Rotacan Tablet 20/32 Milligrams

Adult dose

Candesartan Cilexetil 1. Essential Hypertension - The recommended initial and maintenance dose is 8–16 mg orally once daily. - After 4 weeks of treatment at 16 mg, if blood pressure is not controlled, it may be increased to a maximum of 32 mg once daily. - For patients with decreased intravascular effective blood volume, the initial dose is 4 mg. - For patients with renal impairment, the initial dose is 4 mg, and for those with liver impairment, the initial dose is 2 mg. 2. Heart Failure - The initial dose is recommended at 4 mg once daily.

Child dose

The safety and efficacy of Candesartan Cilexetil in the pediatric population under 18 years old have not been established. Therefore, it is not recommended for dosing in children.

This medication can cause severe harm to the fetus if taken during pregnancy, especially in the second and third trimesters, so it must be discontinued immediately if pregnancy is confirmed. Patients with allergies to this drug or its components, those with active liver disease, women who are pregnant or breastfeeding, patients with severe liver impairment, those with myopathy, hereditary angioedema patients, those with severe kidney failure, and patients on certain other medications should not take this medicine. Elderly patients, those with hyperkalemia, mild to moderate liver impairment, and patients with heart or kidney-related diseases should take this medication with caution, requiring regular blood tests and monitoring of physical condition during treatment. This medication can cause serious muscle-related side effects such as myalgia, myopathy, and rarely rhabdomyolysis, so if symptoms of muscle pain or weakness occur, immediate consultation with a doctor is required. Possible liver function abnormalities may arise; therefore, liver function tests should be performed periodically before and during treatment, and if liver enzyme levels rise significantly, treatment should be discontinued. This medication may interact with other drugs, so it is crucial to inform the doctor or pharmacist of any other medications being taken, especially if combined with potassium-sparing diuretics, certain antibiotics, antifungals, immunosuppressants, etc. Women who are pregnant or breastfeeding should not use this medication, and those planning pregnancy should use appropriate contraceptive methods. The safety and efficacy of this medication have not been established in children, so it is not recommended for pediatric use. In case of overdose, symptoms such as hypotension, dizziness, and tachycardia may occur, requiring immediate treatment. During treatment, dizziness or fatigue may occur due to blood pressure lowering, so caution is advised while driving or operating machinery. Lastly, this medication should be kept out of reach of children and is safest when stored in its original container.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes, difficulty breathing or shortness of breath, asthma attacks, respiratory abnormalities accompanied by cough + fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, lightning-like headache, seizures, confusion of consciousness, vision disturbances, paralysis, urination

Mild side effects

• Headache
• dizziness
• nasopharyngitis
• maculopapular rash
• local infection
• periodontitis
• fatigue
• inflammation
• foreign body sensation
• itching

This medication should be stored in a tightly closed container to protect it from air and moisture, with a storage temperature maintained between 1 to 30 degrees Celsius. It is important to avoid direct sunlight or high temperatures, and to keep it in a place out of reach of children.

Appearance

Pink round film-coated tablets

Package unit

30 tablets (10 tablets/PTP X 3)