jeudi 29 juin 2017

CANDESARTAN CILEXETIL Tablet [Alembic Pharmaceuticals Inc.]

Advise patient to read FDA-approved patient labeling (Patient Information).

Pregnancy
Advise female patients of childbearing age should be told about the consequences of exposure to candesartan cilexetil tablets during pregnancy. Discuss treatment options with women planning to become pregnant. Tell patients to report pregnancies to their physicians as soon as possible.

Manufactured by:
Alembic Pharmaceuticals Limited
(Formulation Division),
Panelav 389350, Gujarat, India

Manufactured for:
Alembic Pharmaceuticals, Inc.
750 Route 202, Bridgewater, NJ 08807
USA

Revised: 04/2017

Patient Information
Candesartan Cilexetil (kan-de-sar-tan sye-lex-e-til) Tablets

Read the Patient information that comes with candesartan cilexetil tablets before you start taking it and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your doctor about your medical condition or your treatment.  If you have any questions about candesartan cilexetil tablets, ask your doctor or pharmacist.

What is the most important information I should know about candesartan cilexetil tablets?
Candesartan cilexetil tablets can cause harm or death to an unborn baby. Talk to your doctor about other ways to lower your blood pressure if you plan to become pregnant. If you get pregnant while taking candesartan cilexetil tablets, tell your doctor right away.

What are candesartan cilexetil tablets?
Candesartan cilexetil tablets are a prescription medicine called an angiotensin receptor blocker (ARB).

Candesartan cilexetil tablets are used to:
• treat high blood pressure in adults and children, 1 to 17 years of age
• treat certain types of heart failure in adults, to reduce death and hospitalization for heart damage and heart failure

Heart failure is a condition where the heart does not pump blood as well as it should.

Candesartan cilexetil tablets must not be used in children less than 1 year of age for high blood pressure.

Who should not take candesartan cilexetil tablets?

Do not take candesartan cilexetil tablet if you:
• are allergic to any of the ingredients in candesartan cilexetil tablets. See the end of this leaflet for a complete list of ingredients in candesartan cilexetil tablets.
• are diabetic and taking aliskiren.

What should I tell my doctor before taking candesartan cilexetil tablets?

Before you take candesartan cilexetil tablets, tell your doctor if you:
• have heart problems
• have liver problems
• have kidney problems
• currently have vomiting or diarrhea
• are scheduled for surgery or anesthesia. Low blood pressure can happen in people who take candesartan cilexetil tablets and have major surgery and anesthesia.
• have any other medical conditions
are pregnant or planning to become pregnant. See “What is the most important information I should know about candesartan cilexetil tablets?”
are breast-feeding or plan to breast-feed. It is not known if candesartan cilexetil passes into your breast milk. You and your doctor should decide if you will take candesartan cilexetil tablets or breast-feed. You should not do both.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Candesartan cilexetil tablets and other medicines may affect each other causing serious side effects. Candesartan cilexetil tablets may affect the way other medicines work, and other medicines may affect how candesartan cilexetil tablets works.

Especially tell your doctor if you take:

• lithium carbonate (Lithobid) or lithium citrate, medicines used in some types of depression
• other medicines for high blood pressure, especially water pills (diuretics)
• potassium supplements
• salt substitutes
• non-steroidal anti-inflammatory drugs (NSAIDs)

Know the medicines you take. Keep a list of your medications with you to show your doctor and pharmacist when a new medication is prescribed. Talk to your doctor or pharmacist before you start taking any new medicine. Your doctor or pharmacist will know what medicines are safe to take together.

How should I take candesartan cilexetil tablets?

• Take candesartan cilexetil tablets exactly as prescribed by your doctor.
• Do not change your dose or stop candesartan cilexetil tablets without talking to your doctor, even if you are feeling well.
• If your child cannot swallow tablets, or if tablets are not available in the prescribed strength, your pharmacist will prepare candesartan cilexetil as a liquid suspension for your child. If your child switches between taking the tablet and the suspension, your doctor will change the dose as needed. Shake the bottle of suspension well before each dose.
• Candesartan cilexetil tablets are taken by mouth with or without food.
• If you miss a dose of candesartan cilexetil tablets, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Take the next dose on time. Do not take 2 doses at one time. If you are not sure about your dosing call your doctor or pharmacist.
• If you take more candesartan cilexetil tablets than prescribed, call your doctor, local poison control center, or go to the nearest emergency room.

What should I avoid while taking candesartan cilexetil tablets?
Candesartan cilexetil tablets can cause you to feel dizzy or tired. Do not drive, operate machinery, or do other dangerous activities until you know how candesartan cilexetil tablets affects you.

What are the possible side effects of candesartan cilexetil tablets?

Candesartan cilexetil tablets may cause serious side effects, including:

Injury or death to your unborn baby. See “What is the most important information I should know about candesartan cilexetil tablets?
Low blood pressure (hypotension). Low blood pressure is most likely to happen if you:
o take water pills (diuretics)
o are on a low salt diet
o get dialysis treatments
o are dehydrated (decreased body fluids) due to vomiting and diarrhea
o have heart problems

If you feel dizzy or faint lie down and call your doctor right away.

Low blood pressure can also happen if you have major surgery or anesthesia. You will be monitored for this and treated if needed.  See “What should I tell my doctor before taking candesartan cilexetil tablets?”
Worsening kidney problems. Kidney problems may get worse in people that already have kidney disease or heart problems. Your doctor may do blood tests to check for this.
Increased potassium in your blood. Your doctor may do a blood test to check your potassium levels as needed.
Symptoms of allergic reaction. Call your doctor right away if you have any of these symptoms of an allergic reaction:
o swelling of your face, lips, tongue or throat
o rash
o hives and itching

The most common side effects of candesartan cilexetil tablets are:
• back pain
• dizziness
• cold or flu symptoms (upper respiratory tract infection)
• sore throat (pharyngitis)
• nasal congestion and stuffiness (rhinitis)

Tell your doctor or pharmacist about any side effect that bothers you or that does not go away.

These are not all the side effects of candesartan cilexetil tablets.  Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects.  You can report side effects to FDA at 1-800-FDA-1088.

How should I store candesartan cilexetil tablets?

• Do not keep medicine that is out of date or that you no longer need.
• Store candesartan cilexetil tablets at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].
• Store candesartan cilexetil oral suspension at room temperature below  30°C (86°F).
• Use the oral suspension within 30 days after first opening the bottle. Do not use after the expiration date stated on the bottle.
• Do not freeze.
• Keep the container of candesartan cilexetil tablets closed tightly.

Keep candesartan cilexetil tablets and all medicine out of the reach of children.

General information about candesartan cilexetil tablets.
Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use candesartan cilexetil tablets for a condition for which it was not prescribed. Do not give candesartan cilexetil tablets to other people, even if they have the same problem you have.  It may harm them.

This leaflet summarizes the most important information about candesartan cilexetil tablets. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information about candesartan cilexetil tablets that is written for health professionals.

For more information, call Alembic Pharmaceuticals Limited at 1-866 210 9797.

What are the ingredients in candesartan cilexetil tablets?
Active ingredient:
candesartan cilexetil.
Inactive ingredients in candesartan cilexetil tablets are: mannitol, pullulan, carboxymethylcellulose calcium, corn starch, polyethylene glycol, hydroxypropyl cellulose, magnesium stearate and lactose monohydrate. Iron oxide red is added to the 32-mg tablet as a colorant.

In addition to the above, candesartan cilexetil oral suspension also includes the following inactive ingredients: Ora-Plus, Ora Sweet or Ora-Blend.

How do candesartan cilexetil tablets work?
Candesartan cilexetil tablets are a type of medicine called angiotensin receptor blocker, which blocks the effect of the hormone angiotensin II, causing the blood vessels to relax. This helps lower blood pressure. Medicines that lower your blood pressure lower your chance of having a stroke or heart attack.

This Patient Information has been approved by the U.S. Food and Drug Administration.

Ora-Plus®, Ora-Sweet SF®, and Ora-Blend SF® are registered trademarks of Paddock Laboratories, Inc.

Manufactured by:
Alembic Pharmaceuticals Limited
(Formulation Division),
Panelav 389350, Gujarat, India

Manufactured for:
Alembic Pharmaceuticals, Inc.
750 Route 202, Bridgewater, NJ 08807
USA

Revised: 04/2017


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CANDESARTAN CILEXETIL Tablet [Alembic Pharmaceuticals Inc.]

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