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candesartan cilexetil
generic
Black Box Warnings .
Fetal Toxicity
fetal/neonatal morbidity/mortality may occur when drugs that act directly on the renin-angiotensin system are used in pregnancy; D/C drug ASAP once pregnancy detected
Adult Dosing .
Dosage forms: TAB: 4 mg, 8 mg, 16 mg, 32 mg
HTN
- [8-32 mg/day PO divided qd-bid]
- Start: 16 mg PO qd, may adjust dose q2wk; Max: 32 mg/day
heart failure w/ reduced ejection fraction, NYHA Class II-IV
- [32 mg PO qd]
- Start: 4 mg PO qd, double dose q2wk; Max: 32 mg/day
migraine prophylaxis (off-label)
- [16 mg PO qd]
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [HTN]
- Child-Pugh Class B: start 8 mg qd; Child-Pugh Class C: not defined
- [heart failure w/ reduced ejection fraction, NYHA Class II-IV]
- hepatic impairment: not defined
Peds Dosing .
- Dosage forms: TAB: 4 mg, 8 mg, 16 mg, 32 mg
HTN
- [1-5 yo]
- Dose: 0.05-0.4 mg/kg/day PO divided qd-bid; Start: 0.2 mg/kg/day up to 4 mg/day PO divided qd-bid; Max: 0.4 mg/kg/day up to 16 mg/day
- [6-16 yo, <50 kg]
- Dose: 2-16 mg/day PO divided qd-bid; Start: 4-8 mg/day PO divided qd-bid; Max: 16 mg/day
- [6-16 yo, >50 kg]
- Dose: 4-32 mg/day PO divided qd-bid; Start: 8-16 mg/day PO divided qd-bid; Max: 32 mg/day
- [17 yo and older]
- Dose: 8-32 mg/day PO divided qd-bid; Start: 16 mg PO qd; Max: 32 mg/day
renal dosing
- [not defined]
- renal impairment: consider adult renal dosing for guidance
- HD/PD: consider adult renal dosing for guidance
hepatic dosing
- [not defined]
- hepatic impairment: consider adult hepatic dosing for guidance