LOSARTAN
Background and Date of Approval
Losartan received FDA approval in 1995 for the treatment of hypertension. Generic formulations became available from April 2010.
Uses
Losartan helps to treat hypertension (high blood pressure) and diabetic nephropathy and is used to prevent heart failure and stroke.
How is it administered?
Losartan is available as a tablet with 25mg, 50 mg, and 100 mg. The usual starting dose of Losartan is 50 mg once daily. Take this medication with or without food. Avoid crushing or chewing instead of swallowing it whole.
Side Effects
The side effects known to occur commonly during the treatment with Losartan are dizziness, anemia (lack of blood), hyperkalemia (high potassium levels in the blood), orthostatic hypotension (low blood pressure when standing), renal impairment and failure, hypoglycemia (low blood sugar), upper respiratory tract infection, nasal decongestant, back pain, and cough. If you experience severe allergic reactions or heart, liver, and kidney problems, report your physician immediately.
Warnings
Inform your doctor immediately if you experience allergies to Losartan and its ingredients. Notify your healthcare provider if you are vomiting or having diarrhea. Tell your doctor before the treatment commencement if you are pregnant or having liver, kidney, or heart problems. You might require regular blood pressure monitoring while taking Losartan to avoid fluctuations.
Precautions
Consult your doctor before using this medication if you are pregnant or plan to have a baby. Discontinue Losartan as soon as possible as it may affect the renin-angiotensin system during the second and third trimesters of pregnancy and can reduce fetal renal dysfunction and even the death of the unborn baby. Avoid breastfeeding your baby while on the medicine as it is unknown if Losartan passes into the breast milk.
Word of Advice
Losartan is not recommended for paediatric patients below six years of age. Periodic monitoring of renal function and serum potassium is advised, as the medication helps address renal impairment and hyperkalemia. Patients taking Losartan should not use potassium supplements without consulting their healthcare provider. Losartan is recommended alongside a low-salt diet and regular exercise for optimal therapeutic benefit. Patients should avoid driving or operating machinery if they experience dizziness, fatigue, or drowsiness.
References
Edward Chu, Langeâs Basic and clinical pharmacology, Angiotensin receptor blocking agents,14th Edition, 2018, 203-207. Accord-UK Ltd.., Electronic Medicines Compendium (EMC), [Revised on March 2019] [Accessed on 2nd September 2022] https://www.medicines.org.uk/emc/product/5875/smpc# Merck & co Inc., US Food & Drug Administration, [Revised on Oct 2018] [Accessed on 2nd September 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/020386s062lbl.pdf Swiss Garnier Life Sciences [Accessed on 2nd September 2022] https://biocon.com/docs/prescribing_information/cardiology/zargo_pi.pdf
Frequently Asked Questions
What is Losartan used for?
Losartan helps to prevent heart failure and stroke and is used to treat hypertension (high blood pressure) and diabetic nephropathy.
What are the most common side effects of Losartan?
The most common side effects of Losartan are dizziness, anemia (lack of blood), hyperkalemia (high potassium levels in the blood), orthostatic hypotension (low blood pressure when standing), renal impairment and failure, hypoglycemia (low blood sugar), back pain and cough.
Is Losartan safe during pregnancy?
No, Losartan is unsafe to use during pregnancy as it affects the renin-angiotensin system and can reduce fetal renal dysfunction and even the death of the unborn baby.
Is Losartan safe for diabetic patients?
Losartan may be safe for diabetic patients if prescribed by a doctor. This medication protects kidneys and decreases kidney function in hypertensive (high blood pressure) and type 2 diabetic patients.
Do potassium supplements be taken with Losartan?
No, taking potassium supplements with Losartan is not recommended as it may increase potassium levels in the blood (hyperkalemia). Please check your doctor before using any other medications with Losartan.