Hydrochlorothiazide and candesartan
Generic Name: hydrochlorothiazide and candesartan (HYE droe KLOR oh THYE a zide and KAN de SAR tan)
Brand Name: Atacand HCT
Medically reviewed on July 17, 2017.
What is hydrochlorothiazide and candesartan?
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.
Hydrochlorothiazide and candesartan is a combination medicine used to treat high blood pressure (hypertension).
Hydrochlorothiazide and candesartan 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 hydrochlorothiazide and candesartan?
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 hydrochlorothiazide and candesartan together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
You may also need to avoid taking hydrochlorothiazide and candesartan with aliskiren if you have kidney disease.
To make sure hydrochlorothiazide and candesartan 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. Hydrochlorothiazide and candesartan 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 hydrochlorothiazide and candesartan?
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 hydrochlorothiazide and candesartan.
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 hydrochlorothiazide and candesartan?
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 hydrochlorothiazide and candesartan, unless your doctor has told you to.
Hydrochlorothiazide and candesartan 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, hydrochlorothiazide and candesartan 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)
Hydrochlorothiazide and candesartan dosing information
Usual Adult Dose for Hypertension:
Candesartan 16 to 32 mg-Hydrochlorothiazide 12.5 to 50 mg orally daily in 1 to 2 divided doses
-The recommended starting dose of candesartan is 16 mg orally once a day when used as monotherapy in patients who are not volume depleted; doses larger than 32 mg do not appear to have a greater blood pressure lowering effect.
-A patient whose blood pressure remains uncontrolled on candesartan 32 mg can expect an incremental effect from candesartan 32 mg-hydrochlorothiazide 12.5 mg
-A patient whose blood pressure remains uncontrolled on hydrochlorothiazide 25 mg can expect an incremental effect from candesartan 16 mg-hydrochlorothiazide 12.5 mg; a patient whose blood pressure is controlled on hydrochlorothiazide 25 mg but is experiencing decreases in serum potassium can expect the same or incremental blood pressure effects from candesartan 16 mg-hydrochlorothiazide 12.5 mg and serum potassium may improve.
-Maximal antihypertensive effect can be expected within 4 weeks of treatment initiation.
What other drugs will affect hydrochlorothiazide and candesartan?
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.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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More about candesartan/hydrochlorothiazide
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- Drug class: angiotensin II inhibitors with thiazides
Other brands: Atacand HCT
- Candesartan and Hydrochlorothiazide Tablets (FDA)
- Candesartan and Hydrochlorothiazide (Wolters Kluwer)