Product image of Kandoset (Amlodipine, Candesartan Cilexetil) supplied by GNH India

Kandoset

Active Ingredient:
Amlodipine, Candesartan Cilexetil
Origin:
EU

Kandoset (Amlodipine, Candesartan Cilexetil)

Amlodipine / Candesartan cilexetil, the active ingredient in Kandoset, is a calcium channel blocker / angiotensin II receptor blocker presented as an oral tablet for oral use. It lowers blood pressure in adults with hypertension.

GNH India supplies Kandoset as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Kandoset is indicated for conditions affecting the cardiovascular system where blood pressure reduction is required.

  • Hypertension: provides additive lowering of systolic and diastolic blood pressure in adults with essential hypertension.
  • Isolated systolic hypertension: helps control elevated systolic pressure in older patients.
  • High‑risk cardiovascular patients: contributes to overall risk reduction when combined with lifestyle measures.

How It Works

  • Amlodipine blocks L‑type calcium channels in vascular smooth muscle, causing vasodilation, while candesartan cilexetil is an oral pro‑drug that is converted to candesartan, an AT1‑angiotensin II receptor antagonist that prevents vasoconstriction and aldosterone release. The complementary actions produce an additive antihypertensive effect.

Side Effects

Kandoset may cause a range of adverse reactions, which are generally categorized by frequency.

Common Side Effects

  • Headache: mild to moderate head pain.
  • Peripheral edema: swelling of ankles or feet.
  • Dizziness: sensation of light‑headedness.
  • Flushing: warmth and redness of the skin.
  • Fatigue: feeling unusually tired.
  • Nausea: mild stomach upset.

Serious or Rare Side Effects

  • Hypotension: excessively low blood pressure requiring medical attention.
  • Angio‑edema: swelling of face, lips, tongue or throat.
  • Elevated liver enzymes: possible indication of liver injury.
  • Severe allergic reaction: rash, itching, breathing difficulty or anaphylaxis.

Precautions & Warnings

Before prescribing Kandoset, clinicians should consider several safety aspects.

  • Renal impairment: monitor kidney function and adjust therapy as needed.
  • Hepatic impairment: use caution in patients with severe liver disease.
  • Electrolyte imbalance: check potassium levels regularly.
  • Pregnancy and lactation: safety not established; avoid unless clearly needed.
  • Concomitant drugs: review for interactions with CYP3A4 inhibitors.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light.

Avoid Interactions

Kandoset can interact with other medicines; interactions are grouped by clinical significance.

Major Interactions (Avoid)

  • Potassium‑sparing diuretics or supplements: risk of hyperkalaemia.
  • Strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin): may increase amlodipine exposure.
  • Aliskiren in diabetic patients: increased risk of renal impairment.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may attenuate antihypertensive effect.
  • Lithium: potential increase in lithium concentrations.
  • Rifampicin: may reduce candesartan plasma levels.

Frequently Asked Questions

Kandoset is a prescription medication that combines amlodipine and candesartan cilexetil to treat hypertension. It is used in adult patients to lower elevated systolic and diastolic blood pressure and to reduce cardiovascular risk when lifestyle measures alone are insufficient.

Amlodipine blocks calcium entry into vascular smooth‑muscle cells, causing arterial dilation. Candesartan cilexetil is converted to candesartan, which blocks AT1 angiotensin‑II receptors, preventing vasoconstriction and aldosterone release. Together they provide complementary blood‑pressure‑lowering effects.

The appropriate dose of Kandoset is determined by the prescribing clinician based on the individual’s blood‑pressure profile, renal and hepatic function, and concomitant therapies. Patients should follow the exact regimen written on their prescription and not adjust the dose on their own.

Safety of Kandoset in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and typically it is avoided in pregnant or nursing women unless no suitable alternatives exist.

To order Kandoset, submit an enquiry on the product page at gnhindia.com indicating the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kandoset combines a calcium‑channel blocker and an angiotensin‑II receptor blocker, offering additive blood‑pressure reduction compared with using either class alone. This dual‑action approach can achieve target pressures with fewer tablets than separate agents, but individual tolerability and drug‑interaction profiles still need consideration.

Kandoset tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and light. Keep the medication out of reach of children and do not use if the packaging is damaged.

Kandoset is taken orally, usually once daily, with or without food. The tablet should be swallowed whole with a full glass of water. Patients should not crush, chew, or split the tablet unless specifically instructed by their healthcare provider.

Serious risks include symptomatic hypotension, especially in patients who are volume‑depleted or taking other antihypertensives, and angio‑edema, which can be life‑threatening. Liver enzyme elevations and severe allergic reactions are also possible, requiring immediate medical attention.

Kandoset is contraindicated in patients with known hypersensitivity to amlodipine, candesartan or any excipients, and in those with severe hepatic impairment. Caution is advised in patients with significant renal dysfunction, uncontrolled heart failure, or a history of angio‑edema.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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