Losatan 50 mg (Tablet)
Unit Price: ৳ 8.00 (3 x 10: ৳ 240.00)
Strip Price: ৳ 80.00
Medicine Details
Category | Details |
---|---|
Generic | Losartan potassium |
Company | Popular pharmaceuticals ltd |
Also available as |
Indications
- Hypertension
- Renal Protection in Type-2 Diabetic Patients with Proteinuria
- Treatment of hypertension alone or in combination with other antihypertensive agents
Pharmacology
- Non-peptide orally active angiotensin II receptor blocker
- Binds to the AT1 receptor found in vascular smooth muscle, adrenal gland, kidneys and the heart
- Reduces vasoconstriction and the release of aldosterone responsible for hypertension
Dosage & Administration
- Usual starting and maintenance dose of 50 mg once daily for most patients
- 25 mg twice daily recommended if 50 mg once daily is inadequate
- Starting dose of 25 mg once daily for patients with intravascular volume-depletion
- Total daily dose ranges from 25 mg to 100 mg
- Lower starting dose of 25 mg once daily recommended for patients over 75 years
Interaction
- Rifampicin and fluconazole reduce levels of active metabolite of Losatan
- Concomitant use of Losatan and hydrochlorothiazide may lead to potentiation of the antihypertensive effects
- Concomitant use of potassium-sparing diuretics, potassium supplements or salt substitutes may lead to increases in serum potassium
- The antihypertensive effect of losartan may be attenuated by the non-steroidal anti-inflammatory drug indomethacin
- Concomitant use of ACE-inhibitor, angiotensin receptor antagonist, an anti-inflammatory drug and a thiazide diuretic at the same time increases the risk of renal impairment
Contraindications
- Contraindicated in pregnant women
- Contraindicated in patients hypersensitive to any component
- Should not be administered with aliskiren in patients with diabetes
Side Effects
- Mild and transient side effects
- Common side effects: dizziness, diarrhea, nasal congestion, cough, upper respiratory infection
- Other side effects: fatigue, oedema, abdominal pain, chest pain, nausea, headache, pharyngitis
Pregnancy & Lactation
- Pregnancy Category D
- Risk to the fetus increases if administered during the second or third trimesters of pregnancy
- Not known whether excreted in human milk, may have potential adverse effects on the nursing infant
Precautions & Warnings
- Reduces fetal renal function and increases fetal and neonatal morbidity and death during the second and third trimesters of pregnancy
- Symptomatic hypotension may occur in intravascularly volume-depleted patients
- Significantly increased plasma concentration in cirrhotic patients
- Changes in renal function including renal failure reported in renal impaired patients
- Dosage adjustments necessary in patients with renal impairment or hepatic impairment
- Caution in patients with intravascular volume depletion
Use in Special Populations
- No initial dosage adjustment necessary in patients with mild renal impairment
- Lower starting dose recommended for patients with moderate to severe renal impairment or on dialysis
- Use caution in patients treated with high-dose diuretics
- Lower dose should be considered for patients with a history of hepatic impairment
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