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

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