Mavik

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Mavik

Quick Facts about Mavik (Trandolapril)

Property Description
Active ingredient Trandolapril (INN)
Form Tablet (Oral administration)
Pharmacological class Angiotensin-Converting Enzyme (ACE) Inhibitor
Common use Reduction of blood pressure and cardiovascular strain
Origin Synthetic compound; Classified as a Prodrug

Identity and Classification

Mavik is a prescription-only medication defined by its active ingredient, Trandolapril, which functions as an antihypertensive agent. It belongs to the core pharmacological family of Angiotensin-Converting Enzyme (ACE) inhibitors, a class of agents recognized for their role in managing blood pressure. The medication is a single-ingredient product available as an oral tablet.

A key differentiating feature is that Trandolapril is classified as a prodrug, meaning it is therapeutically inactive when taken. It requires chemical conversion in the body—primarily by the liver—into its highly potent and active metabolite, trandolaprilat. This unique conversion process contributes to the drug's sustained action, which allows for once-daily dosing.

General Purpose and Cardiovascular Role

The core purpose of Mavik is to reduce cardiovascular strain by consistently and systematically lowering blood pressure. This general function is often applied in scenarios where patients require maintenance therapy to keep their blood pressure within a target range, providing ongoing support to the heart and vascular health.

The drug achieves this by modulating the body's Renin-Angiotensin-Aldosterone System (RAAS). By inhibiting the ACE enzyme, Trandolapril prevents the formation of Angiotensin II, a hormone that naturally constricts blood vessels. This effect is used for long-term support of the circulatory system, decreasing arterial pressure and helping to reduce the workload placed upon the heart.

What side effects are possible with Mavik?

Official Safety Profile and Adverse Reactions

The safety information for Mavik (Trandolapril) is organized by regulatory authorities to classify potential adverse reactions based on how often they occur and which physiological systems are affected. This section outlines the documented side effects and critical safety constraints as published in official labeling.

Classification Examples of Documented Effects
Common (1%–10%) Cough (a recognized ACE inhibitor class effect), Headache, Dizziness, Fatigue (Asthenia), Diarrhea.
Uncommon (0.1%–1%) Angioedema, Hypotension, Palpitations, Rash, Depression.
Postmarketing Pancreatitis, Jaundice/Hepatitis, Hepatic Failure, Stevens-Johnson Syndrome, Agranulocytosis.

Serious Adverse Reactions and Safety Constraints

The most serious documented risk is Angioedema, a rapid swelling of the face, lips, tongue, glottis, and/or larynx, which can compromise the airway. Severe symptomatic hypotension is also a documented risk, especially in patients who are volume-depleted or at the initiation of therapy or after a dose increase.

  • Pregnancy Contraindication: Use during the second and third trimesters of pregnancy is strictly contraindicated due to the risk of fetal injury, including renal failure, skull hypoplasia, and death. Use must be discontinued immediately if pregnancy is detected.
  • Renal Status: Caution is required in patients with renal impairment due to the increased risk of Hyperkalemia (high potassium) and elevated concentrations of the active metabolite, trandolaprilat.
  • Restrictions: Mavik is contraindicated in patients with a history of angioedema related to previous ACE inhibitor treatment, as well as in those with hereditary or idiopathic angioedema.

This framework ensures that all officially documented risks, ranging from expected occurrences to rare but life-threatening events, are clearly communicated based on government regulatory standards.

Overdose and Emergency Response

The official regulatory documents for Mavik (Trandolapril) define the overdose profile primarily by its effects on blood pressure and resulting severe clinical manifestations.

Documented Overdose Manifestations

The most frequent and documented presentation of overdose is severe hypotension, which is an excessive drop in blood pressure. This severe drop may lead to related clinical signs such as lightheadedness or fainting. Functional renal insufficiency is also listed as a potential complication arising from overdose or high-dose exposure.

Required Emergency Actions and Support

Immediate medical attention is mandated when specific, life-threatening clinical signs are observed. Regulators explicitly state that you must immediately call emergency services (911) or the Poison Control Helpline if the individual has collapsed, had a seizure, has trouble breathing, or cannot be awakened. Management is supportive, as no specific antidote exists for Trandolapril overdose. Procedural measures described include placing the patient in the supine position and, if necessary, administering an intravenous infusion of normal saline to correct the hypotension.

Population-Specific Notes

A specific population consideration involves neonates with a history of in utero exposure, where overdose manifestations can include hypotension, oliguria, and hyperkalemia. For severe cases in this population, regulatory documents describe the potential need for interventions such as exchange transfusions or dialysis.

Therapeutic Uses of Mavik

Mavik: Main Uses and Therapeutic Benefits

Mavik (trandolapril) is a prescription medicine approved to address several significant cardiovascular conditions. Its primary therapeutic use is the management of high blood pressure (hypertension). It may be used alone or in combination with other blood pressure-lowering agents.


Additionally, Mavik is indicated for use in stable patients following an acute myocardial infarction (heart attack). In this patient population, the medication is used to improve survival and reduce the risk of hospitalization related to heart failure in individuals with evidence of left-ventricular systolic dysfunction.


Its action helps to relax blood vessels, which lowers blood pressure and helps the heart work more effectively.

Eligibility and Restrictions for Use

Mavik (trandolapril) is officially approved for use only in adult patients for the treatment of hypertension or following a stable myocardial infarction when left-ventricular dysfunction is present. Use in pediatric patients (under 18 years of age) is not indicated, as safety and efficacy have not been established by regulatory authorities.

The medicine is strictly contraindicated for several populations. Pregnancy is an absolute exclusion, and the drug must be discontinued immediately upon detection of pregnancy. It is also prohibited for patients with a history of angioedema (swelling of the face, lips, or throat) related to any previous ACE inhibitor or for those with hereditary angioedema.

Furthermore, Mavik must not be used concurrently with sacubitril/valsartan. A specific restriction prohibits its use in patients with Diabetes Mellitus who are also taking the drug Aliskiren. Use requires close medical oversight and a lower starting dose in adults with severe renal impairment or hepatic insufficiency due to altered drug concentrations in the body.

What should I know about interactions with other medicines?

Mavik Interactions with other medicines and products

Mavik (trandolapril) is an Angiotensin Converting Enzyme (ACE) inhibitor whose official interaction profile identifies key substance categories that require specific precautions or avoidance.

Classification Interacting Agents (Examples) Interaction-Related Constraint
Contraindicated Sacubitril/valsartan (NEP inhibitor combination) Must not be used concurrently; a 36-hour waiting period is required between stopping one agent and starting the other due to the severe risk of angioedema.
Potassium-Raising Agents Potassium-sparing diuretics (e.g., amiloride), potassium supplements, trimethoprim, cotrimoxazole Use is generally not recommended due to the potential for significant increases in serum potassium levels (hyperkalemia).
Lithium Lithium preparations Concomitant use may lead to increased blood levels of lithium and symptoms of toxicity; frequent monitoring of lithium concentrations is necessary.
Other Agents NSAIDs, aliskiren (in patients with diabetes), mTOR inhibitors (e.g., sirolimus, everolimus), racecadotril Use with Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) may increase the risk of deterioration in kidney function. Dual blockade of the Renin-Angiotensin System (RAS) with aliskiren is strictly restricted in specific patient groups.

Trandolapril did not result in clinically significant changes to the concentrations of digoxin or furosemide in documented studies, while coadministration with cimetidine increased the concentration of trandolapril itself.

Mechanism of Action

Mavik is a prodrug, trandolapril, which is hepatically hydrolyzed into its active diacid metabolite, trandolaprilat. Trandolaprilat functions as a competitive inhibitor of the peptidyl dipeptidase angiotensin-converting enzyme (ACE), also known as kininase II, found in circulating plasma and various tissues.

This molecular interaction impedes the enzymatic conversion of the inactive decapeptide angiotensin I to the potent octapeptide vasoconstrictor angiotensin II within the renin-angiotensin-aldosterone system (RAAS). Intracellularly, reduced angiotensin II concentration leads to decreased stimulation of the adrenal cortex, modulating the secretion of aldosterone. Reduced aldosterone subsequently diminishes sodium and water reabsorption in the renal distal tubules and collecting ducts.

The downstream cascade results in an overall reduction of systemic angiotensin II levels, increasing plasma renin activity via loss of negative feedback. This system-level modulation manifests as a decrease in peripheral vascular resistance and an increase in net fluid excretion (diuresis/natriuresis).

Dosage and Administration Information

Mavik (trandolapril) is administered orally as an immediate-release tablet and is typically taken once daily. The official tablet strengths available are 1 mg, 2 mg, and 4 mg. The medication may be taken either with or without food.

Standard Dosing and Frequency

The standard schedule is once daily. The initial dose for hypertension may be 1 mg or 2 mg daily, depending on patient characteristics and prior medication use. The maintenance dose typically ranges from 2 mg to 4 mg once daily, though the maximum recommended dose is rarely above 8 mg per day. For the post-myocardial infarction indication, the target maintenance dose is 4 mg daily. Dosage adjustments are performed at intervals of at least one week. For patients whose blood pressure is inadequately controlled at 4 mg once daily, administration may be changed to a twice-daily (divided) dosing schedule.

Population-Specific Use

A mandatory initial dose of 0.5 mg once daily is prescribed for patients with documented severe renal impairment (creatinine clearance less than 30 mL/min) or hepatic cirrhosis. This 0.5 mg starting dose is also necessary if a patient cannot discontinue diuretic therapy 2 to 3 days prior to commencing trandolapril.

Missed Dose Guidance

If a scheduled dose is missed, it should be taken as soon as it is remembered. However, if it is almost time for the next scheduled dose, the missed dose must be skipped entirely. Patients are instructed to never take a double dose to compensate for a missed one.

Recent Clinical Evidence

Research Evidence / Overview of studies for Mavik (Trandolapril)

This document provides a summary of the available research evidence for Mavik (Trandolapril). The information presented here describes what was studied, what findings were observed, and where the current research has gaps. This is not clinical advice and should not be used to guide treatment decisions.


Evidence for Managing High Blood Pressure (Hypertension)

Research examined this medicine for use in people with high blood pressure. Studies in this area primarily involved short-term, placebo-controlled randomized controlled trials (RCTs). These trials focused on adults with mild to moderate high blood pressure, and studies monitored changes in key measurements like systolic and diastolic blood pressure (BP).

The findings describe patterns observed in the studies where, compared to an inactive substance (placebo), groups receiving the active medicine registered blood pressure measurements registering a decline. Research highlights changes measured during the study period, with average measurements representing a difference of 4 to 10 mmHg from baseline depending on the specific study design. Furthermore, some studies explored the medicine combined with other blood pressure agents and reported that this combination was associated with a change of greater magnitude compared to use alone.


Evidence Following a Heart Attack with Left Ventricular Dysfunction

This medicine was evaluated in a setting where heart function was weakened (Left Ventricular Dysfunction, or LVD) following a recent heart attack. The long-term research was established by one large-scale, randomized trial (the TRACE study) that was observed in stable adult patients following the event. The research examined long-term outcomes monitoring physiological strain, including the rate of death from any cause and the development of severe heart failure symptoms.

The long-term study research noted differing patterns in the rate of death from any cause observed between the groups over the average three-year follow-up period. Study observations included differing occurrences of hospital stays related to worsening heart failure in the active group compared to the placebo group. The occurrence of a recurrent heart attack was examined, and no statistically significant differences were reported between the groups in the primary analysis.


Gaps in Evidence and Areas of Uncertainty

For high blood pressure, the studies that research explored short-term symptom changes were limited in duration, leaving the long-term effects are not fully established regarding major outcomes like stroke prevention. Additionally, data for certain groups remain insufficient, specifically for the pediatric population. The primary long-term trial conducted after a heart attack was associated with a population that was primarily from a single geographic region, meaning that research provides context but not individual predictions for all populations globally.

Frequently Asked Questions (FAQ)

Common questions about Mavik (FAQ)


Q: How quickly does Mavik usually start to work?

A: Regulatory documents indicate that the drug begins to inhibit the angiotensin-converting enzyme (ACE) soon after the first dose. Pharmacokinetic data shows that the active form of the medicine typically reaches its highest measured concentration in the body between approximately four and ten hours after administration.

Q: Is Mavik considered a long-term medication?

A: For its official uses in managing chronic high blood pressure and in patients recovering from a heart attack, Mavik is generally intended for ongoing, long-term maintenance therapy. This consistent use is part of the established approach for managing chronic conditions that require ongoing cardiovascular support.

Q: What happens if I stop taking Mavik suddenly?

A: Official documents do not include a specific warning about adverse effects from sudden discontinuation for general use of this medication. However, since the medicine is intended for continued management of chronic conditions, patients are advised to consult their healthcare provider before making any changes to their medication schedule.

Q: Can people with liver disease safely use Mavik?

A: Official labeling describes the conditions under which Mavik may be used in patients with liver disease. A lower initial dose is required for adult patients who have documented hepatic cirrhosis (severe liver impairment).

Q: Is Mavik safe for use in older adults?

A: Official information suggests that no specific geriatric-specific problems were identified that would limit its use in older patients. However, regulatory documents note that elderly patients may be more sensitive to the effects of the medicine.

Q: Are headaches a common side effect reported with Mavik?

A: Yes, headaches are reported as one of the common adverse reactions documented in clinical studies. Headaches were observed to occur in 1% to 10% of patients.

Q: Are there any major diet restrictions while taking Mavik?

A: The most significant dietary constraint involves foods high in potassium. Official documents describe that patients may need to restrict foods and substances high in potassium. This caution specifically applies to salt substitutes containing potassium or potassium supplements.

Q: Can I take Mavik if I am lactose intolerant?

A: The official product information states that the Mavik tablets contain lactose monohydrate as an inactive ingredient in the drug formulation.

Q: Does Mavik cause drowsiness or affect my ability to drive?

A: Adverse effects like dizziness and fatigue have been reported with this medication. Official guidance suggests that caution should be exercised when driving or operating machinery until the effects of the medication are known.

Q: Are there specific symptoms that require immediate medical attention while on Mavik?

A: Official safety documents highlight documented serious adverse reactions, such as Angioedema (swelling of the face, lips, tongue, or throat) and symptoms of severe hypotension (very low blood pressure), which require prompt medical evaluation.

Q: Is there a generic version of Mavik available?

A: Mavik is the brand name for the drug trandolapril. The active ingredient itself, trandolapril, is widely available in generic formulations.

Q: How long does the effect of one dose of Mavik typically last?

A: The drug is classified by its sustained effect profile. The active form of the drug, trandolaprilat, has an effective half-life of approximately 22.5 hours at steady state, which supports its intended once-daily administration.

Q: Are there any herbal supplements that are known to interact with Mavik?

A: The official regulatory list of known interactions primarily focuses on prescription medications and substances that increase potassium levels. Specific interactions with common herbal supplements are not generally listed in the regulatory documents.

Q: Is Mavik safe to take with alcohol, or should I avoid it entirely?

A: Regulatory information indicates that alcohol may have additive effects in lowering blood pressure when taken with Mavik. This combination may increase the risk of symptoms like dizziness and lightheadedness.

Q: Can I take Mavik while breastfeeding?

A: Official information states that use of Mavik is not recommended while breastfeeding, particularly when nursing a newborn or preterm baby. This precaution is advised due to limited available data on the drug’s potential transfer into human milk and its effects on the nursing infant.

Q: What does the research say about the long-term use of Mavik?

A: Long-term research, specifically the TRACE study, examined patients with left ventricular dysfunction following a heart attack. The study observed a reduction in the rate of death from any cause over a three-year period and differing patterns were observed regarding the progression of severe heart failure symptoms in that population compared to placebo.

Q: Has Mavik been studied in diverse patient populations?

A: Studies for high blood pressure included groups of both black and non-black patients. However, the main long-term trial conducted after a heart attack was associated with a population primarily from a single geographic region.

Q: Does Mavik have a 'black box warning' or special safety alerts?

A: Yes, Mavik carries an official Boxed Warning, which is the most serious safety alert issued by the FDA. This warning regards fetal toxicity (injury and death to the developing fetus) if the medication is used during the second and third trimesters of pregnancy.

Q: Does Mavik interfere with laboratory blood tests?

A: Official documents note that the medication may be associated with changes in certain laboratory values. These include increases in creatinine, blood urea nitrogen (BUN), and occasional changes in liver enzymes (transaminases and bilirubin).

Q: Can Mavik cause stomach upset or digestive issues?

A: Yes, digestive issues have been reported in clinical studies. Diarrhea is listed as a common effect, and less common reports include nausea and general stomach discomfort or pain.

Q: Does the efficacy of Mavik decrease over time?

A: Mavik is intended to provide sustained control. Official clinical studies do not indicate that the body develops tolerance to the drug’s blood pressure-lowering effects.

Q: Is there evidence that Mavik improves heart health outcomes?

A: Research in patients with left ventricular dysfunction after a heart attack indicated that long-term use was associated with differing rates in the risk of death from any cause and the progression of severe heart failure symptoms.

How should Mavik be stored and disposed of?

How to Store and Dispose of Mavik?

Mavik (trandolapril) tablets must be stored at Controlled Room Temperature, specifically between 20°C and 25°C (68°F and 77°F). It must be kept in a closed container and protected away from heat, moisture, and direct light.

Storage Requirements

  • Keep from freezing to maintain stability.
  • Must be stored out of the reach of children.

Disposal Instructions

Expired or unused tablets should be disposed of by utilizing a drug take-back program. If a program is unavailable, mix the uncrushed tablets with an unappealing substance, seal in a bag, and place in the household trash. Do not flush Mavik down the toilet or pour it into a drain.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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