Candesartan chemical structure
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Atacand

Candesartan (kan-de-SAR-tan) belongs to the class of medicines called angiotensin II receptor antagonists. It is used to treat high blood pressure (hypertension) and is marketed under the brand name Atacand® (alternative name: Ratacand®) by AstraZeneca. more...

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High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Candesartan works by blocking the action of a substance in the body that causes blood vessels to tighten. As a result, candesartan relaxes blood vessels. This lowers blood pressure.

Side-effects

By decreasing aldosterone levels, candesartan and related drugs may cause hyperkalemia (high potassium levels in the blood). Supplements containing potassium, which are sometimes taken by patients with high blood pressure, are discouraged.

Some people taking candesartan report dizziness (occurs in 1 out of every 25 persons), blurry vision, lightheadedness, a sore throat or a runny nose. More serious side effects can be fainting, decreased sexual ability, jaundice, severe nausea, fatigue and chest pain.

Contraindications

It is contraindicated in pregnancy, especially in the last six months, preexistent hyperkalemia and a history of drug reactions to other AT II inhibitors.

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Atacand® approved for hypertension treatment
From Drug Store News, 8/24/98

Following availability in a number of European countries since 1997, Astra Merck Inc.'s Atacand(r) (candesartan cilexetil), a non-peptide selective angiotensin II AT1-receptor antagonist, has been approved for treatment of hypertension. Shown to reduce blood pressures effectively over a 24-hour period, it is dosed once daily with dose-dependent pressure reductions in doses of 4 mg to 32 mg. The agent presumably produces its beneficial effects by systemic reduction of vascular resistance caused by the dilatation of blood vessels. Side effects include back pain, dizziness, upper respiratory tract infection, pharyngitis and rhinitis, and it is contraindicated in pregnancy. The dry cough and orthostatic hypertension often seen with peptide-based angiotensin converting enzyme inhibitors does not seem to be a problem with Atracand, and it does not appear to affect fasting blood glucose or plasma insulin levels.

COPYRIGHT 1998 Reproduced with permission of the copyright holder. Further reproduction or distribution is prohibited without permission.
COPYRIGHT 2004 Gale Group

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