- Approval Id
- 6f46c98b838ea39f
- Drug Name
- ATACAND TABLET 16 mg
- Product Name
- ATACAND TABLET 16 mg
- Approval Number
- SIN10880P
- Approval Date
- 1999-04-20
- Registrant
- ZUELLIG PHARMA PTE. LTD.
- Licence Holder
- ZUELLIG PHARMA PTE. LTD.
- Drug Type
- Therapeutic
- Forensic Classification
- Prescription Only
- Dosage Form
- TABLET
- Dosage
- <p><strong>4.2 Posology and method of administration</strong></p>
<p><strong>Dosage in Hypertension</strong></p>
<p>The recommended initial dose and usual maintenance dose is 8 mg once daily. The dose may be increased to 16 mg once daily. If blood pressure is not sufficiently controlled after 4 weeks of treatment with 16 mg once daily, the dose may be further increased to a maximum of 32 mg once daily (see section Pharmacodynamic properties – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>). If blood pressure control is not achieved with this dose, alternative strategies should be considered.</p>
<p>Therapy should be adjusted according to blood pressure response. Most of the antihypertensive effect is attained within 4 weeks of initiation of treatment.</p>
<p><em><u><strong>Use in the elderly</strong></u></em></p>
<p>No initial dosage adjustment is necessary in elderly patients.</p>
<p><em><u><strong>Use in patients with intravascular volume depletion</strong></u></em></p>
<p>An initial dose of 4 mg may be considered in patients at risk for hypotension, such as patients with possible volume depletion (see section Special warnings and special precautions for use – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em><u><strong>Use in impaired renal function</strong></u></em></p>
<p>The starting dose is 4 mg in patients with renal impairment, including patients on haemodialysis. The dose should be titrated according to response. There is limited experience in patients with very severe or end-stage renal impairment (Cl<sub>creatinine</sub> < 15 ml/min) (see section Special warnings and special precautions for use – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em><u><strong>Use in impaired hepatic function</strong></u></em></p>
<p>Patients with hepatic impairment: Dose titration is recommended in patients with mild to moderate chronic liver disease, and a lower initial dose of 4 mg should be considered. Atacand should not be used in patients with severe hepatic impairment and/or cholestasis (see section Contraindications).</p>
<p><em><u><strong>Concomitant therapy</strong></u></em></p>
<p>Addition of a thiazide-type diuretic such as hydrochlorothiazide has been shown to have an additive antihypertensive effect with Atacand.</p>
<p><em><u><strong>Use in black patients</strong></u></em></p>
<p>The antihypertensive effect of candesartan is less in black than non-black patients. Consequently, uptitration of Atacand and concomitant therapy may be more frequently needed for blood pressure control in black than non-black patients (see section Pharmacodynamic properties – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Dosage in Heart Failure</strong></p>
<p>The usual recommended initial dose of Atacand is 4 mg once daily. Up-titration to the target dose of 32 mg once daily or the highest tolerated dose is done by doubling the dose at intervals of at least 2 weeks (see section Special warnings and special precautions for use – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em><u><strong>Special patient populations</strong></u></em></p>
<p>No initial dose adjustment is necessary for elderly patients or in patients with intravascular volume depletion, renal impairment or mild to moderate hepatic impairment.</p>
<p><em><u><strong>Concomitant therapy</strong></u></em></p>
<p>Atacand can be administered with other heart failure treatment, including ACE inhibitors, beta-blockers, diuretics and digitalis or a combination of these medicinal products (see also section Special warnings and special precautions for use and Pharmacodynamic properties – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Administration</strong></p>
<p>Atacand should be taken once daily with or without food.</p>
<p><strong>Use in children and adolescents</strong></p>
<p>The safety and efficacy of Atacand have not been established in children and adolescents (under 18 years).</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong></p>
<p>Hypertension.</p>
<p>Treatment of patients with heart failure and impaired left ventricle systolic function (left ventricular ejection fraction ≤ 40%) as add-on therapy to ACE inhibitors or when ACE inhibitors are not tolerated (see section Pharmacodynamic properties – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Contraindications
- <p><strong>4.3 Contraindications</strong></p>
<p>Hypersensitivity to candesartan cilexetil or to any of the excipients.</p>
<p>Pregnancy and lactation (see section Pregnancy and lactation – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Severe hepatic impairment and/or cholestasis.</p>
<p>The concomitant use of Atacand with aliskiren-containing products is contraindicated in patients with diabetes mellitus or renal impairment (GFR < 60 ml/min/1.73 m<sup>2</sup>) (see section Interaction with other medicinal products and other forms of interaction – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Atc Code
- C09CA06
- Atc Item Name
- candesartan
- Pharma Manufacturer Name
- ASTRAZENECA SINGAPORE PTE LTD
- Company Detail Path
- /organization/astrazeneca-singapore-pte-ltd