Atacand Plus 32/12.5mg Tablets 30


Drug Name: candesartan + hydrochlorothiazide
Our Price $18.50
PBS $23.74
Concession $7.20
Safety Net $2.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.


This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item


This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Atacand Plus 32/12.5mg Tablets 30

Atacand Plus 32/12.5mg Tablets 30

Product ID: 60484

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.


General Information

Consumer Medicine Information

What is in this leaflet
This leaflet answers some of the common questions people ask about Atacand Plus. It does not contain all the information that is known about Atacand Plus.

It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor will have weighed the risks of you taking Atacand Plus against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine. You may need to read it again.

What Atacand Plus is for
Atacand Plus is used to treat high blood pressure.

Candesartan cilexetil is a type of medicine called an angiotensin II - receptor antagonist. It mainly works by causing relaxation of blood vessels.

Hydrochlorothiazide is a type of medicine called a diuretic. It works by reducing the amount of excess fluid in the body.

Using these two medicines together will lower your blood pressure more than using either one on its own.

Your doctor will have explained why you are being treated with Atacand Plus and told you what dose to take.

Follow all directions given to you by your doctor carefully.

They may differ from the information contained in this leaflet.

Your doctor may prescribe this medicine for another use. Ask your doctor if you want more information.

There is no evidence that Atacand Plus is addictive.

Before you use Atacand Plus
When you must not use it
Do not use Atacand Plus if you have an allergy to:

any medicine containing candesartan cilexetil, or hydrochlorothiazide
any of the ingredients listed at the end of the leaflet
any sulphur drugs (sulphonamides) such as some antibiotics or some medicines to treat diabetes
Some of the symptoms of an allergic reaction may include:

shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not use Atacand Plus if you have:

severe kidney or liver disease
Do not use Atacand Plus if you are pregnant or are planning to become pregnant.

It may affect your baby if you take it during pregnancy.

Do not use Atacand Plus if you are breastfeeding.

Your baby can take in components of Atacand Plus from breast milk if you are breastfeeding.

Do not give Atacand Plus to children.

There is no information about its use in children.

Do not use Atacand Plus after the use by (expiry) date printed on the pack or if the packaging is torn or shows signs of tampering.

If it has expired or is damaged, return it to your pharmacist for disposal.

If you are not sure whether you should start taking this medicine, talk to your doctor.

Before you start to use it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have any of the following medical conditions:

kidney problems
liver problems
heart problems
recent excessive vomiting or diarrhoea
Systemic Lupus Erythematosus (SLE), a disease affecting the skin, joints and kidneys
a salt restricted diet
a condition called primary hyperaldosteronism
a past operation known as sympathectomy
If you have not told your doctor about any of the above, tell them before you start taking Atacand Plus.

Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and Atacand Plus may interfere with each other. These include:

Other blood pressure lowering medicines
Medicines containing potassium, including salt substitutes
Digoxin, a medicine used to treat heart failure
Non-steroidal anti-inflammatory drugs (NSAIDs), medicines used to relieve pain, swelling and other symptoms of inflammation, including arthritis
Colestipol and cholestyramine, medicines used to treat high blood cholesterol levels
Lithium, a medicine used to treat mood swings and some types of depression
Strong pain killers such as codeine, morphine, dextropropoxyphene
Barbiturates, used to treat epilepsy, such as phenobarbitone
Medicines like insulin that are used to treat diabetes
Calcium supplements, or medicines containing calcium
Medicines to treat irregular heart beats
Corticosteroids such as prednisone, cortisone, dexamethasone
These medicines may be affected by Atacand Plus or may affect how it works. You may need different amounts of your medicines, or may need to take different medicines.

Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.

How to take Atacand Plus
Follow all directions given to you by your doctor or pharmacist carefully.

They may differ from the information contained in this leaflet.

If you do not understand the instructions on the box, ask your doctor or pharmacist for help.

How to take it
The usual dose is one tablet once daily, taken whole with a glass of water.

Take Atacand Plus once a day, at about the same time each day.

Keeping a regular time for taking Atacand Plus will help to remind you to take it.

It does not matter whether you take Atacand Plus with food or on an empty stomach.

How long to take it
Atacand Plus helps control your condition, but does not cure it. Therefore you must take Atacand Plus every day. Continue taking the tablets for as long as your doctor tells you to.

If you forget to take it
If you forget to take a dose, take it as soon as you remember, as long as it is at least 12 hours before your next dose is due.

Then go back to taking it as you would normally.

If it is less than 12 hours to your next dose, skip the dose you missed and take your next dose when you are meant to.

Do not double the dose.

If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.

If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (13 11 26) or go to Accidents and Emergency at your nearest hospital immediately if you think that you or anyone else may have taken too much Atacand Plus even if there are no signs of discomfort or poisoning.

If you take too many Atacand Plus tablets you will probably get a headache, feel sick (nausea), dizzy, thirsty and very tired.

While you are using Atacand Plus
Things you must do
Take Atacand Plus exactly as your doctor has told you to.

Your blood pressure will not be well controlled if you do not.

Tell your doctor if you have excessive vomiting or diarrhoea while taking Atacand Plus.

You may lose too much water and your blood pressure may become too low.

Tell all doctors, dentists and pharmacists who are treating you that you are taking Atacand Plus.

Tell your doctor immediately if you become pregnant while you are taking Atacand Plus.

It may affect your baby if you take it during pregnancy.

Things you must not do
Do not use it to treat any other complaints unless your doctor says to.

Do not give this medicine to anyone else, even if they have symptoms that seem similar to yours.

Things to be careful of
Move slowly when getting out of bed or standing up if you feel faint, dizzy or light-headed.

Be careful driving or operating machinery until you know how Atacand Plus affects you.

You may feel dizzy when you start taking Atacand Plus due to the drop in your blood pressure.

Drink plenty of water while you are using Atacand Plus, especially if you sweat a lot.

Please talk to your doctor or pharmacist about these possibilities if you think they may bother you.

Side effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Atacand Plus.

Atacand Plus helps most people with high blood pressure, but it may have unwanted side effects in a few people.

All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor if you notice any of the following and they worry you:

headache or dizziness
flu-like symptoms or infections
chest, throat or sinus infections
feeling sick (nausea)
back pain
urinary tract infection
rapid heartbeats
feeling tired
stomach ache
These are all mild side effects of Atacand Plus.

The following side effects have been reported very rarely by patients taking ATACAND: palpitations, agitation, anxiety, depression, trouble sleeping (insomnia), drowsiness (somnolence), nervousness, nightmare and sleep disorder. It is not known if these side effects are caused by ATACAND.

Tell your doctor as soon as possible if you notice any of the following:

aching muscles, tenderness or weakness in the muscle
The above list includes serious side effects that may require medical attention. Serious side effects are rare.

If any of the following happen, stop taking Atacand Plus and tell your doctor immediately or go to Accident and Emergency at your nearest hospital.

swelling of the face, lips, tongue or throat
harsh sounds when breathing
rash, itching or hives.
easy bruising or bleeding more easily than normal
feel extremely tired
yellowing of the skin and eyes
signs of frequent infections such as fever, severe chills, sore throat or mouth ulcers
worsening of the kidney function including passing little or no urine, drowsiness, nausea, vomiting, breathlessness, loss of appetite and weakness (especially in patients with existing kidney problems or heart failure).
changes in your potassium, sodium and red or white blood cell levels may occur. Such changes are usually detected by a blood test.
symptoms that may indicate high potassium levels in the blood include nausea, diarrhoea, muscle weakness and changes in heart rhythm.
These are very serious side effects. If you have them, you may have had a serious reaction to Atacand Plus. You may need urgent medical attention or hospitalisation.

These side effects are very rare.

Tell your doctor if you notice anything else that is making you feel unwell.

Some people may get other side effects while taking Atacand Plus.

After using it
Keep your tablets in the blister pack until it is time to take them. If you take Atacand Plus out of the blister pack it will not keep well.

Keep it in a cool, dry place where the temperature stays below 30°C.

Do not store it or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car on hot days. Heat and dampness can destroy some medicines.

Keep it where young children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Ask your pharmacist what to do with any Atacand Plus tablets you have left over if your doctor tells you to stop taking them, or you find that the expiry date has passed.

Product description
What Atacand Plus tablets look like
Atacand Plus is available in three different tablet strengths: Atacand Plus 16/12.5, Atacand Plus 32/12.5 and Atacand Plus 32/25.

Atacand Plus 16/12.5 tablets are peach, oval, biconvex tablets with a score on both sides and marked A/CS.

Atacand Plus 32/12.5 tablets are yellow, oval, biconvex tablets with a score and marked with A/CJ on one side and a pressure sensitive bisect on the reverse side.

Atacand Plus 32/25 tablets are pink, oval, biconvex tablets with a score and marked with A/CD on one side and a pressure sensitive bisect on the reverse side.

Atacand Plus 16/12.5, Atacand Plus 32/12.5 and Atacand Plus 32/25 are all available in blister packs of 7 or 30 tablets.

Each Atacand Plus 16/12.5 tablet contains candesartan cilexetil 16 mg and hydrochlorothiazide 12.5 mg as the active ingredients.

Each Atacand Plus 32/12.5 tablet contains candesartan cilexetil 32 mg and hydrochlorothiazide 12.5 mg as the active ingredients.

Each Atacand Plus 32/25 tablet contains candesartan cilexetil 32 mg and hydrochlorothiazide 25 mg as the active ingredients.

In addition to candesartan cilexetil and hydrochlorothiazide each Atacand Plus 16/12.5, Atacand Plus 32/12.5 or Atacand Plus 32/25 tablets contains:

Carmellose calcium
Iron oxide red (E 172)
Iron oxide yellow (E172)
Magnesium stearate (E 572)
Maize starch
Atacand Plus does not contain gluten.

AstraZeneca Pty Ltd
ABN 54 009 682 311
Alma Road

This leaflet was prepared in
September 2009.

Australian Registration Numbers
16/12.5 - AUST R 76646
32/12.5 - AUST R 154247
32/25 - AUST R 154251

Atacand Plus is a trade mark of the AstraZeneca group of companies.

Manufactured under licence from Takeda Pharmaceutical Company Limited.
Preferred Generic
Our preferred generic for this medication is listed below. A generic prescription medicine works in the same way as the existing medicine. What matters is the active ingredient, which is the same in the generic brands and the existing brand. Please click on it below to view the product(s).
Candesartan/HCT Sandoz 32mg/12.5mg Tablets 30
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Alternative Product(s)
There is generic brand to choose from in the table below. Generic Brands are less expensive brands that have been proven to have the same effect. Please select the desired brand.* *Some Doctor's will have "no substitution permitted" endorsed on the script. Please check your prescription as generics are not available in this case.
Candesartan/HCT Sandoz 32mg/12.5mg Tablets 30
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