通用名称和剂型： 坎地沙坦酯4毫克，8毫克，16毫克，32毫克;标签。 公司名称： 阿斯利康制药公司 主治ATACAND： 心脏衰竭（NYHA II-IV级和射血分数≤40％），减少死亡和住院的风险，单独或与ACE抑制剂。 成人剂量为ATACAND： ≥0-18岁：最初4毫克，每日一次;双每日剂量间隔2周容忍针对32毫克，每天一次。盐/体积耗尽或中度肝功能损害：考虑初始剂量较低。 儿童的剂量ATACAND： <0-18岁：不推荐。 药理类别： 血管紧张素Ⅱ受体阻滞剂。 禁忌症： 糖尿病患者同时阿利吉仑。 警告/注意事项： 系统胎儿toxicty发展;如果终止妊娠检测。正确低血容量开始之前或密切监察。肝或肾损害。严重瑞士法郎。肾动脉狭窄。手术。老年人。新生儿。怀孕（Cat.D）显示器。哺乳母亲：不推荐。 相互作用： 监控锂和高钾血症与K+补充剂，K +利尿剂，K+含有盐的替代品。可能是拮抗和肾毒性增强的非甾体抗炎药，包括选择性COX-2抑制剂（定期监测肾功能在老人及/或贫体积）。与ARBs的双重抑制肾素 - 血管紧张素系统，ACE抑制剂，或阿利吉仑可能会增加低血压，高血钾，肾功能变化的风险;密切监察。伴随阿利吉仑肾功能不全（肌酐清除率<60mL/min）：不建议。 不良反应： 背痛，头晕，上呼吸道感染，咽炎，鼻炎，横纹肌溶解症（罕见）。 如何提供： 标签4毫克，8毫克，30，16毫克，32毫克-30，90 Atacand Description Atacand is used in the treatment of high blood pressure. This is a form of medication known as an angiotensin II receptor antagonist. There may be other conditions where Atacand is a good choice of medication for you and so do not be surprised if your doctor prescribes you this medication for another condition. However you can expect a full explanation for why he or she has done so. Atacand Directions As is the case with all drugs, it is vital that you carefully follow the instructions given to you by your doctor. In most cases this will be written on the label of the medicine bottle or box and you must read this information very carefully. If you do happen to have any questions about how to take this medicine then you should talk to your pharmacist, nurse or doctor and they will be happy to help you. You must not crush, break or chew this medicine and should instead swallow it whole with a glass of water. It is not important if you take this medicine with food or on an empty stomach, however you must not mix the medicine in with your food or with any liquid. Where you keep the medicine is very important and in this case it must be stored at room temperature (77 degrees F) away from the sun and in the bottle or box provided or in an airtight container. You must take the medicine as directed by your doctor and if you can take it at the same time everyday i.e. at breakfast time, then that may help you to remember. It is very important that you take this medicine everyday as directed and do not miss a dose, even if you are feeling better. Failure to take your medicine as directed will likely result in the worsening of your symptoms. In the unfortunate scenario that you do forget to take a dose, you must take the missed dose as soon as you remember unless this is near the time of your next dose. In this case you should just forget about the missed dose and carry on with your normal schedule, as you must never take two doses of a single medication at the same time. If you have any concerns then you should contact your pharmacist, nurse or doctor for more information. Atacand Cautions First and foremost you should not take Atacand if you have experienced an allergic or other adverse reaction to it or any other ingredient that is used in the production of Atacand. If you are worried that you may have had an adverse reaction to Atacand in the past then you should discuss this with your doctor. Stopping a medicine suddenly will often result in a worsening of symptoms and side effects and in most cases your doctor will want you to come off a medicine slowly, a process known as tapering. There may be tests that are required by your doctor to check for side effects and/or monitor how effective the medicine is for you, however your doctor will talk to you about what is required. It is important to attend all laboratory and doctor appointments while you are taking Atacand and additional appointments may be necessary when a change to the dose is made and during the initial starting period. As this medicine may take several weeks to reach its full effect you should avoid performing tasks such as driving, operating heavy machinery or any other dangerous activities during this time. You should never change or alter the dose of any medication unless you have talked it through with your doctor. It is vital that you notify your doctor or pharmacist before you begin any new medication, even if it is only one brought over the counter. Atacand causes adverse effects on the fetus in pregnant women and so all women who may be thinking about getting pregnant should weigh up the pros and cons of taking this medicine during pregnancy with their doctor. Also there is not enough research for us to know if Atacand is excreted in the breast milk and so general advice at this time is to not breast-feed while on this medication. It is important that before you undergo any dental work or surgery of any kind that you let the dentist or doctor know that you are taking this medication. Atacand Side Effects As is the case with most drugs Atacand is not without its side effects. Some of the things that you may notice when taking this medication include: dizziness or headache. These may be minor and go away during the course of treatment, however if they do bother you then you must talk to your doctor. Atacand was prescribed to you, as your doctor believes that the benefits will outweigh the side effects and so it is usual to expect some symptoms. However these symptoms should not cause you major discomfort and if this is the case then please talk to your doctor. You must talk to your doctor as soon as possible if you experience any chest pain, fast or irregular heartbeat, muscle pain, tenderness, or cramping, unusual tiredness, fever, sore throat, or persistent cough. Fortunately it is uncommon for someone to have an allergic reaction to this medicine, however they do occur and if you notice severe dizziness, a rash, itching, trouble breathing or swelling then you must seek immediate medical attention. If you experience any symptoms that worry you, even if they are not listed above, then it is vital that you talk to your doctor, pharmacist or nurse about it. It is quick and easy for patients to buy quality generic Atacand or cheap Atacand from our online pharmacy. Atacand Active Ingredients Candesartan ----------------------------------------------------------------- 注：欧洲的包装为28/84片  美国的包装为30/90片 欧洲包装 16mg *28 片（Merck 生产） 16mg *30 片（AstraZeneca生产） 32mg *28 片（TAKEDA 生产） 32mg *28 片（Merck 生产） 32mg *30 片（Astrazeneca生产） 4mg *84 片（AstraZeneca 生产） 8mg *30 片（AstraZeneca 生产）   Atacand Active Ingredients Candesartan CAUTION: Federal law prohibits dispensing without prescription. Description Candesartan belongs to the class of medicines called angiotensin II inhibitors. It is primarily used to treat high blood pressure (hypertension) and certain coronary conditions. 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 and is at least partly why it is now being tried as a Migraine preventive. Candesartan (Atacand) given as prophylaxis reduced the severity and duration of migraine, according to the results of a randomized trial reported in the Jan. 1, 2003, issue of The Journal of the American Medical Association. Before Using This Medicine In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For candesartan, the following should be considered: Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to candesartan. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy- FDA pregnancy category D. This means that it is known to harm an unborn baby. When used during the second and third trimesters of pregnancy, candesartan can cause injury and even death to the developing baby. Do not take candesartan if you are pregnant or planning to become pregnant. Breast-feeding- It is not known whether candesartan passes into breast milk. Do not take candesartan without first talking to your doctor if you are breast-feeding a baby. Children- Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of candesartan in children with use in other age groups. Older adults- This medicine has been tested in patients 65 years of age or older and has not been shown to cause different side effects or problems in older people than it does in younger adults. However, blood levels of candesartan are increased in the elderly. Racial differences- Black patients may have a smaller response to the blood pressure-lowering effects of candesartan. Other medicines- Always tell your doctor all medications you are taking, both prescription and over-the-counter. Before taking candesartan, tell your doctor if you: take a potassium supplement such as K-Dur, Klor-Con, and others take a potassium-sparing diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone), or triamterene (Dyrenium, Dyazide, Maxzide) use a salt substitute Candesartan can affect potassium levels in the body. You may not be able to take candesartan, or you may require a dosage adjustment or special monitoring if you are taking any of the products listed above. Other medical problems- Make sure you tell your doctor if you have any other medical problems, especially: Kidney disease Liver disease Congestive heart failure (severe) Dehydration Proper Use of This Medicine- Take candesartan exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take each dose with a full glass (8 ounces) of water. Candesartan can be taken with or without food. Do not stop taking candesartan without first talking to your doctor. Dosing- The dose of candesartan will be different for different patients. Follow your doctor's orders or the directions on the label. The number of tablets that you take depends on the strength of the medicine. Missed dose- If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.  Storage- Keep out of the reach of children, since overdose may be very dangerous in children. Store away from heat and direct light. Do not store in the bathroom medicine cabinet, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children. Precautions While Using This Medicine It is important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects. Check with your doctor immediately if you think that you may be pregnant. Candesartan may cause birth defects or other problems in the baby if taken during pregnancy. Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, since they may tend to increase your blood pressure. Dizziness or lightheadedness may occur, especially if you have been taking a diuretic (water pill). Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you experience these effects. Check with your doctor right away if you become sick while taking this medicine, especially with severe or continuing nausea and vomiting or diarrhea. These conditions may cause you to lose too much water and lead to low blood pressure. Dizziness, lightheadedness, or fainting also may occur if you exercise or if the weather is hot. Heavy sweating can cause loss of too much water and result in low blood pressure. Use extra care during exercise or hot weather. Use caution when driving, operating machinery, or performing other hazardous activities. Rarely, candesartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position. Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while you are taking candesartan. Do not use salt substitutes or take potassium supplements without first talking to your doctor. Candesartan can affect potassium levels in the body. Side Effects of This Medicine If you experience any of the following serious side effects, stop taking candesartan and call your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives) little or no urine Other side effects are less serious. Continue to take candesartan and talk to your doctor if you experience: headache dizziness fatigue congestion or cough insomnia diarrhea or upset stomach muscle or joint cramps Some commonly used brand names are: In the U.S.- Atacand