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Giran H

Tablet-(8mg+12.5mg)
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Aristopharma Limitedchevron-right

Generic: Candesartan Cilexetil + Hydrochlorothiazide

Stock AvailableStock: Available
1 Tablet
৳5.45
৳6
9% OFF

Medicine Overview of Giran H 8mg+12.5mg Tablet

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Introduction

Giran H is a combination of two medicines. It helps to control high blood pressure in different ways. If high blood pressure is not treated it can lead to heart attacks, strokes and kidney failure. You can take Giran H with or without food. The dose will depend on your condition and how your respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more so, it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly to get the most benefit from it even if you feel well. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase. The most common side effect is dizziness. Other side effects include feeling tired, nausea, diarrhoea, headache, and decreased blood pressure. Frequent urination is not a side effect of this drug. It is the purpose of hydrochlorothiazide and helps control your blood pressure. You may experience other possible side effects, but most are rare. Hydrochlorothiazide may occasionally lead to an increase in pressure in your eye and lead to permanent eye damage if not treated. Make sure you read the leaflet that comes with your medicines and tell your doctor if you are bothered by side effects or they do not go away. It may be possible to adjust your dose or try a different medicine. Do not use potassium supplements or salt substitutes unless your doctor has told you to. This drug is not recommended during pregnancy or while breastfeeding and you should ask your doctor before taking it if you have kidney or liver disease, heart trouble or diabetes. Drinking alcohol can further lower your blood pressure and may cause side effects.

Uses of Giran H

  • Hypertension (high blood pressure)

Side effects of Giran H

Common
  • Nausea
  • Taste change
  • Stomach pain
  • Diarrhea
  • Weakness
  • Dizziness
  • Headache
  • Decreased blood pressure
  • Increased blood uric acid
  • Electrolyte imbalance
  • Glucose intolerance
  • Increased blood lipid level

How to use Giran H

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Giran H may be taken with or without food, but it is better to take it at a fixed time.

How Giran H works

Giran H is a combination of two medicines: Candesartan and hydrochlorothiazide which lower blood pressure effectively. Candesartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin thereby relaxing blood vessels.This allows the blood to flow more smoothly and the heart to pump more efficiently. Hydrochlorothiazide is a diuretic that removes extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.

Quick Tips

  • You have been prescribed Candelong H 8mg/12.5mg Tablet for the treatment of high blood pressure.
  • It can be taken with or without food.
  • Candelong H 8mg/12.5mg Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, very dry mouth or muscle weakness.
  • It may cause dizziness. Get up slowly when rising from a sitting or lying position.
  • Use of Candelong H 8mg/12.5mg Tablet during pregnancy or breastfeeding is unsafe.
  • It may also decrease the risk of stroke and heart attacks.

Brief Description

Indication

Hypertension, Congestive heart failure

Administration

May be taken with or without food.

Adult Dose

Hypertension 16-32 mg candesartan/12.5-25 mg HCTZ PO: 1 tablet once daily. Elderly: No dosage adjustment is necessary in elderly patients. Impaired Hepatic Function: Patients with Hepatic Impairment: Dose titration is recommended in patients with mild to moderate chronic liver disease. This should not be used in patients with severe hepatic impairment and/or cholestasis.

Child Dose

The safety and efficacy have not been established in children.

Renal Dose

Impaired Renal Function: In patients with mild to moderate renal impairment (ie, creatinine clearance between 30-80 mL/min/1.73m2 BSA), a dose titration is recommended. This should not be used in patients with severe renal impairment (creatinine clearance <30 mL/min/1.73 m2 BSA).

Contraindication

Hypersensitivity.

Mode of Action

Candesartan inhibits the binding of angiotensin II to AT1 receptors in many tissues (e.g. vascular smooth muscles, adrenal gland) which leads to vasoconstriction blockade and aldosterone release. Hydrochlorothiazide inhibits the reabsorption of Na and chloride in the distal tubules causing increased excretion of Na and water K and hydrogen ions.

Precaution

Volume or sodium depletion, preexisting renal insufficiency; aortic or mitral valve stenosis, hypertrophic obstructive cardiomyopathy, renal artery stenosis, primary hyperaldosteronism. Patients with a history of angioedema, urticaria. Monitor serum potassium levels especially in elderly and renally impaired patients. Hypotension may occur during major surgery and anaesthesia due to suppression of the renin-angiotensin system. Lactation: enters breast milk/contraindicated

Side Effect

1-10% Headache (3%),Dizziness (3%),Upper respiratory tract infection (4%),Back pain (3%),Flu-like syndrome (2%) Frequency Not Defined Candesartan Dizziness, headache, vertigo, back pain, upper resp tract infections, pharyngitis, rhinitis, hypotension, hyperkalaemia, increased serum creatinine. Hydrochlorothiazide Anorexia,Epigastric distress,Hypotension,Orthostatic hypotension,Photosensitivity,Anaphylaxis,Anemia,Confusion,Erythema multiforme,Stevens-Johnson syndrome,Exfoliative dermatitis including toxic epidermal necrolysis,Dizziness,Headache,Hyperuricemia,Hypokalemia and/or hypomagnesemia

Pregnancy Category Note

Pregnancy Category: C (1st trimester); D (2nd and 3rd trimesters) Lactation: enters breast milk/contraindicated

Interaction

NSAIDs may reduce antihypertensive effect and result in deterioration of renal function including possible acute renal failure. May increase serum lithium concentration. K-sparing diuretics, K supplements or salt substitutes containing K may increase risk of hyperkalaemia. Potentially Fatal: Coadministration w/ aliskiren in diabetic patients may increase risk of renal impairment, hypotension and hyperkalaemia.

Buy Giran H from Arogga

In Bangladesh, you can get the original Giran H. Select your favorite one from a large collection of medicine products. Order from App to get more offers and better experience.

What is the price of Giran H in Bangladesh?

The latest price of Giran H in Bangladesh is 5.45৳. You can buy Giran H at the best price from Arogga. Order online through our website or mobile app and get fast home delivery anywhere in Bangladesh. Cash on Delivery (COD) is available all over Bangladesh.

Frequently Questions & Answers

Is the product authentic?

Yes. Arogga sources all medicines and health products directly from trusted suppliers, distributors, or manufacturers. Every product is verified before delivery.

Does Arogga deliver all over Bangladesh?

Yes, Arogga delivers nationwide. You can order from anywhere in Bangladesh.

Is Cash on Delivery(COD) available?

Yes, Cash on Delivery is available across Bangladesh for most products.

How long does delivery take?

Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on location and courier load.

Can I return or replace the product?

If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy.

Safety Advices

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UNSAFE
Giran H may cause excessive drowsiness with alcohol.
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CONSULT YOUR DOCTOR
Giran H is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
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SAFE IF PRESCRIBED
Giran H is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
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UNSAFE
Giran H may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
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CAUTION
Giran H should be used with caution in patients with severe kidney disease. Dose adjustment of Giran H may be needed. Please consult your doctor. Use of Giran H is not recommended in patients with severe kidney disease.
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CAUTION
Giran H should be used with caution in patients with liver disease. Dose adjustment of Giran H may be needed. Please consult your doctor.

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Disclaimer

The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.