Medically reviewed: July 17, 2017
What is Atacand HCT?
Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.
Candesartan is an angiotensin II receptor antagonist. Candesartan keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.
Atacand HCT is a combination medicine used to treat high blood pressure (hypertension).
Atacand HCT may also be used for purposes not listed in this medication guide.
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.
You should not use this medicine if you are unable to urinate, or if you are allergic to sulfa drugs.
What should I with my healthcare provider before taking Atacand HCT?
You should not use this medicine if you are allergic to candesartan or hydrochlorothiazide, or if:
you are unable to urinate; or
you are allergic to sulfa drugs.
If you have diabetes, do not use Atacand HCT together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
You may also need to avoid taking Atacand HCT with aliskiren if you have kidney disease.
To make sure Atacand HCT is safe for you, tell your doctor if you have ever had:
congestive heart failure;
low or high levels of potassium in your blood;
high cholesterol or triglyceride levels;
an allergy to penicillin.
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Atacand HCT can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.
Hydrochlorothiazide can pass into breast milk and may cause side effects in the nursing baby. You should not breast-feed while using this medicine.
How should I take Atacand HCT?
Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended.
You may take this medicine with or without food.
Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.
Your blood pressure will need to be checked often. Your blood and urine may also be tested if you have been vomiting or are dehydrated.
If you need surgery or medical tests, tell the surgeon ahead of time that you are using Atacand HCT.
It may take up to 4 weeks for this medication to control your blood pressure. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include fast or slow heartbeat, feeling light-headed, or fainting.
What should I avoid while taking Atacand HCT?
Drinking alcohol can further lower your blood pressure and may cause side effects.
Do not use potassium supplements or salt substitutes while you are taking Atacand HCT, unless your doctor has told you to.
Atacand HCT side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
In rare cases, Atacand HCT can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.
Also call your doctor at once if you have:
eye pain, vision problems;
a light-headed feeling, like you might pass out;
little or no urinating;
jaundice (yellowing of the skin or eyes);
easy bruising, unusual bleeding; or
signs of an electrolyte imbalance--increased thirst or urination, leg cramps, constipation, vomiting, irregular heartbeats, fluttering in your chest, numbness or tingling, muscle weakness or limp feeling, loss of coordination, confusion, feeling unsteady.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect Atacand HCT?
Tell your doctor about all your current medicines and any you start or stop using, especially:
insulin or oral diabetes medicine;
This list is not complete. Other drugs may interact with hydrochlorothiazide and candesartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Copyright 1996-2018 Cerner Multum, Inc. Version: 4.05.
More about Atacand HCT (candesartan / hydrochlorothiazide)
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- Drug class: angiotensin II inhibitors with thiazides