"Atakand": analogues, instructions for use, feedback

"Atakand" - a classic drug that has the ability to reduce pressure during strong hypertonic attacks. It is produced mainly in a box of 28 tablets in various dosages( from 8 to 32 milligrams).The medication has a characteristic red tint, which makes it possible to identify it in the mass of medicines in the first aid kit.

Description

Sam preparation, "Candesartan", is available under various trade names: "Irbesartan", "Atakand" - analogues with similar effect, properties and activity. Storage conditions - a dark dry place away from children. Shelf life - 36 months. According to the doctors' reviews, despite the high cost, this drug showed excellent results, because many cardiologists recommend Atakand. Instructions for use, price, analogs - all this will be discussed in our material.

Composition of

One tablet has( depending on the labeling):

• Tsilexetil candesartan - from 8 to 32 mg( for example, "Atakand 16 No. 28").
• Auxiliary components: talc, red dye( in the form of iron oxide), starch and many others that do not have therapeutic effects.

The number after the number in the name indicates the number of tablets in one package, the figure after the name of the drug itself is the dosage in milligrams. Especially often it is indicated on "Nortivan" tablets, analogues may not always provide this information on the package.

Use

Orally once a day as a prophylactic, on an empty stomach. The initial dose is half the smallest dosage( 4 mg), in the presence of liver and / or kidney damage, the initial amount of the drug is reduced by half. Gradually the dosage of "Atakanda" is increased to 8 milligrams, the maximum permissible portion of the medicine is 16 mg. The effect lasts from 24 to 36 hours and does not depend on natural indicators: weight, height, age and sex.

Indications for use

The main indication for use is any type of hypertension( in people - hypertension).Also additional conditions of appointment are:

• Large age( from forty years and older).
• A sedentary lifestyle.
• Predisposition to hypertensive crises, determined by medical records of relatives in past generations.

Contraindications

Candesartan has a small number of contraindications, so it can not be prescribed to all patients:

• Various forms of liver failure, in particular - cholestasis.
• Hypersensitivity to candesartan, which manifests itself in a variety of forms: from hives and small itching to allergic reactions and anaphylactic shock.
• Pregnancy and infant feeding - the drug can penetrate the placental barrier and is able to reduce the pressure in the fetus, disrupting its viability and development.

It has much fewer side effects than Irbesartan. Instruction for use says that he has a much higher chance of provoking side effects: nausea, dizziness. Also, this drug can not be administered to children under the age of eighteen.

Side effects of

The drug has few side effects compared to medicines of the same class of the first generation:

• From the central nervous system: severe sudden dizziness.
• Respiratory apparatus: symptoms similar to influenza in the initial stage, cough, pharyngitis, rhinitis. The chance of occurrence of acute respiratory infections increases.
• From the gastrointestinal tract: pain in the abdomen and pelvis( abdominal pain), it is possible to provoke peptic ulcer of the stomach and duodenum.
• From the circulatory system - the increased occurrence of various edema, "vatnost" limbs.
• An unusual pain in the lumbar region( lumbagia) can often occur, not accompanied by serious problems in the body.

In case of an overdose, the following symptoms are observed: severe dizziness, disorientation, the appearance of primary symptoms of a sudden drop in pressure( hypotension), such as vomiting, tinnitus, drowsiness, possible loss of consciousness. Treatment without complications was observed even when the dose was exceeded to 672 mg( an attempt to reduce the counts with life by taking 21 tablets of Candesartan at a time).

In case of overdose, control over the main indicators of vital activity( pressure, pulse, brain and respiratory activity), rest and lying position is assigned. Sometimes drips with a physiological solution are put. Hemodialysis does not have the necessary effect: the drug does not precipitate and is not removed by reagents that purify the blood, therefore it remains in the body and retains toxicity for the entire period of action until it completely disintegrates in the liver, especially for "Irbesartan" tablets, the instruction for use details the method of rehabilitationafter an overdose.

Interaction with other medicines

Among the significant effects of candesartan with other drugs, the following can be singled out:

• When taken with potassium-sparing medications, potassium retention in the body increases.
• The situation with lithium preparations is similar.
• The use of painkillers( specifically - non-steroidal anti-inflammatory drugs) reduces the main effect of the drug on lowering blood pressure. The risk of renal dysfunction increases, and the content of potassium in the blood increases in people with kidney failure.

Analogues and prices

This drug has a lot of generics that match by properties, but the best is "Atakand".The analogue of the medication is presented: "Irbesartan", "Nortivan", "Prezartan".The active substance is the same everywhere. Also it can be replaced with tablets "Ira-Sanovel".Each of them has its advantages and disadvantages.

First of all, these drugs have different costs, very different from the drug "Atakand".Analogue "Prezartan" is the cheapest of this group, its price ranges from 150 to 175 rubles per package of 30 tablets. Other generics: "Irbesartan" - 410-580 rubles., "Nortivan" - 120-290.Clean "Candesartan" costs 175 rubles, the very same "Atakand" - from 1300 to 1500 rubles.

Reviews about

The drug effect of this group develops relatively slowly( two hours before the peak pressure drop, in "Captopril" - half an hour) and persists for a long period of time. The peculiarity of the effect on the organism makes it convenient to take this medication: Atakand must be taken once, so that it provides an antihypertensive effect( lowering blood pressure) for a full day. The remaining twelve hours - a slow "rollback" of action, a gradual increase in the systolic and diastolic scale, which is also characteristic of the "Candesartan" tablets. Instruction for use says: the drug is characterized by a good degree of safety, experts note a good tolerance.

The proven nephroprotective effect( ability to protect the kidneys from the toxic effects of the drug) increases with increasing dosage. Also, the greater amount of Atacanda taken does not increase the side effects. This means that the drug can be prescribed for kidney failure and nephropathy, with diabetes. Studies have proven the ability to prevent the development of type 2 diabetes and various ailments associated with the cardiovascular system( heart attacks and strokes), especially noteworthy for a pure medicine, which is Candesartan. The instruction for use does not describe this, but such an action is revealed after a multitude of interviews.

"Atakand"( analogue of "Candesartan") is prescribed for elderly people suffering from ischemic heart disease and heart failure. Does not cause orthostatic hypotension( a sharp decrease in pressure due to changes in body position, possible disorientation, dizziness and loss of consciousness), which accompanies many antihypertensive drugs.

Most of the patients switched to taking this medication, as the use of ACE inhibitors( a prophylactic against cardiac and renal insufficiency) causes a cough. Those who have extensive experience in using such medications note that Atakand is much better than Prezartan. The reviews show a better reduction in blood pressure than the first-generation drug. The morning antihypertensive effect becomes more effective.