The name of your medicine is APO-Candesartan. It contains the active ingredient candesartan cilexetil.
It is used to treat:
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor's prescription.
There is no evidence that this medicine is addictive.
Candesartan is a type of medicine called an angiotensin II receptor inhibitor (or antagonist).
All people have blood pressure. This pressure helps to push blood all around your body. Your blood pressure changes during the day, depending on how busy you are or how you are feeling.
You have hypertension (high blood pressure) when your blood pressure stays higher than is needed, even when you are calm and relaxed.
Regular blood pressure checks are the only way of knowing that you have hypertension. There are usually no symptoms of hypertension and you may feel fine. If hypertension is not treated, serious health problems such as stroke or heart attack and heart or kidney failure may occur.
Candesartan lowers blood pressure by dilating (expanding) small blood vessels from the heart, letting the blood be pumped around the body more easily.
Heart failure means that the heart muscle cannot pump blood strongly enough to supply all the blood needed throughout the body. Heart failure is not the same as heart attack and does not mean that the heart stops working.
Heart failure may start off with no symptoms, but as the condition progresses, patients may feel short of breath or may get tired easily after light physical activity such as walking. Some patients may wake up short of breath at night. Fluid may collect in different parts of the body, often first noticed as swollen ankles and feet.
Candesartan helps to treat heart failure and may improve your symptoms.
One of the ways candesartan helps heart failure is that it widens the blood vessels, so that the heart does not have to pump as hard to move the blood around the body. This also means that when you place extra demands on your heart, such as during exercise, the heart may cope better so you may not get short of breath as easily.
When used to treat heart failure, candesartan is almost always used with other medicines called diuretics or fluid tablets. These medicines help the kidney to get rid of excess fluid from the body.
Do not use this medicine if:
Before you start taking this medicine, tell your doctor if:
1. You have allergies to:
2. You have or have had any medical conditions, especially the following:
3. You are planning to have surgery or an anaesthetic.
If you have not told your doctor about any of the above, tell them before you use this medicine.
Tell your doctor if you are taking any other medicines, including any that you buy at the chemist, supermarket or health food shop.
Some medicines and candesartan may interfere with each other. These include:
These medicines may be affected by candesartan or may affect the way candesartan works. You may need different amounts of your medicines, or may need to take different medicines.
It may be necessary to have regular blood tests done if you take any of these medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
Follow carefully all directions given to you by your doctor carefully.
Their instructions may be different to the information in this leaflet.
If you are not sure how to take this medicine, ask your doctor or pharmacist for help.
Your doctor or pharmacist will tell you how much of this medicine you should take. This will depend on your condition and whether you are taking any other medicines.
Do not stop taking your medicine or change your dosage without first checking with your doctor.
Take candesartan once a day, at about the same time each day.
Taking candesartan at the same time each day will help you remember when to take it.
It does not matter whether you take candesartan with food or on an empty stomach.
Continue taking this medicine for as long as your doctor tells you.
This medicine controls your condition, but does not cure it. It is important to keep taking your medicine even if you feel well.
If it is almost time to take your next dose, skip the missed dose and take your next dose at the usual time.
Otherwise take it as soon as you remember and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for missed doses.
If you are not sure what to do, ask your doctor or pharmacist.
If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency Department at your nearest hospital.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
If you take too many candesartan you will probably get a headache and feel sick (nausea), dizzy and very tired.
Move slowly when getting out of bed or standing up if you feel faint, dizzy or light-headed.
Be careful driving or operating machinery until you know how candesartan affects you.
You may feel dizzy when you start taking candesartan.
If you are taking candesartan for high blood pressure, drink plenty of water during exercise and hot weather, especially if you sweat a lot. If you do not drink enough water while taking candesartan, you may faint or feel light-headed or sick. This is because your body doesn't have enough fluid and your blood pressure is low. If you continue to feel unwell, tell your doctor.
If you are taking candesartan for heart failure, restricted fluid intake is generally recommended. Speak with your doctor about how much water you should drink.
Please talk to your doctor or pharmacist about any concerns you may have about the above.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using this medicine.
Your doctor will decide whether any change in your treatment is needed.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects. If you are over 65 years of age, you may have an increased chance of getting side effects.
Candesartan helps most people, but it may have side effects in a few people.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following:
These are all mild side effects of candesartan.
The following side effects have been reported very rarely by patients taking candesartan: palpitations, agitation, anxiety, depression, trouble sleeping (insomnia), drowsiness (somnolence), nervousness, nightmare and sleep disorder. It is not known if these side effects are caused by candesartan.
Tell your doctor as soon as possible if you notice any of the following:
The above list includes serious side effects that may require medical attention. These side effects are rare.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.
These side effects are very rare.
Do not be alarmed by this list of possible side effects. You may not experience any of them.
Other side effects not listed above may above may occur in some people. Tell your doctor if you notice any other side effects.
Keep your tablets in the blister pack until it is time to take them.
If you take candesartan out of the blister pack it will not keep well.
Keep your tablets in a cool dry place where the temperature will stay below 30°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.
Keep this medicine where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or they have passed their expiry date, your pharmacist can dispose of the remaining medicine safely.
APO-Candesartan 4 mg tablets: Light pink, round, biconvex tablet with '291' on one side and a break line on the other side
APO-Candesartan 8mg tablets: Light pink, round, biconvex tablet with '292' on one side and a break line on the other side
APO-Candesartan 16 mg tablets: Light pink, round, biconvex tablet with 'L293' on one side and a break line on the other side
APO-Candesartan 32 mg tablets: Light pink, round, biconvex tablet with 'L294' on one side and a break line on the other side.
Each tablet contains 4mg or 8mg or 16mg or 32mg of the active ingredient candesartan cilexetil.
It also contains the following inactive ingredients:
This medicine is gluten-free, sucrose-free, tartrazine-free and free of other azo dyes.
APO-Candesartan is available in:
Blister packs of 7, 28 and 30 tablets.
Not all strengths, pack types and/or pack sizes may be available
APO-Candesartan 4 mg blister pack: AUST R 210529
APO-Candesartan 8 mg blister pack: AUST R 210530
APO-Candesartan 16 mg blister pack: AUST R 210531
APO-Candesartan 32 mg blister pack: AUST R 210532