Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Candesartan cilexetil
Drug ID BADD_D00347
Description Candesartan is an angiotensin-receptor blocker (ARB) that may be used alone or with other agents to treat hypertension. It is administered orally as the prodrug, candesartan cilexetil, which is rapidly converted to its active metabolite, candesartan, during absorption in the gastrointestinal tract. Candesartan lowers blood pressure by antagonizing the renin-angiotensin-aldosterone system (RAAS); it competes with angiotensin II for binding to the type-1 angiotensin II receptor (AT1) subtype and prevents the blood pressure increasing effects of angiotensin II. Unlike angiotensin-converting enzyme (ACE) inhibitors, ARBs do not have the adverse effect of dry cough. Candesartan may be used to treat hypertension, isolated systolic hypertension, left ventricular hypertrophy and diabetic nephropathy. It may also be used as an alternative agent for the treatment of heart failure, systolic dysfunction, myocardial infarction and coronary artery disease.
Indications and Usage May be used as a first line agent to treat uncomplicated hypertension, isolated systolic hypertension and left ventricular hypertrophy. May be used as a first line agent to delay progression of diabetic nephropathy. Candesartan may be also used as a second line agent in the treatment of congestive heart failure, systolic dysfunction, myocardial infarction and coronary artery disease in those intolerant of ACE inhibitors.
Marketing Status approved
ATC Code Not Available
DrugBank ID DB00796
KEGG ID D00626
MeSH ID C077793
PubChem ID 2540
TTD Drug ID Not Available
NDC Product Code 62559-641; 70771-1207; 17228-0032; 0378-3224; 46708-341; 62559-642; 63629-2126; 62332-341; 62332-342; 68382-191; 68382-193; 70771-1205; 52562-100; 46708-342; 0378-3232; 70771-1206; 46708-060; 46708-343; 60687-119; 60687-130; 62332-343; 17228-0016; 64220-114; 49884-659; 68382-190; 17228-0017; 65372-1128; 49884-658; 63629-2127; 68382-192; 70518-2719; 70518-2884; 60687-241; 62332-060; 62559-643; 0378-3225; 70771-1204; 17228-0018; 72761-002; 49884-661; 62559-640; 0378-3231; 49884-660
UNII R85M2X0D68
Synonyms candesartan cilexetil | 1-(cyclohexylocarbonyloxy)ethyl-2-ethoxy-1-(2'-(1H-tetrazol-5-yl)biphenyl-4-yl)-1H-benzimidazole-7-carboxylate | 1H-benzimidazolium, 7-carboxy-1-(2-((cyclohexylcarbonyl)oxy)ethyl)-2-ethoxy-1-(2'-(1H-tetrazol-5-yl)(1,1'-biphenyl)-4-yl)-, hydroxide, inner salt, (+-)- | Parapres | Kenzen | Amias | Blopress | Atacand | TCV 116 | TCV-116
Chemical Information
Molecular Formula C33H34N6O6
CAS Registry Number 145040-37-5
SMILES CCOC1=NC2=CC=CC(=C2N1CC3=CC=C(C=C3)C4=CC=CC=C4C5=NNN=N5)C(=O)OC(C)OC(=O)OC6CCCCC 6
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Dyspepsia07.01.02.0010.001682%
Dysphagia07.01.06.0030.002944%
Dysphonia19.19.03.002; 22.12.03.006; 17.02.08.0040.001682%
Dyspnoea02.11.05.003; 22.02.01.0040.016316%
Dyspnoea at rest02.11.05.004; 22.02.01.0250.000841%Not Available
Dyspnoea exertional02.11.05.005; 22.02.01.0050.001262%Not Available
Dysuria20.02.02.002--
Ear infection11.01.05.001; 04.03.01.006--Not Available
Ear pain04.03.01.003--
Eczema23.03.04.0060.002691%
Electrolyte imbalance14.05.01.0020.000841%Not Available
Embolic stroke24.01.04.010; 17.08.01.0320.001262%Not Available
Eosinophilia01.02.04.0010.001682%
Epilepsy17.12.03.0020.000841%Not Available
Epistaxis24.07.01.005; 22.04.03.001--
Erythema23.03.06.0010.006308%Not Available
Erythema multiforme23.03.01.003; 10.01.03.0150.001262%
Extrasystoles02.03.02.0030.002103%Not Available
Eye haemorrhage12.02.02.012; 24.07.05.002; 06.07.02.0010.000841%Not Available
Face oedema08.01.07.003; 10.01.05.002; 23.04.01.0040.000841%
Facial paralysis17.04.03.0080.000841%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.0140.002523%Not Available
Feeling cold08.01.09.0080.001682%Not Available
Feeling hot08.01.09.0090.001682%Not Available
Fistula15.03.02.0010.000841%Not Available
Fluid retention20.01.02.003; 14.05.06.0020.001262%Not Available
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Gastroenteritis11.01.07.004; 07.19.03.001--Not Available
Gastrointestinal disorder07.11.01.0010.002103%Not Available
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