ATAKAND table. 16 mg. 28 table
ATAKAND table. 16 mg. 28 table
ATAKAND WHAT IS AND WHAT IT IS USED
Atakand 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 drugs called angiotensin II receptor antagonists. It causes relaxation and dilation of blood vessels. It lowers blood pressure. It also helps to pump blood from the heart to all parts of your body.
BEFORE YOU TAKE ATAKAND
Do not take Atakand:
if you are allergic (hypersensitive) to candesartan Cile any of the other ingredients of Atakand
if you are pregnant, think you may be pregnant, planning to become pregnant or breast-feeding
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 Atakand.
Take special care with Atakand
Before taking or while taking Atakand, tell your doctor
if you have heart problems, liver or kidney problems or are on dialysis.
If you have recently undergone kidney transplantation
If you vomit soon you have vomiting or diarrhea
if you have a disease called cancer nadbybrechnata syndrome Conn (also known as primary hyperaldosteronism).
if you have low blood pressure
if you have ever had a stroke
Your doctor may want to visit more often and you do 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. Atakand may affect the way other medicines work and some medicines can affect the way Atakand. 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.
Atsitilsalitsilova acid every day if you take more than 3 g.
Potassium supplements or salt substitutes containing potassium.
Heparin (a medication to thin the blood).
Lithium (a medicine for mental health problems).
Atakand and alcohol
If you drink alcohol, tell your doctor before Atakand adopted. Some people who drink alcohol when taking A to feel tired or dizzy.
Pregnancy and lactation
Before taking Atakand, tell your doctor if you are pregnant or planning to become pregnant, or breastfeeding. The reason for this is that Atakand can harm your baby.
You should not take Atakand if you are pregnant.
If you become pregnant while taking Atakand, stop taking and contact your doctor. Avoid becoming pregnant while using Atakand by taking adequate contraceptive.
You should not take Atakand if you are breastfeeding.
Ask your doctor or pharmacist before taking any medicine.
Driving and operating machinery
Some people may feel tired or dizzy when taking Atakand. If this happens to you, do not drive or use any tools or machines.
DOSAGE AND ADMINISTRATION
Always Atakand exactly as your doctor tells you. If you're not sure, ask your doctor or pharmacist. It is important to take every day Atakand. You can take Atakand with or without food.
Dose for Hypertension:
The recommended starting dose and usual maintenance dose is 8 mg once daily. The dose may be increased 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 the current dose is not achieved blood pressure control should be considered an alternative treatment strategy.
Treatment should be adjusted according to blood pressure response. The maximum antihypertensive effect is attained within 4 weeks after beginning treatment.
Use in the elderly:
It is not necessary initial dose adjustment in elderly patients.
Use in patients with intravascular volume depletion:
In patients at risk of hypotension, such as patients with possible depletion may be considered initial dose of 4 mg.
Use in renal impairment:
The starting dose in patients with renal impairment, including patients on dialysis is 4 mg. The dose should be increased gradually according to response. Experience in patients with very severe or end-stage renal impairment.
Use in hepatic impairment:
In patients with mild to moderate hepatic impairment, the recommended dose is 2 mg once daily. The dose may be adjusted according to the response. There is no experience in patients with severe hepatic impairment.
It has been shown that adding a thiazide-type diuretic such as hydrochlorothiazide or additive antihypertensive effect with ATACAND.
Use in black patients:
Antihypertensive effect of candesartan is less in black patients than in non-black patients.
Dosage in heart failure:
The usual recommended starting dose of ATACAND is 4 mg once daily. Increasing the dose to 32 mg once daily or the highest tolerated dose is done by doubling the dose at intervals of at least 2 weeks.
If you take more than the dose Atakand
If you take more than the prescribed dose Atakand, contact your doctor or pharmacist.
If you forget to take Atakand
Do not take a double dose to make up for a forgotten tablet. Just take the next dose as usual.
If you stop taking Atakand
If you stop taking Atakand, your blood pressure may rise again. So do not stop taking Atakand without first talking to your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
POSSIBLE SIDE EFFECTS
Like all medicines, Atakand can cause side effects, although not everybody gets them. It is important to usvedomeni what could be the side effects. They are usually mild and disappear after a short time.
Stop taking Atakand and seek medical attention if any of the following EAPA allergic reactions:
difficulty breathing with or without swelling of the face, lips, tongue and / or throat
swelling of the face, lips, Ezili and / or throat which may cause difficulty preglashtanet
severe itching of the skin (a rash)
Atakand 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. From time to time, your doctor may do blood tests to check whether Atakand had no effect on the blood (agranulocytosis).
Other possible side effects:
Common (affects less than 1 in 10 patients)
Feeling of dizziness / vertigo.
Infection of the lung.
Low blood pressure. This can lead to fatigue and dizziness.
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 (affects less than 1 in 10,000 patients)
Swelling of the face, lips, tongue and / y throat.
Lowering of red and white blood cells. You may notice fatigue, infection or fever.
Skin rash, swelling rash (urticaria).
Pain in the back, joints and muscles
Changes in the liver, including liver inflammation (hepatitis). You may notice tiredness, yellowing of skin and whites of your eyes and flu-like symptoms.
Do not be alarmed by this list of possible side effects. You may not experience any of them. If any of the side effects gets serious, or if you neopieani in this leaflet, please tell your doctor or pharmacist.
HOW TO STORE ATAKAND
Keep out of reach of children.
Do not store above 30 ° C.
The active substance is tsnleksetil candesartan (candesartan cilexetil). The tablets contain 16 mg of candesartan cilexetil.
The other ingredients are: croscarmellose calcium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, maize starch, macrogol, iron oxide (E172)