CANDECARD H 8 mg. 12.5 mg. 30 tablets
CANDECARD H 8 mg. / 12.5 mg. 30 tablets
What is Candecard H and what it is used?
Candesartan cilexetil belongs to the group of drugs known as antagonists of angiotensin II. These drugs act by expanding the blood vessels, the heart may be easier to pump blood thereto.
Hydrochlorothiazide belongs to a group of medicines called diuretics. It acts by enhancing urinary excretion of sodium, chloride and water, resulting in a decrease in blood pressure.
Tablets Candecard H are used:
• for the treatment of high blood pressure (hypertension), when administered alone or candesartan cilexetil and hydrochlorothiazide is not sufficient.
2 Before you take Candecard H
Do not take Candecard H if:
• you are allergic (hypersensitive) to candesartan cilexetil, hydrochlorothiazide drug, sulfonamide derivatives or to any of the ingredients of the drug
• have severe liver or biliary obstruction (problems with drainage of bile from the gall bladder)
• have severe kidney disease
• are pregnant over 3 months
• have gout
• have low blood calcium or high levels of calcium in the blood
If you are pregnant after the third month. (It is also to avoid the use of Candecard H and early pregnancy - see. Section "Pregnancy and lactation").
Candecard H must not be given to children.
If you think any of these apply to you, talk to your doctor or pharmacist.
Take special care with Candecard H
Before you take Candecard H, tell your doctor if:
• have heart problems, liver or kidney
• if you have had a stroke
• you have recently had a kidney transplant
• you are on hemodialysis
• have low blood pressure
• vomit, have recently vomited or have diarrhea
• suffer from a disease of the adrenal gland
(Conn's syndrome or hyperaldosteronism)
• need surgery as Candecard H can cause a drop in blood pressure when combined with anesthetics
You should tell your doctor if you are pregnant or might become pregnant. Candecard H is not recommended in early pregnancy, and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage (see section "Pregnancy and lactation").
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes herbal medicines and medicines obtained without a prescription. Candecard H may affect the way other medicines and other medicines can affect Candecard N. If you are taking certain medications, may need your doctor sometimes do blood tests.
In particular, tell your doctor if you are taking any of the following medicines:
• other medicines that help lower your blood pressure, including ACE inhibitors such as enaparil, captopril, or lizonopril ramipiril
• drugs like ibuprofen, naproxen or diclofenac, known as non-steroidal anti-inflammatory drugs (NSAIDs)
• drugs such as celecoxib or etoricoxib, known as COX-2 inhibitors
• aspirin if you are taking more than 3 g daily
• potassium supplements or salt substitutes containing potassium
• heparin (blood thinners)
• water tablets (diuretics)
• lithium (a drug for the treatment of mania and depression).
Taking Candecard H with food and drink
It is advisable not to drink alcohol during treatment with Candecard H, as these two substances can mutually reinforce their effects.
Pregnancy and lactation
You should tell your doctor if you think you are (or might become) pregnant. Usually your doctor will advise you to stop taking Candecard H before you become pregnant or as soon as you know you are pregnant and will prescribe another medicine instead Candecard N. Taking H Candecard not recommended in early pregnancy and after 3 month of pregnancy because it may cause serious harm to your baby during this period.
Tell your doctor if you are breast-feeding or about to start breast-feeding. Candecard H is not recommended for nursing mothers, so your doctor may choose another treatment for you if you wish to breast-feed, especially if your baby is newborn, or was born prematurely.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
Unlikely Candecard H affect your concentration, but you may feel dizzy or weak due to the decrease in blood pressure, especially at the beginning of treatment or when increasing the dose. If this happens, you may be affected your ability to drive or operate machinery.
Important information about some of the ingredients of Candecard H
Lactose is one of the ingredients of this medicine. If your doctor has told you that you have an intolerance to some sugars before taking this medicine, you should contact your doctor.
H. How to take Candecard
Always take this medicine exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.
Typical dosages for Candecard H are as follows:
The recommended dose is one tablet once a day.
The dose of candesartan cilexetil have to adjust carefully before switching to the tablets. Where appropriate, your doctor may decide to direct change from monotherapy to these tablets. Maximum antihypertensive effect is usually achieved within 4 weeks of starting treatment.
Use in the elderly:
Do not need any initial dosage adjustment in elderly patients.
Use in patients with intravascular volume depletion:
For patients with an increased risk of low blood pressure, particularly when drying, the physician will determine the dosage. In these patients may provide a starting dose of 4 mg candesartan cilexetil.
Use in impaired renal function
Patients with babrpechni problems should be examined before treatment with H Candecard to determine the correct dose. In patients with mild to moderate renal impairment, the recommended starting dose of candesartan cilexetil is 4 ml.
Candecard H should not be used in patients with severe renal impairment.
Use in hepatic impairment:
Patients with mild to moderate liver problems should be examined before treatment with Candecard N. The recommended starting dose of candesartan cilexetil in these patients is 2 mg. Candecard H should not be used in patients with severe hepatic impairment and / or cholestasis.
Take your / your tablet / and a glass of water, preferably at the same time every day, before or during a meal.
Candecard H is not suitable for use by children.
Patients who are undergoing surgery:
These tablets in combination with certain anesthetics may cause a drop in blood pressure, so before surgery tell your doctor that you are taking this medicine.
If you take more than you should Candecard H
If you (or someone else) take more than necessary, you should immediately contact the nearest emergency room or call your doctor. The most likely effect of overdose is low blood pressure. If there is a significant decrease in blood pressure (may show symptoms such as dizziness or faintness) can help if you stand in a supine position with legs raised.
However, if the symptoms are serious, take with you this leaflet, any remaining tablets and the packaging and take them to the hospital or your doctor to know what these tablets you take.
If you forget to take Candecard H
It is important to take your medicine every day. However, if you forget to take one or more doses, take it as soon as you remember and then continue its normal mode. Do not take a double dose to make up for a missed dose.
If you stop taking Candecard H
Always consult your doctor if you should stop taking this medicine. You may need to continue taking this medication even if you feel well.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4 Possible side effects
As with all medications, Candecard H can cause side effects, although not everyone gets them
These side effects are very rare (affects less than 1 in 10,000 people). However, if you notice any of these side effects, contact your doctor immediately:
• swelling of the face, lips, mouth, tongue, eyes or throat
• difficulty in breathing
• dizziness or fainting
These are signs of serious reaction, which must be treated immediately, generally in a hospital.
Contact your doctor immediately in case of:
• jaundice (yellowing of the skin and / or eyes)
Other possible side effects: Common (affects less than 1 in 10 people):
• dizziness, spinning sensation (vertigo)
• headache, respiratory tract infections
• low blood pressure
• increased levels of potassium in your blood, especially if you already suffer from kidney problems or heart failure
• impact on the kidneys, especially if you already suffer from kidney problems or heart failure
Very rare (affects less than 1 in 10,000 people):
• back pain, joints and muscles
• skin rash, hives
• reduced number of your red or white blood cells or platelets you. It is possible that you may occur fatigue, infection, fever or easy bruising impact. Your doctor may occasionally do blood tests to check whether Candecard not affect in any way your blood.