Losacard 50 mg (Tablet)

Unit Price: ৳ 8.03 (30's pack: ৳ 240.92)

Medicine Details

Indications

  • Hypertension
  • Renal Protection in Type-2 Diabetic Patients with Proteinuria

Pharmacology

  • Non-peptide orally active angiotensin II receptor blocker
  • Binds to AT1 receptor in various tissues
  • Reduces vasoconstriction and aldosterone release

Dosage & Administration

  • Usual starting and maintenance dose of 50 mg once daily
  • 25 mg twice daily recommended if 50 mg is inadequate
  • Total daily dose ranges from 25 mg to 100 mg
  • Different starting doses for patients under and over 75 years

Interactions

  • Reduced levels with rifampicin and fluconazole
  • Potentiation with hydrochlorothiazide
  • Increased serum potassium with potassium-sparing diuretics or supplements
  • Attenuated effect with indomethacin
  • Increased risk of renal impairment with certain combinations of drugs

Contraindications

  • Pregnancy
  • Hypersensitivity to any component of the product
  • Concomitant use with Aliskiren in patients with diabetes

Side Effects

  • Mild and transient side effects
  • Common side effects include dizziness, diarrhea, nasal congestion, cough, and upper respiratory infection
  • Other less common side effects

Pregnancy & Lactation

  • Pregnancy Category D
  • Risk to fetus increases in second or third trimesters
  • Unknown excretion in human milk
  • Consideration for discontinuing nursing or drug based on importance to mother

Precautions & Warnings

  • Reduced fetal renal function and increased morbidity and death in second and third trimesters of pregnancy
  • Symptomatic hypotension in intravascularly volume-depleted patients
  • Significantly increased plasma concentration in cirrhotic patients
  • Renal function changes and renal failure reported in renal impaired patients

Use in Special Populations

  • No initial dosage adjustment for mild renal impairment
  • Lower starting dose for moderate to severe renal impairment or patients on dialysis
  • Lower dose consideration for patients with hepatic impairment
  • Use with caution in patients with intravascular volume depletion

Therapeutic Class

  • Angiotensin-II receptor blocker

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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