Open the Trandolapril, Verapamil interaction page

One more smart check

Taking Tocotrienols as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1 real supplement products containing Tocotrienols, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Tocotrienols. Even though Tocotrienols itself has no known interaction with Trandolapril, Verapamil, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Tocotrienols and Trandolapril, Verapamil Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Tocotrienols
Top 25%

#284 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Trandolapril, Verapamil
Top 25%

#517 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Tocotrienols reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Tocotrienols and Trandolapril, Verapamil records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Tocotrienols

What is Tocotrienols?

Tocotrienols
  • Heart and cholesterol support
  • Antioxidant support
  • Liver health (fatty liver)
  • Bone health
  • Brain and nerve protection

Tocotrienols are a less common form of vitamin E with strong antioxidant activity studied mostly for cholesterol, liver, and heart health. Early research is interesting but far from conclusive, and a standard dose is not established. They are generally well tolerated, but talk with your pharmacist or doctor before using them, especially during pregnancy or if you take blood thinners.

Oil and extracts from plant seeds, bran, and fruits (such as rice bran, palm fruit, and annatto) · Softgel capsules, oil, combination vitamin E supplements

An interaction check asks whether these two react with each other — it does not ask whether Tocotrienols is a good idea for someone in your situation. Here is what our Tocotrienols record says about it on its own.

Tocotrienols: dosing

There is no official or standardized dose of tocotrienols. Amounts used in research have varied widely depending on the source and the condition being studied.The best approach is to follow the directions on the product label and not exceed the recommended amount.

From our Tocotrienols monograph — the full record covers uses, side effects and every documented interaction.

Read the full Tocotrienols monograph & all interactions
Keep checking

Other Drugs & Tocotrienols

Browse every other medication we’ve checked against Tocotrienols — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
122Minor
2,707No known interaction
122 Minor 2,707 No interaction
Minor

122 interactions

Showing 60 of 122 minor interactions — see all 122 on the Tocotrienols page.

No interaction 2,707 drugs checked — show the list

We also checked Tocotrienols against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,707 medications checked with no known interaction — see the full Tocotrienols list.

See the full Tocotrienols interactions page
See every supplement checked against Trandolapril, Verapamil, ranked by severity
Evidence & sources

Tocotrienols References

The 4 references that drive our Tocotrienols monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Mensink RP, van Houwelingen AC, Kromhout D, Hornstra G. A vitamin E concentrate rich in tocotrienols had no effect on serum lipids, lipoproteins, or platelet function in men with mildly elevated serum lipid concentrations. Am J Clin Nutr 1999;69:213-9. PubMed
  2. Baumann LS, Spencer JS. The effects of topical vitamin E on the cosmetic appearance of scars. Dermatol Surg 1999;25:311-5. PubMed
  3. Khoo TL, Halim AS, Zakaria Z, Mat Saad AZ, Wu LY, Lau HY. A prospective, randomised, double-blinded trial to study the efficacy of topical tocotrienol in the prevention of hypertrophic scars. J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):e137-45. Epub 201 PubMed
  4. Slivka A, Rink C, Paoletto D, Sen CK. Platelet function in stroke/transient ischemic attack patients treated with tocotrienol. FASEB J. 2020;34(9):11838-11843. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Tocotrienols and Trandolapril, Verapamil Together: Common Questions

Is it safe to take Tocotrienols with Trandolapril, Verapamil?
We do not list a known interaction between Tocotrienols and Trandolapril, Verapamil. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Tocotrienols and Trandolapril, Verapamil have any of the same side effects?
Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Tocotrienols and Trandolapril, Verapamil at the same time of day?
At least one FDA label for a product containing Trandolapril, Verapamil says to take it with food. If you take Tocotrienols on an empty stomach out of habit, keep them separate and take Trandolapril, Verapamil with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Trandolapril, Verapamil products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Tocotrienols and Trandolapril, Verapamil combination checked?
Interactions in our licensed database are recorded against drug classes. Trandolapril, Verapamil is filed under 13 classifications, and Tocotrienols has documented interactions with 1 drug class — none of Trandolapril, Verapamil's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Tocotrienols interact with any other medications?
Yes. Tocotrienols has 122 documented drug interactions in our database — Trandolapril, Verapamil is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Trandolapril, Verapamil interact with any supplements?
Yes. Trandolapril, Verapamil has documented interactions with 304 supplements in our database — Tocotrienols is not one of them. The Trandolapril, Verapamil interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Tocotrienols monograph Uses, safety profile, and every drug interaction in one place Trandolapril, Verapamil supplement interactions Every supplement checked against Trandolapril, Verapamil, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.