Jijamata Education Society's College of Pharmacy, Nandurbar (425412), Maharashtra (India)
Hypertension is a serious condition that significantly increases the chances of developing heart failure, stroke, and kidney problems. For managing stage 2 hypertension, experts from the Joint National Committee recommend using a combination of two drugs. This approach helps in effectively controlling blood pressure, reducing the number of pills patients need to take, and improving their overall adherence to treatment, which ultimately lowers the risk of complications. One effective option is candesartan cilexetil, an angiotensin II receptor blocker (ARB) that works as a prodrug with 40% bioavailability. Candesartan stands out due to its strong receptor binding, long-lasting effects, and minimal side effects, making it a preferred choice over ACE inhibitors, which can have drawbacks like raising renin and angiotensin I levels. To ensure accurate dosing and quality, advanced techniques like HPLC and UPLC are used to analyze candesartan in both bulk and combination drug forms. These methods are highly precise, reliable, and efficient, relying on polar solvents, different flow modes, and wavelengths between 210–254 nm to deliver accurate results, making candesartan a well-supported choice in hypertension treatment.
Hypertension increases heart failure, stroke, hypertension, and renal disease. The Joint National Committee recommends a two-drug combination for stage 2 hypertension. Pharmacological combinations lower blood pressure effectively, minimize pills, increase compliance, and reduce morbidity and death. Angiotensin II receptor blocker medication is well tolerated and useful in treating hypertension, heart failure, and diabetes.1 ARB candesartan, also known as candesartan cilexetil, is an oral medication with a 40% oral bioavailability due to partial absorption.2 Candesartan, with its high receptor affinity, is an effective antagonist against angiotensin II, effectively blocking its detrimental effects on the cardiovascular system, even at elevated concentrations, and reducing medication-related issues in patients.3,4 Kidneys are primarily responsible for the clearance of candesartan, with biliary or intestinal pathways playing a minor role.5 Because of its tight and sustained binding to the receptor in the target tissues, candesartan cilexetil has an effective half-life that is longer than its plasma half-life of 4–9 hours.6
Chemistry of CAND
Effect of candesartan on high BP
Candesartan oral monotherapy significantly reduced systolic blood pressure (SBP) and diastolic blood pressure (DBP) compared to placebo, with a placebo-corrected reduction of 4.0 mmHg at 4 mg, 6.0 mmHg at 8 mg, and 7.8 mmHg at 16 mg.7,8 8 mg of candesartan decreased the DBP by 8.9 mmHg, while 50 mg of losartan significantly lowered the DBP by 3.7 mmHg (p = 0.013) in a head-to-head 8-week comparison in hypertension patients.9
Mode of action
Angiotensin II receptor blockers (ARBs) are a recent class of antihypertensive medications that address drawbacks of ACE inhibitors, such as potential accumulation of nonspecific substrates, competitive inhibition resulting in increased renin and angiotensin I levels, and the inability to produce angiotensin II through both major and non-ACE pathways.10
Pharmacokinetic Profile
The Candesartan cilexetil prodrug has an estimated 15% bioavailability and 0.13 L/kg distribution. It is highly bound to plasma proteins and does not penetrate red blood cells. After oral administration, 33% of radioactivity is recovered in urine and 67% in feces. Its plasma clearance is 0.37 mL/min/kg and renal clearance is 0.19 mL/min/kg.10
Pharmacodynamic Profile
Candesartan inhibits the pressor effects of angiotensin II infusion dose-dependently. 8 mg of Candesartan cilexetil daily for a week showed a 90% peak inhibition, with 50% remaining for 24 hours. It increased angiotensin I and II levels and plasma renin activity in hypertension patients and healthy participants.10
Fig. 3 Chemical Structure of Candesartan
HPLC methods for CAND in alone and combinations
HPLC is a crucial analytical tool for drug product assessment, separating, detecting, and quantifying drugs and drug-related degradants. Validation establishes method performance characteristics and limitations, identifying influences on these characteristics. This article discusses strategies for HPLC method development and validation.11 Total twenty-two methods reported for estimation of CAND in single and combination dosage form by using HPLC methods.
Table no 1. That provides the summary of reported HPLC methods including sample matrix, column, linearity and Detection wavelength.12-32
Table no 1 Pharmaceutical Analysis of CAND via HPLC methods alone and combinations.
Sr. No. |
Drugs |
Pharmaceutical or Biological Matrix |
Column |
Chromatographic Conditions |
Linearity µg/mL or ppm |
Ref. |
1. |
CAND |
Bulk Material & Pharmaceutical dosage form |
cosmosil C18 Column (250 cm x 4.6 mm, 5 μm) |
M.P - ACN: KH2PO4 Buffer (pH 2.8) (80:20, % v/v) Flow rate- 1.2mL/min Mode of analysis –Isocratic Detection-230 nm |
100-180 ppm |
12 |
2. |
CAND |
Bulk Material & Pharmaceutical dosage form |
Hypersil ODS C-18 Column (250 x 4.6 mm, 5 μm)) |
M.P- ACN :0.05 M KH2PO4 buffer [0.05M] (65:35%v/v) Flow rate – 1.5 mL/ min. Mode of analysis- Gradient Detection – 256 nm |
0.5- 400 mg/ml. |
13 |
3. |
CAND |
Bulk Material & Human Plasma |
C-18 Column 25cm x 4.6 mm (Supelcosil) |
M.P-ACN: water in 1:1 ratio pH -2.5±0.1. Flow rate – 1.1mL/min Mode of analysis – Isocratic Detection-392 nm |
200ng/ml -3.125ng/ml |
14 |
4. |
CAND |
Bulk Material & Human Plasma |
Shim-pack Column (15x4.6mm ,4.6 µm.) |
M.P-ACN: formic acid (80:20 %v/v) Flow rate – 1 mL/min Mode of analysis – Isocratic Detection – 254 nm |
- |
15 |
5. |
CAND |
Bulk Material & Pharmaceutical dosage form |
Inertsil ODS-3 C18 Column (250 × 4.6 mm), 5μm |
M.P-0.02M Mono Basic Potassium Phosphate Buffer: ACN: Triethyl Amine (40:60:0.2) pH -6.0 Flow rate – 2 mL/min Mode of analysis- Isocratic Detection – 254nm |
4-24 μg/ml |
16 |
6. |
CAND |
Bulk Material & Tablet formulation |
Zorbax C8 Column (150 mm × 4.6 mm, 5 μm) |
M.P-phosphate buffer (pH 2.5): ACN(15:85, % v/v) Flow rate – 1.0 mL/min. Mode of analysis – Isocratic Detection – 215 nm |
2.0–20.0 mcg/ml |
17 |
7. |
CAND |
Bulk Material & Tablet formulation |
column Zorbax SB- CN, (150x 4.6 mm, 5µm)) |
M.P-CN column with a 50:50 (%v/v) mixture of phosphate buffer: ACN Flow rate – 1.0 mL/ min. Mode of analysis – Isocratic Detection – 210 nm |
2-24 μg /ml |
18 |
8. |
CAND |
Bulk Material & Pharmaceutical dosage form |
C-18 Column, (2.1 X 100) mm, 1.7µ |
M.P-(0.1% TFA in water): ACN (5:95v/v), Flow rate – 0.40mL/min Mode of analysis – Isocratic Detection-255 nm |
50-150μg/ml |
19 |
9. |
CAND |
Bulk Material & Tablet formulation |
Shim-pack VP-ODS Column (4.6 mm X 150 mm,5mm) |
M.P-ACN: methanol (60:40% v/v) at pH 6.0 Flow rate – 1 mL/min Mode of analysis – Isocratic Detection – 255 nm |
0.2–100 mg/ml |
20 |
10. |
CAND & AMLO |
Bulk Material & Pharmaceutical dosage form |
ColumnC18 (150 x 4.6mm, 5µ) |
M.P-water:methanol (10:90%v/v) Flow rate – 1mL/min. Mode of analysis – Isocratic Detection -355nm |
4-24 µg/ml |
21 |
11. |
CAND & LEVO |
Bulk Material & Tablet dosage form |
Inertsil-ODS C18 Column (250 x 4.6 mm, 5 µ), |
M.P- Methanol: ACN (90:10%v/v) Flow rate – 0.8mL/ min Mode of analysis – Isocratic Detection – 230 nm |
20 ppm-80 ppm |
22
|
12. |
CAND & HCTZ |
Bulk Material & Pharmaceutical dosage form |
Inertsil ODS C-18 Column (250 x 4.6mm ,5µm) |
M.P-ACN: 0.1% OPA (35:50:15%v/v) Flow rate – 1.0 mL/min Mode of analysis – Isocratic Detection – 272 nm. |
30-90 ppm |
23 |
13. |
CAND & LEVO |
Bulk Material & Pharmaceutical dosage form |
phenominex C8 Column (250 mm x 4.6 mm, 5 µ)
|
M.P-ACN: Buffer (Heptane sulphonic acid) in ratio 80:20%v/v (pH 4.4) Flow rate – 1mL/min Mode of analysis – Isocratic Detection – 230 nm |
1-30 µg/ml |
24 |
14. |
CAND & AMLO |
Bulk Material & Tablet formulation |
Water Xterra R18,C18 Column (150×4.6 mm, 3.5u) |
M.P-A : ACN: Water: OPA (950:50:01) B: ACN: Water: OPA (50:950:01) Flow rate – 1.5mL/min Mode of analysis – Isocratic Detection – CAND-254 nm AMLO-237nm |
CAND-[64 ug /ml] AMLO-[28 ug/ml] |
25 |
15.
|
CAND & ROS |
Bulk Material & Rat Plasma |
Waters C18 Column (250 × 4.6 mm, 5 µm) |
M.P-ACN: 5 mM Sodium acetate buffer (70:30, %v/v; pH -3.5 with acetic acid Flow rate – 1.0 mL/min Mode of analysis – Isocratic Detection – 254 nm |
CAND- (10–300 ng/ml) ROS -(5–150 ng/ml) |
26 |
16. |
CAND & PIT |
Bulk Material & Rat Plasma |
Waters Reliant C18 Column (4.6 × 250 mm, 5 µm) |
M.P-ACN-5 mM Sodium acetate buffer (80:20, %v/v; PH- 3.5 with acetic acid) Flow rate – 0.8 mL/min Mode of analysis –Gradient Detection – 234 nm |
CAND- 3–400 ng/ml PIT- 2–400 ng/ml |
27 |
17. |
CAND & PIOG |
Bulk Material & Tablet formulation |
kromasil C18 Column (150 × 4.6 mm, 5 µm) |
M.P-60% 20 Mm Potassium dihydrogen orthophosphate :40% ACN (%v/v) Flow rate – 0.9 mL/min Mode of analysis – Isocratic Detection – 220 nm |
CAND -4–24 µg/ ml PIT-7.5–45 µg/ ml |
28
|
18. |
CAND & RAM |
Bulk Material & Pharmaceutical dosage form |
Phenomenex C18 Column (250 mm×4.6 mm, 5 µm ) |
M.P-ACN:water (0.5% TEA, pH-4.5 with 10% orthophosphoric acid) (85:15%v/v) Flow rate – 1 mL/min Mode of analysis – Isocratic Detection – 220 nm |
CAND- 1.60–2.88 µg/ml RAM - 0.5–0.9 µg/ml |
29 |
19.
|
CAND & VALS &IRB |
Bulk Material & Pharmaceutical dosage form |
Synergi Hydro RP analytical Column (250 × 4.6 mm) 4 m) |
M.P-OPA: ACN: sodium hydroxide Flow rate– (±0.2 mL min−1) Mode of analysis –Gradient Detection – 205 nm |
- |
30 |
20. |
CAND & CARVE & HCLT |
Bulk Material & Tablet dosage form |
Hypersil gold C18 Column (15 μm, 100 x 4.6 mm) |
M.Pmethanol:ACN: 0.1 % OPA pH 1.8 (35:50:15,% v/v/v) Flow rate – 0.8 mL/min Mode of analysis-Isocratic Detection – 215 nm |
1-90 μg/ml |
31 |
21. |
CAND & PIT & ROS & CLO |
Bulk Material & Tablet dosage form |
C18 analytical Column (250 x 4.6 mm x 5μm) |
M.P-ACN: SDP (pH 2.OPA) in the ratio of (70:30% v/v Flow rate-1 mL/min Mode of analysis – Isocratic Detection – 220 nm |
CAND- 8-20 µg/ml PIT - 2-10 µg/ml ROS- 4-20 µg/ml CLO- 10-50 µg/ml |
32 |
22. |
CAND & CHL & EPR & HCTZ & IRB & LOS & VAL |
Bulk Material & Tablet dosage form |
octadecylsilyl Column (250 x 4.6 mm i.d.; 5 µm)) |
M.P-methanol/sodium phosphate monobasic buffer (0.01M, pH 6.5) Flow rate – 1mL/min Mode of analysis – Gradient Detection – 254 nm |
- |
33 |
UPLC methods for CAND in alone and combinations
Ultra-Performance Liquid Chromatography (UPLC) is a technique that enhances chromatographic resolution, speed, and sensitivity analysis using fine particles. It saves time and reduces solvent consumption, and is widely used in laboratories worldwide. Advancements in packaging materials stimulate separation, governed by the Van Demter equation.34 Total three methods have been reported for estimation of CAND in pharmaceutical dosage form and biological matrix using human plasma and rat plasma. Separation was done by using isocratic mode for CAND. Maximum RP-HPLC was used as a stationary phase and polar solvents like Perchloric acid, water and buffer solutions having acidic pH are commonly used for separation of CAND in various proportion. Wavelength for detection was used in between 210 -254 nm for estimation of CAND. Literature survey summarized in Table no 2 that will provide the information about drugs, Matrix, Column, Chromatographic Conditions (Mobile Phase, flow rate, mode of analysis and wavelength detection) and Linearity.35-37
Table no 2 Pharmaceutical Analysis of CAND via UPLC methods in alone and combination
Sr. No |
Drugs |
Pharmaceutical or Biological Matrix |
Column |
Chromatographic Conditions |
Linearity µg/mL |
Ref. |
1. |
CAND
|
Bulk Material & Tablet dosage form |
RP18 Column, (100 mm × 2.1 mm, 1.7 µm) |
M.P – A: 0.01 M phosphate buffer pH -3.0with OPA B: 95% ACN5% Milli Q Water Flow rate - 0.35 mL/ min Mode of analysis – Gradient Detection – 254 nm & 210 nm |
2.0 µg/ml |
35 |
2 |
CAND & HCLT |
Bulk Material & Tablet dosage form |
Acquity UPLC HSS T3, Column C18, (100 mm x 2.1 mm with 1.8 mm) |
M.P–A. 0.1% Perchloric acid: water B. 0.1% Perchloric acid: ACN Flow rate – 0.5 mL.min-1 Mode of analysis – Gradient Detection – 220 nm. |
> 0.995 |
36 |
3. |
CAND & HCLT |
Bulk Material & Human Plasma |
Column C18 Phenomenex, Gemini NX (100x4.6mm,5μm) |
M.P- organic mixture: buffer solution (80:20 % v/v) Flow rate - 0.800 mL/min. Mode of analysis – Isocratic Detection – - |
CAND -1.00 to 499.15 μg/ml HCLT- 1.00 to 601.61 μg/ml |
37 |
LC methods for CAND in alone and combinations
Liquid chromatography (LC) is a versatile separation tool in analytical laboratories, used in academia and industry for complex non-volatile samples. Traditional LC is insufficient for these samples, making two-dimensional (2D) LC an attractive option.38 Total Five methods reported for estimation of CAND in single and combination dosage form by using LC methods. Table no 3. That provides the summary of reported LC methods including sample matrix, column, linearity and Detection wavelength.39-43
Table no 3 Pharmaceutical Analysis of CAND via LC methods alone and combinations.
Sr. No. |
Drugs |
Pharmaceutical or Biological Matrix |
Column |
Chromatographic Conditions |
Linearity µg/ML & µg /band |
Ref. |
1 |
CAND
|
Bulk Material &Tablet Dosage form |
C18 Column (250 mm · 4.6 mm, 5 lm) |
M.P: phosphate buffer: ACN (50:50% v/vpH 3.0) Flow rate- 1.0 mL min)-1Mode of analysis – isocratic Detection –210 nm |
(12.5–75 μg/ml)-1 |
39 |
.2 |
CAND & HCLT |
Bulk Material & Pharmaceutical dosage form |
Hypersil Phenyl-2 column C18 ( 250 mm × 4.6 mm, 5-µm) |
M.P0.02 M PDP:methanol:triethylaminea (25:75:0.2%v/v/vpH 6.0 ± 0.1, 10% OPA) Flow rate – 1 mL min−1 . Mode of analysis – Isocratic Detection – 271 nm |
CAND – 5–45 µg mL−1 HCLT- 12–56 µg mL−1 |
40 |
3
|
CAND & HCLT |
Bulk Material & Human Plasma |
ACE C18 Column (50 × 4.6 mm; 5 µm) |
M.P-10 mM ammonium acetate:ACN (20:80, %v/v) Flow rate -0.5 mL/min Mode of analysis- Isocratic Detection – - |
- |
41
|
4 |
CAND & HCLT |
Bulk Material & Tablet formulation |
RP-18 Column (125 mm × 4 mm, 5 μm) |
M.P- Flow rate – 0.6 mL min−1 Mode of analysis – Isocratic Detection - - |
CAND -32–160 μg/ml HCLT- 25–125 μg/ml |
42 |
5. |
CAND |
Bulk Material & Human Plasma |
analytical Spherisorb S3P Column (100×4.6 mm, 3 μm ) |
M.P- 100 ml citrate buffer (pH 3.1, I50.5 containing 50 mM TBA), 185 ml ACN:180 ml methanol diluting to 1000 ml with water. Flow rate -0.9 ml/min Mode of analysis – Isocratic Detection - - |
- |
43 |
HPTLC methods for CAND in alone and combinations
HPTLC is a versatile analytical separation method known for uniformity, purity, precision, and accuracy, capable of handling diverse samples and demonstrating great potential for future research and development.44 Total One methods reported for estimation of CAND in single and combination dosage form by using HPTLC methods. Table no 4. That provides the summary of reported LC methods including sample matrix, Solvent, column, linearity and Detection wavelength.45
Table no 4 Pharmaceutical Analysis of CAND via HPTLC methods alone and combinations
Sr. No. |
Drugs |
Method |
Stationary Phase |
Solvents & Detection Lod, Lqd Values |
Linearity |
Ref. |
1 |
CAND & HCLT |
HPTLC |
silica gel 60 GF254 plate |
M.P – ethyl acetate: chloroform:acetone:methanol (3:3:3:0.5 %v/v) Detection – 280 nm |
CAND – 325 μg ml–1 HCLT- 253.0 μg mL–1 |
45 |
UV Spectrophotometric methods for CAND in alone and combinations
Combination drug products are crucial in therapeutics, but analyzing samples with multiple components presents challenges. Multi-component analysis has become popular in fields like clinical chemistry, drug analysis, and pollution control. UV spectrophotometric methods are used for simultaneous drug determination, minimizing the task of separating interferents and reducing analysis time and cost. These methods are based on recording and mathematically processing absorption spectra, offering advantages such as avoiding prior separation techniques, easy acquisition of spectral data, fast, accurate, and simple processes, wide applicability to both organic and inorganic systems, and typical detection limits of 10-4 to 10-5 M.46 Total seven methods reported for estimation of CAND in single and combination dosage form by using UV Spectro methods. Table no 4. That provides the summary of reported LC methods including sample matrix, Solvent, column, linearity and Detection wavelength.47-53
Table no 5 Pharmaceutical Analysis of CAND via UVSpectrophotometric methods alone and combinations
Sr. No. |
Drugs |
Solvent & Method |
λmax (nm) |
R2 |
LINEARITY |
Ref. |
1 |
CAND |
Solvent – Methanol Method- spectrofluorimetric |
270 nm |
0.9997 and 0.9943 |
0.1 - 4.0 µg/ml & 0.03 to 2.0 µg/ml |
47 |
2 |
CAND |
Solvent – Ethanol Method – Spectrofluorimetric |
260 nm & 381 nm |
0.9999 |
3.00 – 288.60 ng/ ml |
48 |
3 |
CAND |
Solvent – Methanol Method – First Order& Second Order |
268.8 nm |
0.989. |
10 – 20µg/ml. |
49 |
4 |
CAND |
Solvent – Methanol Method – Uv Spectrophotometric |
253nm
|
0.9993 |
2-25 µg/ml |
50 |
5 |
CAND |
Solvent – Methanol Method – Uv Spectrophotometric |
270.1 nm |
0.9990 |
6–32 µg/ml |
51 |
6 |
CAND & HCLT |
Solvent – Methanol Method – Uv Spectrophotometric |
CAND-250nm HCLT-280 |
CAND- 0.9998 HCLT- 0.9995 |
- |
52 |
7 |
CAND & AMLO |
Solvent – Methanol Method – Uv Spectrophotometric |
300 - 360 nm |
CAND- 0.9995 AMLO- 0.9989
|
CAND- 8–24 µg/ml AMLO- 5–15 µg/ml |
53 |
DISCUSSION
There are Thirty eight analytical techniques for estimating the amounts of pharmaceuticals like CAND in conjunction with other drugs like AMLO, LEVO, ROS, PIT, PIOG, HCLT, & CARVE etc.. employing HPLC, UPLC, LC, HPTLC and UV Spectrophotometry. In this review, it has been mentioned how many papers have been published for which method from 1999 to 2023.
Fig no. 01: NO. OF PAPER
Fig no. 02: No of Research Paper during 1999-2023
ACKNOWLEDGEMENT
The principal of the JIJAMATA COLLAGE OF PHARMACY NANDURBAR, Dist. Nandurbar (MS) 425412, is gratefully acknowledged by the authors for providing the essential library resources.
Abbreviations Used
REFERENCES
Nikita Sonawane*, Ritik Ahire, Mayur Chavan, Vinod Chaure, Ravindra Patil, Analytical Methods Review on Anti-Hypertensive Drug: CANDESARTAN (CAND), Int. J. of Pharm. Sci., 2025, Vol 3, Issue 2, 1994-2005. https://doi.org/10.5281/zenodo.14927417