ATACAND. 16 mg. 28 tablets

ATAKAND WHAT IS AND WHAT IT IS USED 

Atacand used to treat high blood pressure (hypertension), and heart failure.

The active ingredient is candesartan cilexetil (candesartan cilexetil). Candesartan cilexetil belongs to a group of medicines called angiotensin II receptor antagonists. It causes relaxation and dilation of blood vessels. This leads to a lowering of blood pressure. Also helps pump blood from the heart to all parts of your body.

2. BEFORE YOU TAKE ATACAND

Do not take Atacand:

if you are allergic (hypersensitive) to candesartan Zille any of the other ingredients of Atacand
if you are pregnant, think you may be pregnant, planning to become pregnant or breastfeeding
if you have severe liver disease or biliary obstruction (problems with drainage of bile from the gall bladder)

If you are not sure if any of these conditions apply to you, talk to your doctor or pharmacist before taking Atacand.

 
Take special care with Atacand

Before taking or while taking Atacand tell your doctor:

if you have heart problems, liver or kidney problems or are on dialysis.
If you have recently undergone kidney transplant
If you vomit soon you vomit or have diarrhea
if you have a gland called nadbybrechnata syndrome Conn (also known as primary aldosteronism).
if you have low blood pressure
if you have ever had a stroke

Your doctor may want to visit it more often and you do the research if you have any of these conditions.

 

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Atacand may affect the way other medicines work and some medicines can affect the way Atacand. If you are taking certain medications, your doctor may need to do blood tests from time to time.

Tell your doctor, especially if you are taking any of these medicines:

- Other medicines to lower your blood pressure, including beta-blockers, diazoxide and ACE inhibitors such as enalapril, kaptoprnl, lisinopril or ramipril.
- Nesterondni inflammatory drugs (NSAIDs) such as ibuprofen, naproxen or diclofenac.
- COX-2 inhibitors such as etoricoxib or tselekoksnb.
- Acetylsalicylic acid every day if you take more than 3 g.
- Potassium supplements or salt substitutes containing potassium.
- Heparin (a medicine to thin the blood).
- Diuretics.
- Lithium (a medicine for mental health problems).

 
Atacand and alcohol

If you drink alcohol, talk to your doctor before accepting Atacand. Some people who drink alcohol when taking A to feel tired or dizzy.

 
Pregnancy and lactation

Before taking Atacand tell your doctor if you are pregnant or planning to become pregnant, or breastfeeding. The reason for this is that Atacand can harm your baby.
You should not take Atacand if you are pregnant.
If you become pregnant while taking Atacand, stop taking and contact your doctor. Avoid becoming pregnant while using Atacand by taking an oral contraceptive.
You should not take Atacand if you are breastfeeding.

Ask your doctor or pharmacist before taking any medicine.

 
Driving and using machines

Some people may feel tired or dizzy when taking Atacand. If this happens to you, do not drive or use any tools or machines.

 
3. DOSAGE AND METHOD OF ADMINISTRATION

Always take Atacand exactly as your doctor tells you. If you are not sure, ask your doctor or pharmacist. It is important to take Atacand every day. You can take Atacand with or without food.

Dosage in hypertension:
The recommended starting dose and usual maintenance dose is 8 mg once daily. The dose may be increased up to 16 mg daily. If blood pressure is not adequately controlled after 4 weeks of treatment with 16 mg once daily dose may be further increased to a maximum of 32 mg once daily. If this dose does not achieve blood pressure control, you should consider alternative treatment strategy.
Treatment should be adjusted according to blood pressure response. The maximum antihypertensive effect is attained within 4 weeks of treatment.
Use in the elderly:
It is not necessary initial dosage adjustment in elderly patients.
Use in patients with intravascular volume depletion:
In patients at risk of hypotension, such as those with a likelihood of a reduced volume can be given to use of an initial dose of 4 mg.
Use in renal impairment:
The starting dose in patients with renal impairment, including patients on hemodialysis is 4 mg. The dose should be increased gradually according to response. Experience in patients with very severe or end-stage renal impairment is limited.
Use in hepatic impairment:
In patients with mild to moderate hepatic impairment, the recommended dose of 2 mg once daily. The dose may be adjusted according to the response. There is no experience in patients with severe hepatic impairment.
Combination therapy:
It has been shown that the addition of a thiazide-type diuretic such as hydrochlorothiazide, or an additive antihypertensive effect in ATACAND.
Use in black patients:
Antihypertensive effect of candesartan is less in black patients than non-black patients.
Dosage in heart failure:
The usual recommended starting dose is 4 mg ATACAND daily. Increasing the dose to 32 mg once daily or up to the highest tolerated dose was carried out by doubling the dose at intervals of at least 2 weeks.
 

If you take more dose Atacand

If you take more than the prescribed dose Atacand, contact your doctor or pharmacist.

 

If you forget to take Atacand

 
Do not take a double dose to make up for a forgotten tablet. Just take the next dose as usual.
 
If you stop taking Atacand

If you stop taking Atacand, your blood pressure may increase again. So do not stop taking Atacand without first talking to your doctor.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

 

4. POSSIBLE SIDE EFFECTS

Like all medicines, Atacand can cause side effects, although not everybody gets them. It is important to usvedomeni what can be the side effects. They are usually mild and disappear after a short time.

 
Stop taking Atacand and seek medical attention if EAPA any of the following allergic reactions:
difficulty breathing with or without swelling of the face, lips, tongue and / or throat
swelling of the face, lips, esylate, and / or throat, which can hinder preglashtanet
severe itching of the skin (a rash)

Atacand may cause a reduction in the number of white blood cells. Your resistance to infection may be decreased and may notice weakness, infection or fever. If this happens, contact your doctor. Occasionally your doctor may do blood tests to check whether Atacand had no effect on the blood (agranulocytosis).

 
Other possible side effects:

Common (occurring in more than 1 out of 10 patients)

- Dizziness / vertigo.

- Headache.

- Infection of the lung.

- Low blood pressure. This can lead to fatigue and lightheadedness.

- Decreased levels of sodium in the blood. If the decrease is significant, you may notice weakness, lack of energy or muscle cramps.

- Decreased levels of potassium in the blood, especially if you have kidney problems or heart failure. If the decrease is significant, you may notice fatigue, weakness, irregular heartbeat or numbness.

- Effects on the kidneys, especially if you have pre-existing kidney problems or heart failure. In very rare cases may cause kidney failure.

 

Very rare (occurring in less than 1 in 10 000 patients)

- Swelling of the face, lips, tongue and / y throat.

- Reduction of red and white blood cells. You may notice fatigue, infection or fever.
- Skin rash, rash with swelling (urticaria).

- Itching.

- Pain in the back, joints and muscles

- Changes in the liver, including liver inflammation (hepatitis). You may notice fatigue, yellowing of the skin and the white part of your eyes and flu-like symptoms.

- Nausea.

Do not be alarmed by this list of possible side effects. You may not get any of them. If any of the side effects gets serious, or you notice any neopieani in this leaflet, please tell your doctor or pharmacist.



5. HOW TO STORE ATACAND

Keep out of the reach of children.

Do not store above 30 ° C.


What does Atacand


The active substance is tsnleksetil candesartan (candesartan cilexetil). The tablets contain 16 mg candesartan cilexetil.

Other ingredients are: carmellose calcium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, corn starch, macrogol, iron oxide (E172)



Atacand looks like and contents of pack


16 mg tablets are pink, round tablets scored and marked A / CH on one side and 016 on the other strana.na.

Atacand 16 mg tablets are available in blister packs of 28 tablets.