Name Candesartan Cilexetil + Hydrochlorothiazide
Classes Cardiovascular Agent
Antihypertensive
Antihypertensive Combination
Diseases Cardiovascular Disease
Hypertension (High Blood Pressure)

Candesartan Cilexetil + Hydrochlorothiazide

Candesartan Cilexetil + Hydrochlorothiazide is a combination of Candesartan Cilexetil an orally active, AT1 receptor subtype specific angiotensin II receptor blocker (ARB), and hydrochlorothiazide, a diuretic.

 

Candesartan Cilexetil + Hydrochlorothiazide is indicated for the treatment of-

  • Hypertension
  • When used as monotherapy in individuals who are not volume deficient, the normal suggested beginning dose of candesartan cilexetil is 16 mg once daily. Tablets of candesartan cilexetil can be used once or twice a day, with total daily doses ranging from 8 mg to 32 mg. Patients who require further blood pressure lowering should be titrated to 32 mg. Larger doses do not appear to have a bigger lowering effect on blood pressure.
  • Hydrochlorothiazide is effective in doses of 12.5 to 50 mg once daily.
  • Use in moderate to severe Hepatic Impairment: Candesartan cilexetil and hydrochlorothiazide are not advised for initiation in moderate to severe hepatic impairment because the necessary starting dose, 8 mg, cannot be given.

The side effects associated with the medication are as follows-

  • headache
  • dizziness
  • Pharyngitis
  • Hypotension
  • Tinnitus
  • Dyspepsia
  • Asthenia
  • During the second and third trimesters of pregnancy, medications that act on the renin-angiotensin system impair fetal renal function and increase fetal and newborn morbidity and death.
  • Symptomatic hypotension can occur in patients with an active renin-angiotensin system, such as volume- and/or salt-depleted patients on high doses of diuretics.
  • Patients whose renal function may depend in part on the activity of the renin-angiotensin system (e.g., patients with renal artery stenosis, chronic kidney disease, severe congestive heart failure, or volume depletion) may be at particular risk of developing acute renal failure on Candesartan Cilexetil + Hydrochlorothiazide.

Contraindication

  •  Contraindicated to the patients who are sensitive to hydrochlorothiazide or to other sulfonamide-derived drugs, such as-
  • Contraindicated to the patients who are sensitive to candesartan cilexetil or other ARBs, such as-
  • Concomitant use of Candesartan Cilexetil + Hydrochlorothiazide with aliskiren containing products in patients with diabetes mellitus or renal impairment.
  • Candesartan Cilexetil + Hydrochlorothiazide is contraindicated in pregnancy.
  • Candesartan Cilexetil + Hydrochlorothiazide is contraindicated in patients with severe kidney problems (GFR 30 mL/min) and anuria due to the hydrochlorothiazide component.
  • Candesartan Cilexetil + Hydrochlorothiazide is contraindicated in patients with significant hepatic problems or biliary cirrhosis and cholestasis due to the Telmisartan component.