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Candesartan cilexetil is a prodrug form of the angiotensin II type 1 receptor (AT1) antagonist candesartan (Item No. 9003239).1 Candesartan cilexetil is converted to candesartan by hydrolysis in the gastrointestinal tract.2 It inhibits the pressor response induced by angiotensin II in normotensive rats (ID50 = 0.069 mg/kg), as well as decreases blood pressure, but not heart rate, in spontaneously hypertensive and two kidney-one clip (2K-1C) and 1K-1C renal hypertensive rats (ED25s = 0.68, 0.03, and 0.23 mg/kg, respectively).1,3 Candesartan cilexetil (0.1 mg/kg) reduces stroke incidence and urinary protein excretion in stroke-prone spontaneously hypertensive rats.4 It prevents stress-induced tyrosine hydroxylase transcription and increases AT2 receptor expression in the ventrolateral thalamic nucleus in cold-restraint stressed spontaneously hypertensive rats when administered at a dose of 10 mg/kg per day.5 Formulations containing candesartan cilexetil have been used in the treatment of hypertension and heart failure.
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1. Pharmacological profile of a highly potent and long-
2. Update on the clinical pharmacology of candesartan cilexetil. Am. J. Hypertens. 13(1 Pt.2), 25S-30S (2000).
3. Antihypertensive effects of a highly potent and long-
4. Protective effects of candesartan cilexetil (TCV-
5. Angiotensin II AT1 receptor blockade selectively enhances brain AT2 receptor expression, and abolishes the cold-