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Atacand Oral

Dosage, Uses and WarningsPrices, Brands and ImagesDetailed MonographPatient Handout


Therapeutic class: ANGIOTENSIN II RECEPTOR ANTAGONISTS  


Dosage and Uses

Adult Min/Max Dose: 4.0mg/32.0mg

Common Dosages by Indication:
Hypertension
take 1 tablet (4 mg) by oral route once daily
take 2 tablets (8 mg) by oral route once daily
take 1 tablet (4 mg) by oral route 2 times per day
take 2 tablets (8 mg) by oral route 2 times per day
take one-half tablet (2 mg) by oral route once daily
take one-half tablet (2 mg) by oral route 2 times per day
take 1 tablet (8 mg) by oral route 2 times per day
take 1 tablet (8 mg) by oral route once daily
take 2 tablets (16 mg) by oral route 2 times per day
take 2 tablets (16 mg) by oral route once daily
take 1 tablet (16 mg) by oral route 2 times per day
take 1 tablet (16 mg) by oral route once daily
take 2 tablets (32 mg) by oral route once daily
take 1 tablet (32 mg) by oral route once daily


All Labeled Uses: Chronic Heart Failure, Hypertension
Unlabeled Uses: Diabetic Nephropathy, Diastolic Heart Failure, Nondiabetic Proteinuric Nephropathy, Prevention of Recurrent Atrial Fibrillation


Drug-Drug Interactions

Severe Interaction:
Action is required to reduce the risk of severe adverse interaction.
ACE INHIBITORS; ARB'S/LITHIUM - 
ACE INHIBITORS; ARBS/ORAL SODIUM PHOSPHATE - Adverse reaction of the latter drug

Moderate Interaction:
Assess the risk to the patient and take action as needed.
ACE INHIBITORS; ARB'S/SELECTED NSAIDS - Decreased effect of the former drug
ACE INHIBITORS; ARB'S/POTASSIUM SPARING DIURETICS - Adverse reaction with both drugs
ACE INHIBITORS; ARB'S/POTASSIUM PREPARATIONS - Adverse reaction with both drugs
ACE INHIBITORS; ARB'S/LOOP DIURETICS - Increased effect of the latter drug
ACE INHIBITORS; ARB'S/DROSPIRENONE - Additive side effects from both drugs


Label Warnings

Pediatric
Warning: SAFETY & EFFICACY NOT ESTABLISHED FOR PTS LESS THAN 18 YEARS.

Lactation
Precaution: INSUFF HUMAN DATA; EXCRETED IN RATS

Pregnancy
Not Recommended: CAT D 2ND & 3RD TRIM.; STOP ASAP. ARBS ASSOC. W/FETAL MORBIDITY/MORTALITY.

Geriatric
Precaution: RENAL FAILURE AND HYPOTENSION MORE COMMON IN AGE>75


Adverse Effects

Less Frequent:
Back Pain, Dizziness, Headache Disorder, Pharyngitis, Rhinitis, Upper Respiratory Infection

Rare:
Abnormal Hepatic Function Tests, Agranulocytosis, Disease of Liver, Gout, Hepatitis, Hyperkalemia, Hyperuricemia, Hyponatremia, Hypotension, Leukopenia, Neutropenic Disorder, Pruritus of Skin, Renal Disease, Renal Failure, Rhabdomyolysis, Thrombocytopenic Disorder, Urticaria


Drug-Disease Contraindications

Most Significant
Angioedema, Pregnancy

Significant
Hyperkalemia, Hypotension, Hypovolemia

Possibly Significant
Disease of Liver, Renal Artery Stenosis, Renal Disease with Mild to Moderate Renal Function Impairment, Surgical Procedure

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