Monograph Details

Cardiovascular System > Hypertension
ATACAND
Manufacturer
AstraZeneca Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Angiotensin II receptor blocker.
Generic Name
Candesartan cilexetil 4mg, 8mg, 16mg, 32mg; tabs.
Indications
Hypertension.
Children
<18yrs: not recommended.
Adults
≥18yrs: Monotherapy and not volume-depleted: initially 16mg once daily; usual range: 8–32mg per day once daily or in 2 divided doses. Salt/volume depleted or moderate hepatic impairment: consider lower initial dose. May add diuretic if needed.
Contraindications
Pregnancy (Cat.D in 2nd and 3rd trimesters).
Precautions
Correct hypovolemia before starting or monitor closely. Severe renal impairment. Severe CHF. Renal artery stenosis. Elderly. Pregnancy (Cat.C in 1st trimester). Nursing mothers: not recommended.
Interactions
Monitor lithium and for hyperkalemia with K+ supplements, K+ sparing diuretics, K+ containing salt substitutes.
Adverse Reactions
Back pain, dizziness, upper respiratory tract infection, pharyngitis, rhinitis, rhabdomyolysis (rare).
How Supplied
Tabs 4mg, 8mg—30
16mg, 32mg—30, 90
Additional Resources
Related Prescribing Note