ANZAR Losartan Potassium 50mg Tablet 1's
Indications/Uses
Dosage/Direction for Use
An initial dose of 25 mg once daily may be used in the elderly ≥75 years, and for patients with moderate to severe hepatic impairment (CrCl 20 mL/min) or intravascular fluid retention. A reduced dose should also be considered for patients with hepatic impairment.
Administration
Contraindications
Warnings
Special Precautions
Since hyperkalemia may occur, serum-potassium concentrations should be monitored, especially in the elderly and patients with renal impairment, and the concomitant use of potassium-sparing diuretics should be avoided.
Adverse Reactions
Impaired renal function and rarely, rash, angioedema and raised alanine aminotranferase may occur. Hyperkalemia and myalgia have been reported. Losartan appears less likely than ACE inhibitors to cause cough.
Drug Interactions
Storage
Action
Pharmacokinetics: Losartan is readily absorbed from the GIT following oral administration with an oral bioavailability of about 33%. It undergoes first-pass metabolism to form an active carboxylic acid metabolite E-3174 (EXP-3174), which has greater pharmacological activity than losartan and some inactive metabolites. Metabolism is primarily by cytochrome P-450 isoenzymes CYP2C9 and CYP3A4. Peak plasma concentrations of losartan and E-3174 occur in about 1 hr and 3-4 hrs, respectively, after an oral dose. Both losartan and E-3174 are >98% bound to plasma proteins. Losartan is excreted in the urine and in the feces via bile, as unchanged drug and metabolites. Following oral dosing, about 35% of the dose is excreted in the urine and about 60% in the feces. The terminal elimination t½ of losartan and E-3174 are about 1.5-2.5 hrs and 3-9 hrs, respectively.
MedsGo Class
Features
- Losartan Potassium