Generic Name: candesartan (kan de SAR tan)Brand Names: Atacand
Candesartan is in a group of drugs called angiotensin II receptor antagonists. Candesartan keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.
Candesartan is used to treat high blood pressure (hypertension). It is sometimes given together with other blood pressure medications.
Candesartan is also used to treat kidney problems caused by type 2 (not insulin-dependent) diabetes.
Candesartan may also be used for other purposes not listed in this medication guide.
To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Do not miss any scheduled appointments.
Keep using this medication even if you feel fine. High blood pressure often has no symptoms.In rare cases, candesartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have muscle pain, tenderness, or weakness especially if you also have fever, nausea or vomiting, and dark colored urine.
Before using candesartan, tell your doctor if you are allergic to any drugs, or if you have:
congestive heart failure;
an electrolyte imbalance; or
if you are dehydrated.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.FDA pregnancy category D. This medication can cause harm to an unborn baby. Candesartan may cause injury and even death to the unborn baby if you take it during the second and third trimesters of pregnancy. Do not use candesartan without your doctor's consent if you are pregnant. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. It is not known whether candesartan passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results from this medication.
You may take candesartan with or without food.
To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Do not miss any scheduled appointments.It may take 2 to 4 weeks of using this medicine before your blood pressure is under control. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 4 weeks of treatment.
Keep using this medication even if you feel fine. High blood pressure often has no symptoms.If you need to have any type of surgery, tell the surgeon ahead of time that you are using candesartan. You may need to stop using the medicine for a short time. Store candesartan at room temperature away from moisture and heat.
See also: Candesartan dosage in more detail
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include fast or slow heartbeat, dizziness, or feeling like you might pass out.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
feeling like you might pass out;
swelling in your hands or feet; or
slow heart rate, weak pulse, tingly feeling.
Less serious side effects may include:
runny or stuffy nose, sore throat, cough;
stomach pain, diarrhea;
headache, dizziness; or
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Hypertension:
Initial dose: 16 mg orally once a day.Maintenance dose: Daily ranges of 8 to 32 mg administered once or twice daily.
Usual Adult Dose for Congestive Heart Failure:
Initial dose: 4 mg orally once daily. The target dose is 32 mg once daily, achieved by doubling the dose at approximately two-week intervals, as tolerated by the patient.
Before taking candesartan, tell your doctor if you are using any of the following drugs:
a diuretic (water pill); or
lithium (Eskalith, LithoBid, Lithonate).
This list is not complete and there may be other drugs that can interact with candesartan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.