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Candesartan cilexetil and hydrochlorothiazide tablets
Consumer Medicine Information
This leaflet answers some of the common questions people ask about Atacand Plus. It does not contain all the information that is known about Atacand Plus.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor will have weighed the risks of you taking Atacand Plus against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may need to read it again.
Atacand Plus is used to treat high blood pressure.
Candesartan cilexetil is a type of medicine called an angiotensin II - receptor antagonist (or blocker). It mainly works by causing relaxation of blood vessels.
Hydrochlorothiazide is a type of medicine called a diuretic. It works by reducing the amount of excess fluid in the body.
Using these two medicines together will lower your blood pressure more than using either one on its own.
Your doctor will have explained why you are being treated with Atacand Plus and told you what dose to take.
Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet.
Your doctor may prescribe this medicine for another use. Ask your doctor if you want more information.
There is no evidence that Atacand Plus is addictive.
Do not use Atacand Plus if you have an allergy to:
Some of the symptoms of an allergic reaction may include:
Do not use Atacand Plus if you have:
Do not use Atacand Plus if you are pregnant or are planning to become pregnant. It may affect your baby if you take it during pregnancy.
Do not use Atacand Plus if you are breastfeeding. Your baby can take in components of Atacand Plus from breast milk if you are breastfeeding.
Do not give Atacand Plus to children. There is no information about its use in children.
Do not use Atacand Plus after the use by (expiry) date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you have any of the following medical conditions:
If you have not told your doctor about any of the above, tell them before you start taking Atacand Plus.
Tell your doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Atacand Plus may interfere with each other. These include:
These medicines may be affected by Atacand Plus or may affect how it works. You may need different amounts of your medicines, or may need to take different medicines.
Tell your doctor if you plan to have an examination such as an X-ray or a scan requiring an injection of iodinated contrast (dye) that you are taking Atacand Plus. Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
The usual dose is one tablet once daily, taken whole with a glass of water.
Take Atacand Plus once a day, at about the same time each day. Keeping a regular time for taking Atacand Plus will help to remind you to take it.
It does not matter whether you take Atacand Plus with food or on an empty stomach.
Atacand Plus helps control your condition, but does not cure it. Therefore you must take Atacand Plus every day. Continue taking the tablets for as long as your doctor tells you to.
If you forget to take a dose, take it as soon as you remember, as long as it is at least 12 hours before your next dose is due. Then go back to taking it as you would normally.
If it is less than 12 hours to your next dose, skip the dose you missed and take your next dose when you are meant to.
Do not double the dose.
If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.
Immediately telephone your doctor or the Poisons Information Centre (13 11 26) or go to Accidents and Emergency at your nearest hospital immediately if you think that you or anyone else may have taken too much Atacand Plus even if there are no signs of discomfort or poisoning.
If you take too many Atacand Plus tablets you may get a headache, feel sick (nausea), dizzy, thirsty and very tired.
Take Atacand Plus exactly as your doctor has told you to. Your blood pressure will not be well controlled if you do not.
Tell your doctor if you have excessive vomiting or diarrhoea while taking Atacand Plus. You may lose too much water and your blood pressure may become too low.
Tell all doctors, dentists and pharmacists who are treating you that you are taking Atacand Plus.
Tell your doctor immediately if you become pregnant or plan to become pregnant while you are taking Atacand Plus. You should not use Atacand Plus if you are pregnant or thinking about becoming pregnant. Your doctor can discuss different treatment options with you.
If you plan to have surgery (even at the dentist) that needs a general anaesthetic, tell your doctor or dentist that you are taking Atacand Plus.
Tell your doctor if you plan to have an examination such as an X-ray or a scan requiring an injection of iodinated contrast (dye) that you are taking Atacand Plus.
Be sure to keep all of your doctor's appointments so that your progress can be checked. Your doctor will check your progress and may want to take some tests (eg blood tests, blood pressure) from time to time. These tests may help to prevent side effects.
Do not use it to treat any other complaints unless your doctor says to.
Do not give this medicine to anyone else, even if they have symptoms that seem similar to yours.
Do not stop taking Atacand Plus unless you have discussed it with your doctor.
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 Atacand Plus affects you. You may feel dizzy when you start taking Atacand Plus due to the drop in your blood pressure.
Drink plenty of water while you are using Atacand Plus, especially if you sweat a lot.
Please talk to your doctor or pharmacist about these possibilities if you think they may bother you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Atacand Plus. Atacand Plus helps most people with high blood pressure, but it may have unwanted side effects in a few people.
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.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
These side effects are usually mild.
The following side effects have been reported very rarely by patients taking ATACAND: 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 ATACAND.
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. Serious side effects are rare.
If any of the following happen, stop taking Atacand Plus and tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
These are very serious side effects. If you have them, you may have had a serious reaction to Atacand Plus. You may need urgent medical attention or hospitalisation.
These side effects are very rare.
Tell your doctor if you notice anything else that is making you feel unwell. Some people may get other side effects while taking Atacand Plus.
Keep your tablets in the blister pack until it is time to take them. If you take Atacand Plus out of the blister pack it will not keep well.
Keep it in a cool, dry place where the temperature stays below 30°C.
Do not store it or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car on hot days. Heat and dampness can destroy some medicines.
Keep it where young children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
Ask your pharmacist what to do with any Atacand Plus tablets you have left over if your doctor tells you to stop taking them, or you find that the expiry date has passed.
Atacand Plus is available in three different tablet strengths: Atacand Plus 16/12.5, Atacand Plus 32/12.5 and Atacand Plus 32/25.
Atacand Plus 16/12.5, Atacand Plus 32/12.5 and Atacand Plus 32/25 are all available in blister packs of 7 or 30 tablets.
In addition to candesartan cilexetil and hydrochlorothiazide each Atacand Plus 16/12.5, Atacand Plus 32/12.5 or Atacand Plus 32/25 tablets contains:
Atacand Plus does not contain gluten.
AstraZeneca Pty Ltd
ABN 54 009 682 311
NORTH RYDE NSW 2113
This leaflet was prepared in
Australian Registration Numbers
16/12.5 - AUST R 76646
32/12.5 - AUST R 154247
32/25 - AUST R 154251
Atacand Plus is a trade mark of the AstraZeneca group of companies.
Manufactured under licence from
Takeda Pharmaceutical Company Limited.
Published by MIMS/myDr June 2012